Chaparro-Díaz Lorena, Valbuena-Castiblanco Cindy Lorena, Carreño-Moreno Sonia, Hernández-Zambrano Sandra Milena, Carrillo-Algarra Ana Julia
. Universidad Nacional de Colombia, Bogotá D.C, Colombia. Email:
. Universidad Nacional de Colombia Bogotá. Colombia E-mail:
Rev Cuid. 2023 Dec 20;14(3):e04. doi: 10.15649/cuidarte.2923. eCollection 2023 Sep-Dec.
People with multimorbidity and their caregivers are beginning to be recognized as emerging subjects of health systems. In Colombia there is no differentiated approach to care for this population, as well as its health-disease process.
To understand the experience of people with multimorbidity and their caregivers after receiving a case management intervention.
It is a qualitative study in which 33 participants among people with multimorbidity and their caregivers who received intervention with case managers were interviewed, a comparative analysis and use to tools analytics grounded theory.
There are 3 dimensions that are, the actors where nursing becomes relevant as a reliable source of care; the Care Meeting, as a space created within case management to maintain trust and; Results in the health system, where the need to integrate this type of outbreak into the Colombian Health Model is confirmed.
Complementary qualitative evidence data from the central study with a greater impact on the quality of care through the therapeutic relationship at home.
The dyad requires home support for self-management of the disease based on trust, empathy, empowerment and administrative management carried out by case managers.
患有多种疾病的人群及其护理人员正开始被视为卫生系统中新兴的服务对象。在哥伦比亚，对于这一人群及其健康-疾病过程，没有差异化的护理方法。
了解患有多种疾病的人群及其护理人员在接受病例管理干预后的体验。
这是一项定性研究，对33名患有多种疾病的人群及其护理人员进行了访谈，这些人员接受了病例管理人员的干预，并进行了比较分析，运用扎根理论工具进行分析。
存在三个维度，即护理作为可靠护理来源变得相关的行为主体；护理会议，作为在病例管理中创建的维持信任的空间；卫生系统中的结果，证实了将这类疾病纳入哥伦比亚卫生模式的必要性。
来自核心研究的补充定性证据数据通过家庭中的治疗关系对护理质量产生更大影响。
这一组合需要基于信任、同理心、赋权以及病例管理人员进行的行政管理，在家中获得疾病自我管理的支持。
