Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação
Nenhuma Miniatura disponível
Data
2013-05-10
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Goiás
Resumo
Traumatic brain injury (TBI) has been considered the most important cause of
disability among young people and the most common cause of neurological
morbidity. It is therefore necessary that health professionals, including nurses,
develop specific knowledge about the assistance not only to the victims but also to
the caregivers in order to help them cope with the adverse consequences arising
from this type of trauma. In the rehabilitation context, there is little research on the
clinical management of people with TBI in rehabilitation process and even the use of
Models or Nursing Theories to approach to this group. This study aimed to examine
the effectiveness of a program in nursing interventions for "Knowledge deficit of
family caregivers" of people with TBI rehabilitation sequel. It followed the
methodology of convergent care research (PCA), a quantitative approach. The study
was developed in the hospital sector of the Rehabilitation Center and Readaptation
Dr. Henry Santillo (CRER) in the city of Goiânia/GO through August 2012 to January
2013. The study included eight people with TBI, V ranch or superior, who were
hospitalized in the period of the study and their caregivers. During data collection a
set of instruments and procedures were used. In the evaluation of people with TBI, a
protocol interview and physical examination based on the Theory of Orem were used.
In the assessment of family caregivers it was applied a structured interview based on
the Calgary Assessment Model and Families Intervention, a cognitic assessment
using the Mini-Mental State Examination and anxiety assessment by the State-Trait
Anxiety Inventory. Based on this initial assessment of patients and their family
caregivers, it was developed knowledge evaluation protocols necessary to caregivers
with specific focus such as: facilitation of communication, memory training, cognitive
stimulation and disease process. The rating scales were inspired by NOC. Then, a
program of individual and group intervention was applied to the family caregivers
based on NIC (individual and group learning, learning: the health illness process) and
in the Learning Theory significant. At the end of the specific intervention program, 72
hours were waited and knowledge post-intervention tests were applied.
Sociodemographic data analysis was done by simple descriptive statistics. The
diagnoses were identified by consensus of two professionals and checked by a third
researcher. To evaluate the results it was used the scores of the NOC indicators
(Nursing Outcomes Classifications) and made a comparison of the data obtained
before and after 72 hours of interventions through the use of Descartes signals test.
The interventions protocol for poor knowledge was effective for training Memory (p =
0.008) and instruction: disease process (p = 0.008). Despite positive clinically results,
the program effectiveness of interventions for cognitive stimulation (p = 0.07) and
communication improvement (p = 0.12) they could not be statistically proven. Based
on these results, it was possible to: highlight the success of intervention program for
the diagnosis of insufficient knowledge of the family caregiver training on memory
and on the disease process.
Descrição
Citação
SOUZA, J. C. Efetividade de um programa de intervenções de enfermagem para conhecimento deficiente do cuidador familiar de pessoas em processo de reabilitação. 2013. 184 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013.