RESUMO
Falls are the most prevalent and serious accident older people suffer in their homes and also, they are the main reason for their hospital admission. In a great part of the cases falls expose at risk elderly people’s well-being and quality of life. A critical narrative literature review was undertaken to inform research in the area of falls in older people living in the community. Articles were retrieved from Medline and Scopus data bases from November 2011 to January 2013. Citation searching was also used as a complement by hand searching of relevant journals. Additionally, an alert mechanism was established in Scopus for a period of one year to identify relevant studies or literature. Reviewed studies have provided valuable evidence about falls in older people and potential prevention strategies. However, evidence from relatives, caregivers and significant others is conspicuously absent. Falls in the community and falls prevention happen in social and family contexts that must be empirically studied and reported.
Las caídas son el accidente más serio y prevalente que los mayores sufren en sus domicilios y son la principal razón de ingreso hospitalario. Las caídas ponen en riesgo el bienestar y la calidad de vida de los mayores. Se llevó a cabo una revisión narrativa crítica de la bibliografía a fin de informar estudios de investigación en el área de las caídas de los mayores que viven en la comunidad. Se recuperaron estudios de las bases de datos Medline y Scopus de Noviembre 2012 a Enero 2013. Se usó también búsqueda de citaciones que se complementó con búsqueda manual en revistas relevantes. Se estableció un sistema de alertas en Scopus a lo largo de un año para identificar estudios relevantes o bibliografía. Los estudios revisados han proporcionado una evidencia valiosa sobre las caídas de las personas mayores y las estrategias potenciales de prevención. No obstante, evidencia proveniente de sus familiares, cuidadores y otros significativos esta notablemente ausente. Las caídas en la comunidad y su prevención suceden en contextos familiares y sociales que deben ser empíricamente estudiados y registrados.
RESUMO
No Brasil, o crescimento da longevidade tem aumentado a prevalência de doenças crônico-degenerativas, as quais podem ocasionar dependência funcional e exigir hospitalizações repetitivas. Especificamente, esta investigação visou conhecer e analisar a percepção de idosos sobre a alta hospitalar, definida como transição hospital-domicílio. A amostra foi constituída por 30 pacientes idosos recrutados em um hospital da rede pública. Antes da alta (internação) e após a alta (domicílio), aplicou-se o Questionário de Continuidade de Cuidado do Paciente, traduzido e adaptado. Verificaram-se correlações significativas entre as subescalas do instrumento. Os resultados reafirmaram a importância do planejamento e da coordenação da alta hospitalar para assegurar continuidade dos cuidados e propiciar atenção integral no campo da Saúde do Idoso. Recomenda-se a validação do instrumento adotado, no intuito de possibilitar estudos multicêntricos...
In Brazil the growth of longevity has increased the prevalence of chronic diseases, which can cause functional dependency and require repeated hospitalizations. Specifically, this research aimed at understanding and analyzing the perception of the elderly on hospital discharge defined as hospital-domicile transition. The sample consisted of 30 elderly patients admitted to a public hospital. Before discharge (hospital) and after (home), the Patient Continuity of Care Questionnaire was applied, translated and adapted. There was a significant correlation among subscales. The results reaffirmed the importance of planning and coordinating the hospital discharge to ensure continuity of care and provide comprehensive care in the field of elderly health. It is recommended to validate the instrument adopted in order to facilitate multicenter studies...
En Brasil, el crecimiento de la longevidad se ha incrementado la prevalencia de las enfermedades crónicas, que pueden conducir a la dependencia funcional y que requieren hospitalizaciones repetidas. En concreto, esta investigación tuvo como objetivo conocer y analizar la percepción de las personas mayores en el alta hospitalaria, que se define como la transición del hospital a casa. La muestra estuvo constituida por 30 pacientes de edad ancianos ingresados en un hospital público. Antes (hospital) y después del alta (casa), se aplicó el Patient Continuity of Care Questionnaire, traducido y adaptado. Hubo correlaciones significativas entre las subescalas del instrumento. Los resultados reafirmaron la importancia de planificar y coordinar el alta hospitalaria para garantizar la continuidad de los cuidados y la atención integral en el campo de la salud de los ancianos. Se recomienda validar el instrumento adoptado con el fin de facilitar los estudios multicéntricos...
Assuntos
Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Geriatria , Saúde do Idoso , Hospitalização , Alta do PacienteRESUMO
PURPOSE: This study elicited Korean students' experiences of nursing practice at geriatric hospitals. METHOD: A purposive sample of 26 Korean nursing students was recruited from K College of Nursing located in Daegu, Korea. Inclusion criteria were nursing students who: 1) finished nursing practice at geriatric hospitals, 2) were oriented and communicable, and 3) understood research purpose and agreed to participate in this study. Individuals were interviewed using Q-methodology. RESULTS: The majority of the participants had experience of living with the elderly and volunteering related to elder care. Data analysis showed that participants' experiences of nursing practices were consisted of three types: skill acquiring-oriented, relationship-oriented, and practice system-oriented. CONCLUSION: Nursing practices at geriatric hospitals provided opportunities of having positive attitude toward the elderly for nursing students. Nursing students' experiences were divided into at least three different types. Nursing educators need to develop curriculum for gerontological nursing practice tailoring to theses differences.