RESUMO
Objective To evaluate the effects of health education of house-to-house visit in malaria prevention and control in the border and minority areas. Methods A health education of house-to-house visit in malaria prevention and control was car-ried out,and baseline and follow up surveys were conducted by qualitative and quantitative methods to document the changes of local villagers’knowledge,attitudes and behaviors(KAP)of malaria prevention and control in 2 counties of Yunnan Province, and the results before and after the interventions were analyzed and compared. Results After the intervention,the cognition rates about malaria symptoms and signs,transmission mode,preventive measures and health-seeking behaviors were 99.3%, 98.9%,79.9%and 99.3%respectively in the local residents,and those were 39.2%,8.2%,47.0%and 49.9%respectively be-fore the intervention,and all the differences were statistically significant(P all<0.01). Conclusions KAP related to malaria among the targeting population has improved after the interventions and the house-to-house visit is an effective community-based health education approach.
RESUMO
OBJECTIVE: To understand the interaction process between the elderly and the family and the nurses during home care. METHODS: Grounded theory qualitative study in a community where 40% of the population is aged 65 or above. The collection of data was made via the non-participating observation of nursing practice during 41 home visits and semi-structured interviews to nurses, the elderly and the family. RESULTS: the following categories emerged - structural organization of at-home care, diagnostic assessment in context and therapeutic intervention in context. CONCLUSION: the central category was "Building the relationship in an at-home context", due to the fact that the relationship between the nurse, the elderly and the family is central across the entire care process. The relation is, simultaneously, the context for all the care and a therapeutic instrument.
OBJETIVO: Compreender o processo de interacção com a pessoa idosa e família no domicílio desenvolvido pelos enfermeiros. MÉTODOS: Estudo de natureza qualitativa, Grounded Theory, em uma comunidade onde 40% da população têm idade igual ou superior a 65 anos. A coleta dos dados foi pela observação não participante das práticas de enfermagem, durante 41 visitas domiciliárias e entrevistas semiestruturadas às enfermeiras, pessoa idosa e família. RESULTADOS: Emergiram as categorias: organização estrutural dos cuidados domiciliares, avaliação diagnóstica em contexto e intervenção terapêutica em contexto. CONCLUSÃO: A categoria central foi "Construindo a relação em contexto domiciliar" pelo fato da relação da enfermeira com o idoso e a família ser central em todo o processo de cuidados. A relação é simultaneamente o contexto de todos os cuidados, assim como é um instrumento terapêutico.
OBJETIVO: Comprender el proceso de interacción de los enfermeros con la persona anciana y la familia en el domicilio. MÉTODOS: Estudio de naturaleza cualitativa, Grounded Theory, realizado en una comunidad donde el 40% de la población tiene una edad igual o superior a 65 años. Para la recolección de los datos se usó la observación no participante de las prácticas de enfermería, durante 41 visitas domiciliarias y entrevistas semiestructuradas realizadas a las enfermeras, persona anciana y familia. RESULTADOS: Emergieron las categorías: organización estructural de los cuidados domiciliarios, evaluación diagnóstica en el contexto e intervención terapéutica en el contexto. CONCLUSIÓN: La categoría central fue "Construyendo la relación en el contexto domiciliario", por el hecho de ser la relación de la enfermera con el anciano y la familia el centro en todo el proceso de cuidados. La relación es simultáneamente el contexto de todos los cuidados, así como el instrumento terapéutico.