ABSTRACT
Objective: To explore the effect of the family-centered empowerment model (FECM) on reducing anxiety, improving care ability, and readiness for hospital discharge of main caregivers of preterm infants. Methods: The primary caregivers of preterm infants who were admitted to the Neonatal intensive care Unit (NICU) of our center from September 2021 to April 2022 were selected as the research objects. According to the wishes of the primary caregivers of preterm infants, they were divided into group A (FECM group) and group B (non-FECM group). The intervention effects were evaluated with the Anxiety Screening Scale (GAD-7), the Readiness for Hospital Discharge Scale-Parent Version (RHDS-Parent Form), and the Primary Caregivers of Premature Infants Assessment of Care Ability Questionnaire. Results: Before the intervention, there was no statistically significant difference in the general information, anxiety screening, the scores of each dimension, and total score of the comprehensive ability of the main caregivers, and the score of caregiver preparedness between the two groups (P > 0.05). After the intervention, there were statistically significant differences in the anxiety screening, the total score and total score of each dimension of the care ability, and the score of caregiver preparedness between the two groups (P < 0.05). Conclusions: FECM can effectively reduce the anxiety of primary caregivers of premature infants and improve their readiness for hospital discharge and care ability. To improve the quality of life of premature infants by implementing personalized training, care guidance, and peer support.
ABSTRACT
Background: At the time of an emergency, nurses are one of the most important first responder groups. Thus, their readiness to deal with emergency situations will increase disaster resiliency and continuity of care. The purpose of this study was to determine if whether nursing students at Iran University of Medical Sciences were willing and capable of providing care in a disaster or an emergency circumstance based on their disaster training courses. Methods: This was a cross-sectional study conducted during 2017 and 2018 in Iran University of Medical Sciences, Iran. Using a simple random sample procedure, 110 nursing students who passed disaster-related courses as part of their degree program (senior year students) were included in this study. Data were collected using the Disaster Survey questionnaire, developed by Qureshi (2005). The questionnaire consists of 8 disaster scenarios and 11 questions. Reliability testing was done using Cronbach's alpha (8). Scenarios were adapted to the context. Data were analyzed using SPSS 23 and descriptive statistics. Results: The response rate was 93%. Participants' mean age was 21 years. The highest score in the ability to care (61%) was related to explosion incidents and the lowest score inability (22.9%) was related to radioactive incidents. The highest score of willingness to care (63.5%) in students was related to scenario 4 (explosion incident). The lowest score of willingness to care (32.7%) was for scenario 7 (radioactive bomb explosion) and scenario 2 (infectious disease). Conclusion: This study showed that nursing students do not have enough willingness and ability to provide care in radioactive and biological emergencies. There were some shortcomings in nursing education courses, especially in content related to radioactive and biological events.
ABSTRACT
El aumento de adultos mayores con enfermedades crónicas y que requiere de un cuidador permanente se ha convertido en un fenómeno de interés para la disciplina de enfermería, con miras al mejoramiento de calidad de vida de las personas. OBJETIVO: describir la habilidad del cuidado del cuidador en adultos mayores no institucionalizados de una institución de salud de Manizales. METODOLOGÍA: estudio, descriptivo de corte transversal, cuyo propósito fue identificar la habilidad del cuidado de los cuidadores de adultos mayores y sus características sociodemográficas; de abordaje cuantitativo mediante la aplicación del instrumento "Habilidad de cuidado en cuidadores de personas con enfermedad crónica". RESULTADOS: se destaca el cuidador de género femenino 86,6%, con edad promedio de 48 años, con algún grado de escolaridad, religión predominante la católica con 88.4%; se encontraron cuidadores con un promedio general de habilidad del cuidado de 137 puntos, que lo ubica por encima de la media del instrumento que es de 120 puntos. Tiempo cuidado al cuidado con un promedio de 45 meses. Los resultados por dimensiones en la escala del 1 al 4 fueron: relación 2,9, comprensión 3,2 puntos y modificación de vida 2,9. Se encontró asociación entre la dimensión de comprensión con el estrato socioeconómico; CONCLUSIONES: a pesar de que se evidencia resultados positivos en la habilidad de los cuidadores es necesario generar acciones específicas de cuidado de la población atendida y sus necesidades además garantiza la calidad de la atención y mejorar la satisfacción del paciente.
The increase of older adults with chronic diseases and requiring a permanent caregiver has become a phenomenon of interest for the nursing discipline, with a view to improving the quality of life of people. OBJECTIVE: to describe the ability of caregiver care in non-institutionalized older adults of a health institution in Manizales. METHODOLOGY: a descriptive, cross-sectional study, whose purpose was to identify the care ability of caregivers of older adults and their sociodemographic characteristics; of quantitative approach through the application of the "Skill of care in caregivers of people with chronic disease" instrument. RESULTS: the female caregiver stands out 86.6%, with an average age of 48 years, with some level of education, predominantly Catholic religion with 88.4%; Caregivers were found with a general average of care skill of 137 points, which places it above the average of the instrument that is 120 points. Care-to-care time with an average of 45 months. The results by dimensions on the scale of 1 to 4 were: relationship 2.9, understanding 3.2 points and life modification 2.9. An association was found between the dimension of understanding and the socioeconomic stratum; CONCLUSIONS: in spite of the fact that positive results are evidenced in the ability of caregivers, it is necessary to generate specific care actions for the population served and their needs, it also guarantees the quality of care and improves patient satisfaction.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Aptitude , Quality of Health Care , Quality of Life , Caregivers , Colombia , Chronic Disease , Cross-Sectional Studies , Patient SatisfactionABSTRACT
El accidente cerebrovascular (ACV) es la enfermedad neurológica que más incapacidad e institucionalización origina. Su alta supervivencia no es pareja a una recuperación total, pues hasta el noventa por ciento sufre secuelas, lo cual genera una demanda de cuidados y la presencia de un cuidador para realizar las actividades básicas. Estos cuidadores están expuestos a padecer cambios en su vida que afectan sus diferentes roles, lo cual los convierte en una población vulnerable que requiere atención de los servicios de salud. Objetivo: Identificar las habilidades de cuidado de los cuidadores principales de los pacientes con secuelas de ACV en Cartagena. Método: Estudio descriptivo, realizado a 152 cuidadores de pacientes con secuelas de ACV en la ciudad de Cartagena. Se utilizaron dos instrumentos: Caracterización de los Cuidadores e Inventario de Habilidad de Cuidado, instrumento que mide la habilidad de cuidado en las dimensiones conocimiento, valor y paciencia. Resultados: Los cuidadores en su mayoría son mujeres en edad adulta, menores que el sujeto de cuidado, dedicadas al hogar, llevan más de 37 meses dedicados al cuidado, no son las únicas cuidadoras; primer grado de consanguinidad (51,3%), presentan habilidad de cuidado media. Las dimensiones de habilidad de cuidado, el conocimiento (75,7%) y la paciencia (87,5%) estuvieron en categoría alta y el valor en categoría alta (2,6%). Conclusiones: Los cuidadores de personas con ACV no cuentan con la habilidad necesaria para establecer la relación de cuidado, es necesario realizar intervenciones orientadas a disminuir los riegos del rol de cuidador.
Cerebrovascular accident (CVA) is the neurological disease that causes more disability and institutionalization. Its high survival is not even a full recovery, since until ninety percent suffer consequences, creating a demand for care and the presence of a caregiver to perform the basic activities. These caregivers are exposed to suffer changes in their lives that affect different roles, making them a vulnerable population that requires care from health services. Objective: Identify the skills of care from care givers of patients with sequelae of CVA in Cartagena. Method: Descriptive study, made to 152 caregivers of patients with sequelae of CVA in the city of Cartagena. It was used two instruments, Characterization of the care givers and Inventory Caregiver's Ability to Care, an instrument that measures the ability of care in the dimensions knowledge, courage and patience. Results: Caregivers are mostly women in adulthood, younger than the subject of care, homemakers. They have more than 37 months devoted to the care, generally there are more carers, they have first degree of consanguinity (51.3%), and average ability to care. The dimensions of caring ability, knowledge (75.7%) patience (87.5%) and courage (2.6%) were in the high category. Conclusions: Caregivers of people with ACV, do not have the skills necessary to establish the relationship of care, interventions are needed to reduce the risks of the caregiver role.
ABSTRACT
El estudio corresponde a un diseño tipo cuasiexperimental con abordaje cuantitativo. Pretende medir el efecto de un programa educativo de apoyo en la habilidad de cuidado de los cuidadores familiares de pacientes en situación de enfermedad crónica mediante la utilización del CAI (Caring Hability Inventory) de Ngozi NKongho se estructura en cuatro fases: la primera, comprende la medición inicial de la habilidad del cuidado de los cuidadores participantes; la segunda, corresponde a la implementación de programa educativo estructurado por los autores del estudio; la tercera , se efectúa la medición final de la habilidad una vez finalizado el programa educativo, y en la cuarta, se desarrolló el análisis comparativo entre los resultados iniciales y los finales obtenidos en la muestra. Respecto a la habilidad total, se encontró que la aplicación del programa educativo para los cuidadores familiares de personas en situación crónica de enfermedad, presentó un efecto estadístico significativo. Al realizar el análisis comparativo por categorías se observa un efecto estadístico significativo en la categoría de valor (t: 2.81). Sobre las categorías de conocimiento y paciencia, se observó una reubicación en el número de cuidadores hacia el nivel óptimo con la implementación del programa.
The design applied to the present study, is of traverse descriptive type with quantitative boarding that has as purpose, to determine the effect of an educational program in the invigoration of the ability of 40 caretakers' care, which was developed in four stages: the first one, understands the initial mensuration of the ability of care by means of the application of the Inventory of the Ability of Care ", elaborated by the doctor Ngozi O. Nkongho in an administered way car, the second, correspond to the implementation of the educational program, in third o'clock, the final mensuration of the ability is made once concluded the educational program, and in the fourth, you development the comparative analysis among the results iníciales and the ends obtained by the sample. Regarding the total ability, it was found that the application of the educational program for the family caretakers of people in chronic situation of illness, presented a significant statistical effect. When carrying out the comparative analysis for categories a significant statistical effect it is observed in the category of value (t: 2.81). regarding the categories of knowledge and of patience, a relocation was observed in the number of caretakers toward the good level with the implementation of the program; however, when carrying out the statistical comparison, a significant effect of the same one is not evidenced in the ability level of these two components (t: 1.16 and t:1.32 respectively).
