Family-Centered Care Experiences in Elderly with Chronic Diseases in Communities: Qualitative Study of Patients, Families, Nurses, and Volunteers.

Introduction: The family, at community, must be an important part of elderly care. However, most of the elderly experience a decrease in psychological well-being and quality of life. This is not in accordance with the concept of the family-centered care (FCC) model and can endanger the continuity of the elderly with chronic illnesses. Objective: The aim of this study was to explore experience of FCC among patients with chronic illness, nurses, families, and volunteers. Methods: This study examines the contextual-based FCC model qualitatively. In-depth interviews and focus group discussions were conducted by 12 elderly people, 3 nurses, 10 family members, and 3 volunteers. In total, 36 people, where several were FGD participants, were also interviewed in depth. Data were analyzed using thematic analysis, with codes organized into larger themes. Result: In total, 36 interviews and FGDs were conducted. The concept of information interaction, the phenomenon of emotional interaction, the practical interaction, and various factors that can either facilitate or impede interaction, were considered the four significant themes. Conclusion: FCC acceptance is found in interactions between parents, nurses, family, and volunteers who are not optimistic. Lack of communication and collaboration was noted between community nurses and volunteers. Offer a new perspective on developing and implementing interventions that facilitate positive interactions, reduce family burdens, provide high-quality treatment for parents with chronic diseases, and improve the quality of care for those with advanced chronic conditions. Recommendation: These insights provide a fresh perspective on how to develop and implement effective interventions in this context. It is recommended that future research should employ multiple methodologies to investigate FCC across diverse health practices for the elderly population.

Family support for persons with schizophrenia after physical restraint and confinement

OBJECTIVE: Family support is a substantial aspect in the convalescence process of people with schizophrenia. The study aims to explore the family support of persons in the wake of physical restraint or confinement. METHOD: The study used a qualitative study with phenomenology approach. Purposive sampling technique was used to select participants who were diagnosed of schizophrenia and have experienced physical restraint and confinement. The data was obtained through in-depth interviews with ten participants. The data were analyzed by using the Colaizzi's method. RESULTS: The family as the source of support is needed by the patient daily to complete their healing process. The study identified three themes, namely: (1) supervision of taking medication, (2) providing continuity and optimized care, and (3) empowering people with schizophrenia. CONCLUSIONS: Family support is very important for people with severe mental illness. Psychiatric nurses need to assist families to scale up support for people with schizophrenia

No disponible

Use of King's theory to improve diabetics self-care behavior

OBJECTIVE: Was to analyze the perception and self-care behavior of diabetic patients by using a nurse-patient transaction model based on the King's theory of the goal attainment. METHOD: Descriptive analytical study design was used in this study. Fifty diabetics patients who met the inclusion criteria were recruited from three health center in Medan. Summary of Diabetes Self-Care Activities (SDSCA) and the assessment tool base on King's theory of goal attainment were used to measure of perception and self-care behavior. Distribution and frequentation were completed to describe perception and self-care behavior of diabetic patients. RESULTS: There were 46% patients perceived that they are healthy, even though most of them have experienced complications. Most of the patients (98-100%) reported that interaction with others is needed to maintain their health. The following was a description of the patient's decision making related to diabetes 88% of the patients did before illness. The majority of respondents communicate and convey diabetes problems faced to the family (86-90%). The patient's transaction 96% want to discuss with nurses and doctors for treatment programs and therapy information (98%). CONCLUSION: The nurse-patient transactions model based on King's could be appropriate to improve perception and self-care behavior of diabetic patients aged 21-59 years old in the primary care unit

No disponible