Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke.

Naiana Oliveira Dos Santos,Carolina Baltar Day,Diani De Oliveira Machado,Carla Cristiane Becker Kottwitz Bierhals,Lisiane Manganelli Girardi Paskulin,Mariane Lurdes Predebon

doi:10.1590/0034-7167-2018-0894

Abstract

development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique. the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines. the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.

Highlights

Patients who are survivors of stroke have limitations that interfere with the performance of Activities of Daily Living (ADL), requiring assistance for self-care
The project was approved by the Research Ethics Committee of the Hospital de Clínicas de Porto Alegre (HCPA)
Protocol development, through literature review, the definition of the protocol domains was based on the following criteria: care activities often performed by the family caregiver; activities that caregivers need guidance and support from health professionals to perform them properly considering specificities of the age group; aspects related both to the elderly affected by stroke and to their caregiver

Summary

Introduction

Patients who are survivors of stroke have limitations that interfere with the performance of Activities of Daily Living (ADL), requiring assistance for self-care. Often the family caregiver suddenly provides care without prior training[1,2]. It is understood that this family caregiver is an informal caregiver who has the responsibility of assisting the elderly at home in tasks for which the elderly have temporary or definitive functional disability. He/she could be a family member, friend, neighbor, or other community member providing such care without employment. The learning of the caregiver of an elderly person after stroke begins, at first, through guidance made by multidisciplinary teams during hospitalization. In the return to the community, the service is provided by primary care or by home care services, when existing and according to the needs of the elderly. In Brazil, home care (HC) is provided for primary and home care services according to the complexity of care to users[3]

Results

Discussion

Conclusion