Self-care Dependence Research Articles

Self-care dependency assessment of person with lower limb amputation: an exploratory study

Objetivo: identificar as características sociodemográficas e clínicas de pessoas com amputação maior de membro inferior, de origem vascular, e avaliar o nível de dependência e autonomia nas atividades de autocuidado, no domicilio. Método: estudo quantitativo, exploratório, transversal e descritivo. A amostra por conveniência foi constituída por 40 participantes. Para a coleta de dados utilizou-se um questionário sociodemográfico e a versão curta do Formulário de Avaliação de Dependência de Autocuidado. Resultados: dos 40 (100%) participantes a maioria era do sexo masculino; 75% tinham idade superior a 65 anos de idade e 77,5% foram submetidos a amputação transfemoral. Em relação ao nível de dependência predominavam as atividades relacionadas ao autocuidado: “andar”, “tomar banho”, “vestir-se e despir-se”, “usar o banheiro” e “transferir-se” e quanto a autonomia, 72,5% estavam confinados a uma cadeira de rodas. Conclusão: o domínio de autocuidado com maior nível de dependência é “andar”, e o menor , “alimentar-se”. Maior autonomia no uso do banheiro, deambulação e transferência da cama para a cadeira mostraram-se atividades de autocuidado com melhor capacidade de predizer a autonomia do paciente.

Self-care dependency assessment of person with lower limb amputation: an exploratory study.

(1) Dysvascular major lower limb amputation interferes with activities of daily living. (2) Self-care with the highest level of dependency is "walking". (3) Self-care with the lowest level of dependency is "feeding". (4) Develop future interventions on the degree of dependency of patients with dysvascular amputation. to identify the sociodemographic and clinical characteristics of the person with dysvascular major lower limb amputation and to assess their degree of dependence and autonomy in self-care activities at home. quantitative, exploratory, cross-sectional and descriptive study. The convenience sample consisted of 40 participants. A sociodemographic questionnaire and the short version of the Self-Care Dependence Assessment Form were used for data collection. of the 40 (100%) participants, the majority were male; 75% were over 65 years of age, 77.5% had a transfemoral amputation, and 72.5% were confined to a wheelchair. The higher levels of dependency predominated in self-care: "walking", "bathing", "dressing and undressing", "using the toilet" and "transferring". this study showed that the self-care domain with the highest level of dependence is "walking" self-care, and the lowest is "feeding". Greater autonomy in using the toilet, walking and transferring from bed to chair were shown to be self-care activities with the best ability to predict patient autonomy.

Self-care dependency assessment of person with lower limb amputation: an exploratory study

Objetivo: identificar las características sociodemográficas y clínicas de personas con amputación mayor de miembro inferior de origen vascular y evaluar su nivel de dependencia y autonomía en las actividades de autocuidado en el hogar. Métodos: estudio cuantitativo, exploratorio, transversal y descriptivo. La muestra por conveniencia estuvo compuesta por 40 participantes. Para la recolección de datos se utilizó un cuestionario sociodemográfico y la versión corta del Formulario de Evaluación de Dependencia de Autocuidado. Resultados: de los 40 (100%) participantes, la mayoría eran hombres; el 75% tenía más de 65 años y el 77,5% fue sometido a amputación transfemoral. En relación al nivel de dependencia predominaron las actividades relacionadas con el autocuidado: “caminar”, “bañarse”, “vestirse y desvestirse”, “ir al baño” y “trasladarse” y en cuanto a la autonomía el 72,5 % se limitó a un silla de ruedas. Conclusión: el dominio del autocuidado con mayor nivel de dependencia es “caminar” y el más bajo es el “alimentarse”. Una mayor autonomía en el uso del baño, caminar y pasar de la cama a la silla resultaron ser actividades de autocuidado con mayor capacidad para predecir la autonomía del paciente.

Identifying the relationship between disability and depression among children:A Case Study in Kalutara District, Sri Lanka

Purpose of the study: This study mainly aimed to identify the relationship between: (1) disability and depression; and (2) depression and its relations to age, gender, walking ability, self-care dependence, leisure activities, regular exercises, facilitated environment, satisfied peer relationships, and verbal abuse among children with physical disabilities.Methodology: The research design of the study was correlational. A sample of 60 children (n=60) with physical disabilities between 6-15 years were selected by using the purposive sampling method. Quantitative data was collected through a disability scale, depression scale, and a questionnaire on demographic information. Data were analyzed by using IBM SPSS software.Main Findings: Physical disability showed a significant positive relationship with depression. The study were unable to reveal a statistically significant gender difference of depression. The depression scores of participants showed a positive correlation with age while depression was showing negative relationships with ability to walk, self-care dependence, leisure activities, facilitated environment, satisfied relationship with peers, and having goals but not with regular exercises and verbal abuse by peers.Applications of the study: Since the study revealed a potential alarming condition on mental health of children with disabilities, it is that to take prevention initiatives in mental health practice including medico-psychological interventions and social work practices. Further, research findings suggest elaborating existing methodology of educational, health, developmental and policy practices into an active and respectful engagement as well as impactful and responsive outcomes.Originality of the study: The study enabled to extend the established positive relationship between disability and depression among adult population into child population also. Initially the research addresses the lack of comprehensive scientific research on developing disability-inclusive programmes in Sri Lanka. With understanding disability among children as a dimension of diversity, the research highlighted the need of a multi-disciplinary approach to move problem to solution.

Psychometric evaluation of the depression anxiety stress scale 8-items (DASS-8)/DASS-12/DASS-21 among family caregivers of patients with dementia.

Patients with dementia express a set of problematic and deteriorating symptoms, along with self-care dependency. Over time, the mental health of family caregivers of persons with dementia may be affected, putting them at a high risk for psychopathology, which may be associated with endangered wellbeing of people with dementia. This cross-sectional instrumental design study examined the psychometric properties of the Depression Anxiety Stress Scale 8-items (DASS-8), DASS-12, and DASS-21 in a convenient sample of 571 caregivers from northern Italy and southern Switzerland (mean age = 53 years, SD = 12, range = 24-89 years). A bifactor structure of the three measures had the best fit; some items of the DASS-12/DASS-21 failed to load on their domain-specific factors. The three-factor structure was invariant across various groups (e.g., gender and education), expressed adequate reliability and convergent validity, and had strong positive correlation with the three-item UCLA Loneliness Scale (UCLALS3). Distress scores did not differ among carers of different types of dementia (Alzheimer's disease vs. other types, e.g., vascular dementia). However, distress scores were significantly high among female individuals, adult children caregivers, those caring for dependent patients, and those who received help with care. For 54.9 and 38.8% of the latter, care was provided by relatives and health professionals, respectively. Since the DASS-8 expresses adequate psychometrics comparable with the DASS-21, it may be used as a brief measure of distress in this population.

Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.

Over 5 million people annually die from injuries and millions more sustain non-fatal injuries requiring medical care. Ninety percent of injury deaths occur in low- and middle-income countries (LMICs). This study describes the characteristics, predictors and outcomes of adult acute injury patients presenting to a tertiary referral hospital in a low-income country in sub-Saharan Africa. This secondary analysis uses an adult acute injury registry from Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania. We describe this patient sample in terms of socio-demographics, clinical indicators, injury patterns, treatments, and outcomes at hospital discharge. Outcomes include mortality, length of hospital stay, and functional independence. Associations between patient characteristics and patient outcomes are quantified using Cox proportional hazards models, negative binomial regression, and multivariable logistic regression. Of all injury patients (n=1365), 39.0% were aged 30 to 49 years and 81.5% were men. Most patients had at least a primary school education (89.6%) and were employed (89.3%). A majority of injuries were road traffic (63.2%), fall (16.8%), or assault (14.0%) related. Self-reported comorbidities included hypertension (5.8%), HIV (3.1%), and diabetes (2.3%). Performed surgeries were classified as orthopedic (32.3%), general (4.1%), neurological (3.7%), or other (59.8%). Most patients reached the hospital at least four hours after injury occurred (53.9%). Mortality was 5.3%, median length of hospital stay was 6.1 days (IQR: 3.1, 15.0), self-care dependence was 54.2%, and locomotion dependence was 41.5%. Our study sample included primarily young men suffering road traffic crashes with delayed hospital presentations and prolonged hospital stays. Being older, male, and requiring non-orthopedic surgeries or having HIV portends a worse prognosis. Prevention and treatment focused interventions to reduce the burden of injury mortality and morbidity at KCMC are needed to lower injury rates and improve injury outcomes.

Falls in Elderly: Study of the Prevalence and Associated Factors

Institutionalized elderly presents a higher risk of falling than those who are not. The issue of falls among elderly people should be considered as a serious public health problem because of its consequences and permanent costs. Objective: This study will intend to assess the risks and the determinative factors of falls among institutionalized elderly. Methods: A non-experimental, cross-sectional, descriptive- correlational and quantitative study. We used a non-probability convenience sampling composed of 136 elderly people who were institutionalized at the time. They were between 65 and 99 years old, with an 85,98 years old average age. To collect the data, we used a protocol formed by questions about these people’s socio-demographic, contextual and clinical characterization. We also used the Family Functionality Scale, the Self-care Dependency Evaluation Scale and the Tinetti Scale (POMA I). Results: Most of the people from our sample show a high risk of suffering from falls: we have concluded that about 45.6% of elderly people present a high risk of falling, 16.5 % a medium risk and 38.2% a low risk of suffering from this kind of accident. We also observed that the risk of falling was higher among elderly who showed the following characteristics: in females (p=0,014), in those who show a poor literacy (p=0,000), in those who exhibit any kind of cognitive impairment (p=0,014), in people who suffer from neurological and osteoarticular diseases (p=0,000) and in elderly who suffer from loss of visual and hearing acuity (p=0,010). By contrast, the elderly who experience a better autonomy as far as their walking capacity, personal hygiene and medication are concerned are those who show a lower risk of fall accidents. Conclusions: Falls in institutionalized elderly are becoming a serious problem in the elderly, requiring health professionals to effectively intervene in their prevention.

Self-Care Dependency Evaluation Form: Psychometric properties of the revised version with 27 items.

The Self-Care Dependency Evaluation Form assesses dependency in performing self-care activities, but its original version is extensive and provides redundant information. The present study aims to scrutinise the items of the scale with the purpose of creating a revised version and to evaluate its psychometric properties. The study was conducted in two phases. In the first phase, an exploratory and correctional analysis of the items of the original form was performed from a database with 282 participants, followed by a review by a panel of experts who analysed the discriminatory ability and the contribution and relevance of each item, which resulted in the revised version. In the second phase, a new study with a sample comprising 150 participants was conducted to test the psychometric properties of the revised version. All ethical aspects and matters of confidentiality and privacy were assured. The scale with 27 items shows good internal consistency, ranging from 0.67 (taking medication) to 0.96 (walking). It was moderately correlated with the Barthel Index and the Lawton and Brody Scale, proven to be a discriminatory measurement instrument. This measure will enable health professionals to better evaluate self-care activities and provide more efficient, simple and effective prescriptions.

Mobility and Self-Care are Associated With Discharge to Community After Home Health for People With Dementia

ObjectivesA priority health outcome for patients, families, and the Centers for Medicare & Medicaid Services (CMS) is a patient's ability to return home and remain in the community without adverse events following discharge from post-acute care services. Successful discharge to community (DTC) is defined as being discharged to the community and not experiencing a readmission or death within 30 days of discharge. The objective of this study was to determine the association between patient factors and successful DTC after home health for individuals with Alzheimer's disease and related dementias (ADRD). DesignThis retrospective study derived data from 100% national CMS data files from October 1, 2016, through September 30, 2017. Settings and ParticipantsCriteria from the Home Health Quality Reporting program were used to identify a cohort of 790,439 Medicare home health beneficiaries, 143,164 (18.0%) with ADRD. MeasuresSuccessful DTC rates with associated 95% confidence intervals (CIs) were calculated for each patient characteristic. Multilevel logistic regression was used to estimate the relative risk (RR) of successful DTC after home health, by ADRD diagnosis, mobility, self-care, caregiver support, and medication management, adjusted for patient demographics and clinical characteristics. ResultsOverall, 79.4% of beneficiaries had a successful DTC. Beneficiaries with ADRD had a significantly lower odds of successful DTC than those without ADRD (RR=0.947, 95% CI=0.944-0.950). This association remained significant after adjustment for caregiver support, assistance with medications, independence in mobility, and level of self-care. Greater need for caregiver support, greater need for assistance with medications, greater dependence in mobility, and greater self-care dependence were all associated with decreased risk of successful DTC. Conclusions and ImplicationsOlder adults with ADRD receiving home health had decreased RR of successful DTC. To have a successful DTC, older adults with ADRD need sufficient support from caregivers and independence in functioning.

Factors Associated with Knowledge, Attitudes, and Practices Related to Oral Care Among the Elderly in Hong Kong Community.

Background: The oral health of elderly populations is a significant concern, as it is closely linked to general health and health-related quality of life. Poor oral health exacerbates oral diseases, leading to an increased risk of non-communicable diseases and self-care dependence, particularly in the elderly, worldwide. Knowledge, attitudes, and practices (KAP) play influential roles in individual oral care. However, the evidence of KAP related to oral care among the elderly is still inadequate. Objective: This study aimed to examine KAP and their associated factors related to oral care among the elderly community. Methods: A cross-sectional descriptive design was used. The eligible subjects were recruited, using convenience sampling and snowball sampling. Results: A total of 385 elderly individuals were included, and 51.4% were women. The mean age was 71.66 (SD 6.28). Knowledge was reportedly poor, as more than 50% elderly answered several questions incorrectly. The mean attitude and practices scores were 44.94 (SD 6.33) and 68.90 (SD 10.44), respectively. There was a significant correlation among knowledge, attitudes, and practices (p < 0.001). Multivariable regression analysis revealed numerous factors had remarkably significant association with knowledge [R2 = 0.30, F (4,380) = 11.96, p < 0.001], attitudes [R2 = 0.28, F (6,378) = 9.27, p < 0.001], and practices [R2 = 0.31, F (5,379) = 12.34, p < 0.001], particularly education levels, full-time employment, and self-care independence. Conclusions: Based on the KAP theoretical model, KAP are closely interrelated. Identified factors associated with KAP are useful to understand at-risk groups. Elderly individuals at lower education levels, with poor family support and inadequate self-care independence, have poor KAP related to oral care. Therefore, this study improves insight for health promotion developers, suggesting that more attention should be paid to at-risk elderly groups’ oral health. To enhance participation in dental care and improve oral care performance in the elderly, educational program containing oral health knowledge should be offered to at-risk groups. Family support and involvement are also important for improving oral care among elderly individuals.

Functional capacity and self-care profiles of older people in senior care homes.

The reduction of the functional capacity in older people isthe result of physical, psychological and functional changes related to the ageing process, compromising the performance of daily life activities. Assessing their functional capacity and their self-care profile can facilitate the planning of targeted strategies related to stimulation, as well as cognitive and motor rehabilitation. This study aims to evaluate and analyse the functional capacity, as well as the level of dependence in self-care of older people in senior care centres. This is a transversal exploratory study, quantitative in nature. The sample was comprised of 313 participants, randomly selected from a set of senior care centres, with an average age of 83.41 (SD=7.14) years, recruited from the interior North of Portugal. The data collection instruments included the Barthel Index, the Lawton and Brody Scale, the Evaluation Form of Dependence in Self-care, the Self-care of Home Dwelling Elderly (self-care subscale profiles) and a questionnaire on demographic data. The elderly showed several levels of dependence on different self-care items. It was possible to observe that the staff often replaces the elderly in many of the tasks that could still be performed by them, and thus aggravates their levels of dependence. The link observed between functional capacity and self-care profiles highlights the need to focus on the notion of a healthy and active ageing process, especially in some profiles. The monitoring of the functional capacity and the self-care profile can provide knowledge concerning the potential for autonomy and individual needs, thus enabling targeted and more responsive interventions for the individual and the real needs of older people.

A Pessoa com ostomia de eliminação intestinal: representação social dos enfermeiros

Enquadramento: o envelhecimento da população aumenta a probabilidade de conduzir os idosos a situações de dependência no autocuidado. Perante esta nova condição, a família surge como um recurso, constituindo-se como cuidadores familiares. Objetivos: caraterizar os motivos que conduzem à assunção do papel de cuidador familiar; determinar a satisfação com o exercício do papel bem como as principais fontes de satisfação; determinar a sua perceção de autoeficácia para tomar conta e o envolvimento nos cuidados. Metodologia: mista, descritiva e transversal. Como instrumentos de recolha de dados utilizamos um guião de entrevista semiestruturada, o Índice de Barthel e a Escala de Satisfação do Cuidador Informal (CASI). Resultados: os cuidadores familiares têm na sua generalidade uma satisfação elevada na assunção do papel. As principais fontes de satisfação relacionam-se com a pessoa dependente como principal beneficiária. No entanto, foram identificadas dificuldades no desempenho do papel, principalmente relacionadas com a prestação de cuidados que exigem capacidade física e com a gestão de emoções. Conclusão: os enfermeiros assumem um papel fundamental na capacitação e empoderamento dos cuidadores familiares, produzindo um impacte positivo na qualidade de vida e dos cuidados que a pessoa dependente recebe.

Cuidaoaz: Satisfação dos Cuidadores Familiares de Idosos Dependentes em Oliveira de Azeméis

Enquadramento: o envelhecimento da população aumenta a probabilidade de conduzir os idosos a situações de dependência no autocuidado. Perante esta nova condição, a família surge como um recurso, constituindo-se como cuidadores familiares. Objetivos: caraterizar os motivos que conduzem à assunção do papel de cuidador familiar; determinar a satisfação com o exercício do papel bem como as principais fontes de satisfação; determinar a sua perceção de autoeficácia para tomar conta e o envolvimento nos cuidados. Metodologia: mista, descritiva e transversal. Como instrumentos de recolha de dados utilizamos um guião de entrevista semiestruturada, o Índice de Barthel e a Escala de Satisfação do Cuidador Informal (CASI). Resultados: os cuidadores familiares têm na sua generalidade uma satisfação elevada na assunção do papel. As principais fontes de satisfação relacionam-se com a pessoa dependente como principal beneficiária. No entanto, foram identificadas dificuldades no desempenho do papel, principalmente relacionadas com a prestação de cuidados que exigem capacidade física e com a gestão de emoções. Conclusão: os enfermeiros assumem um papel fundamental na capacitação e empoderamento dos cuidadores familiares, produzindo um impacte positivo na qualidade de vida e dos cuidados que a pessoa dependente recebe.

Efeito do Toque Terapêutico na Dor, Autocuidado, Depressão e Cortisol: Estudo de um Caso Clínico

Enquadramento: o Toque Terapêutico (TI) ou método Krieger-Kunz tem demonstrado benefícios na saúde das pessoas como a redução da dor e ansiedade, ou o aumento da hemoglobina. Objetivo: avaliar o efeito do TI na dor, nível de dependência no autocuidado, níveis de cortisol e depressão numa doente com Acidente Vascular Cerebral (AVC) e sintomatologia depressiva grave. Metodologia: estudo de um caso clínico com avaliação pré, durante e pós intervenção, realizado em março e abril de 2015. Foram realizadas dezasseis sessões de TI. Nos três momentos foram aplicados: Mini Mental State Examination; Escala Visual Analógica da dor; Escala de depressão geriátrica e Escala do autocuidado. Foram também avaliados os níveis de cortisol salivar de manhã e à noite. Os procedimentos éticos foram cumpridos. Resultados: observou-se uma melhoria das seguintes variáveis: sintomatologia depressiva, nível de dependência no autocuidado, com ganhos mais significativos na higiene, arranjar-se e alimentar-se, e uma diferença significativa no cortisol matinal diminuindo os seus valores a cada nova avaliação. Conclusão: os achados sugerem que o TI, como terapia complementar, pode ser eficaz na melhoria da condição de saúde em doentes que sofreram AVC, nomeadamente na diminuição da sintomatologia na depressão grave e no nível de dependência no autocuidado.

From a syndrome to a social condition: providing palliative care to people with advanced dementia

Dementia is one of the biggest public health challenges in societies; over 35 million people worldwide live with the condition. This number is expected to triple by 2050. Substantial increases in health and social care costs are required to deal with this major public health problem. Thus, this explain why dementia has become a globally alarming issue. Dementia is a syndrome of diverse aetiology, characterised by progressive cognitive decline, functional impairment and dependence in self-care. Usually, the syndrome is associated with older people, and it is often accompanied by co-morbidities, pain and different organ dysfunctions. Studies show the bewilderment, distress and exhaustion relatives and loved ones feel when caring of people with dementia.

Effect of high and low frequency exercise therapy in patients after coronary artery bypass graft surgery

BackgroundCoronary artery bypass graft (CABG) surgery is one of the major surgeries requiring long-term stay in hospital. This generally leads to the detrimental effects of bed-rest, including dependency in self-care, transfer, and locomotion. Our aim was to compare the effect of high-frequency and low-frequency exercise therapy in patients who had undergone CABG. MethodsPatients who had undergone CABG were recruited from PSG Medical College and Hospital, Coimbatore, India, between Jan 1 and March 31, 2006. Functional Independence Measure (FIM) and modified Borg Rating of Perceived Exertion (RPE) were used to assess functional outcome. In a quasi-experimental design, patients received either high-frequency exercise therapy (exercise three times a day for 10 days, group 1), or low-frequency exercise therapy (once a day for 10 days, group 2). Data were analysed with paired t tests. Findings30 patients were recruited (15 in each group). Mean FIM was 75 (SD 1·77) in group 1 and 64 (1·65) in group 2. There was a significant difference between the pretest and post-test FIM values in group 1 patients (49·07 [2·43] vs 124·07 [1·75], p<0·0001) but not in group 2 patients. The RPE in group 1 and group 2 was 6·3 (0·62) and 4·2 (0·7), respectively. InterpretationPatients given high-frequency exercise thearpy had a significant improvement in their physical activity, but low-frequency exercise did not lead to significantly improved changes. In conclusion, the high-frequency exercise therapy improves the functional ability of patients with CABG. FundingNone.

Factors associated with anxiety and depression among patients with implantable cardioverter defibrillator.

To identify factors associated with anxiety and depression of patients with implantable cardioverter defibrillators. Implantable cardioverter defibrillator is effective to increase survival from life-threatening arrhythmias, but it lowers health-related quality of life. Anxiety and depression had significant negative association with health-related quality of life. However, knowledge about factors associated with these two negative emotions in this specific population is inadequate. A cross-sectional descriptive design was conducted. Secondary analysis was performed to address the aim. A convenience sampling of patients with implantable cardioverter defibrillators was performed. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale through face-to-face interview. Stepwise multivariable regression results showed that older age (aged 60-69 and ≥70: B=2·08 and 3·31, p=0·039 and <0·001), self-care dependence (B=3·47, p<0·001), being married (B=-2·21, p=0·004) and having ischaemic heart disease (B=-1·80, p=0·008) were significantly associated with depression. However, there was no significant factor associated with anxiety. Factors associated with depression among patients with implantable cardioverter defibrillator are identified. Older age (aged ≥60) and more self-care dependence have positive, but being married and having ischaemic heart disease have negative association with depression. Strategies to reduce psychological distress are highlighted. The study findings direct the care to improve health-related quality of life by reducing and controlling vulnerabilities arising from depression. Patients who are older people (≥aged 60) and more self-care dependent perceive higher depression. Nursing strategies are suggested to reduce depression especially for those who are older people and more self-care dependent. Early screening is essential to provide immediate care for reducing vulnerabilities arising from depression. Performing comprehensive assessment for self-care ability and providing adequate assistance are crucial. Family involvement may reduce depression through providing physical and psychosocial support.

Correlation between compliance of enhanced recovery program protocol and efficacy of perioperative care in patients with colon cancer

Objective : to assess ERP implementation results in patients with colon cancer and to reveal correlation between compliance of ERP protocol and efficacy of perioperative care. Materials and methods . 124 patients were included in the study. Main group consisted of 62 patients with ERP, others were controls. ERP compliance was assessed using original formula which considers number of accomplished elements of the Protocol and quality of performance of each element. Results . No significant difference between the groups in morbidity was obtained (1.6 % in main group vs 9.8 % controls; р = 0.06). Minor dependence in self-care was obtained in 90.5 % at third post-op day in main group vs 58.0 % in controls (p &lt; 0.0001). Postoperative hospital stay was lower in main group (4.7 ± 0.1 vs 9.0 ± 0.6 days; p &lt; 0.0001). Total hospital stay was lower in main group as well (7.2 ± 0.1 vs 14.1 ± 0.7 days; р &lt; 0.0001). No mortality and readmissions occurred. ERP compliance rate was 80.0 % (56.9–93.3 %). Рostoperative hospital stay in patients with high protocol compliance (≥ 80 %) was significantly shorter then in patients with low protocol compliance (&lt; 80 %): 4.3 ± 0.2 vs 5.1 ± 0.2; р = 0,005). Conclusion. ERP is effective and safe method of postoperative care in patients after colon resection and the effectiveness of the treatment correlates with protocol compliance rate resulted in shorter hospital stay.

Cotidiano do familiar acompanhante durante a hospitalização de um membro da família

Resumo Objetivo Compreender as alterações no cotidiano do familiar acompanhante durante a hospitalização de um membro da família Métodos Pesquisa qualitativa realizado com 16 familiares acompanhantes de pessoas com dependência para o autocuidado num hospital público. As entrevistas gravadas foram realizadas individualmente, utilizando um roteiro semiestruturado. Para a organização e analise dos dados utilizamos a Análise Temática e discutimos à luz dos pressupostos teóricos e da sensibilidade propostos por Maffesoli. Resultados Emergiram quatro categorias: a ruptura do laço substancial com os filhos; a abdicação da atividade laboral para favorecer o estar-junto; os rituais do hospital no cotidiano do familiar acompanhante; o cuidado de si e a potência do estar-junto. Conclusão Permanecer em processo de acompanhamento se sobrepõe a todas as atividades da vida cotidiana dos familiares acompanhantes.

Factors associated with health-related quality of life among patients with implantable cardioverter defibrillator: identification of foci for nursing intervention

To explore factors associated with health-related quality of life of patients with implantable cardioverter defibrillators. Substantial evidence indicates that implantable cardioverter defibrillator is proven to increase survival rate by terminating life-threatening arrhythmia. However, this device can negatively affect health-related quality of life. Little is known about factors associated with health-related quality of life of patients with implantable cardioverter defibrillators, particularly in Asian population. A transversal descriptive design was used. Data were collected from a convenience sample of 139 adult patients with implantable cardioverter defibrillators from 4 January-30 April 2012 using the structured questionnaires administered by the researcher and medical record reviews. The Short Form-36 Health Survey version 2 was used to measure health-related quality of life. A total of 139 Chinese patients, including 107 (77·0%) males with a mean age of 63·0 (14·6) years, were selected. The physical component summary was relatively lower, whereas the mental component summary was relatively higher than that of the general Hong Kong Chinese population. Multivariable regression analysis revealed gender, self-care dependence, educational level, atrial fibrillation, diabetes mellitus, anxiety and depression significantly associated with physical or mental quality of life. Depression was a common factor affecting physical and mental quality of life. Self-care dependence, atrial fibrillation, diabetes mellitus, depression and anxiety could be improved. Our findings expand existing knowledge on identifying at-risk patients for having lower quality of life, thus allowing development of appropriate interventions targeting risk factors for improving health-related quality of life of patients with implantable cardioverter defibrillator.