Preparação do regresso a casa

: do hospital ao contexto familiar

Abstract

Objectives: This study, descriptive-correlated of the quantitative kind, was designed to characterize de transition process of the patient and their caregivers from the hospital to the home environment as well as to determine some of the factors involved in the process.Methodology: This study’s populations are patients who undertook hip arthroplasty and their caregivers, and the sample was chosen in a non-probabilistic way by convenience, resulting in a total of 55 patients and 55 caregivers. It was applied to both a questionnaire at two points of the study, on the discharge’s day and the External Consultation’s day, a month after. Most patients were female (52,7% with an average age of 69.1 years (SD= 5,7). Caregivers have an average age of 55.8 years (SD= 15,4), mostly women (70.9%), married (87.3%), with the 1st cycle of education (49.1%) and pensioners (40.0% ).Main results:The interventions of nurses in preparation for discharge were based on teachings in the admission or in the discharge’s day, not having been promoted effective participation of the caregiver through the all process. One month after discharge,the burden was felt in caregiver in several dimensions;Patients and caregivers presented a good level of knowledge on the discharge day, however they still showed the same deficiencies;21.8% of patients used the hospital services just days after the hospital discharge. On the consultation’s day, it has also been verified the existence of health problems (56.4%);The major difficulties experienced by patients at home were mobility, dependence on others on ADL's, adaptation to limitations and Hygiene. The caregivers’ difficulties were domestic service, direct care, economic conditions and dislocation to support and transportation services.Conclusion: The results show the importance of a good discharge’s preparation, in which the intervention’s focus must take in consideration the caregivers’ needs and their effective participation in the entire process of the preparation of discharge.

Date of Award	2010
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Maria dos Anjos Coelho Rodrigues Dixe (Supervisor)