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Publication
Teleconsulta de enfermagem à pessoa idosa com diabetes e cuidadores informais para promoção do cuidado-de-si
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| 6.16 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Atualmente o envelhecimento da população e consequentemente o aumento da prevalência das
doenças crónicas tornam-se numa das transformações sociais e de saúde mais significativas do século
XXI. A identificação desta problemática leva à necessidade de identificar novas respostas. Perante este
cenário agravado pela pandemia por Sars-Cov-2, importa destacar a necessidade da gestão das doenças
crónicas, nomeadamente a Diabetes Mellitus Tipo2 (DM2). As evidências científicas têm realçado que
o uso a teleconsulta pode ser eficaz no tratamento e melhoria dos resultados clínicos em pessoas idosas
com DM2, nomeadamente através da telemonitorização. Neste sentido, o cuidado de enfermagem
através da teleconsulta por telefone pode ajudar a promover condições que permitam à pessoa idosa
promover o Cuidado-de-Si própria, de acordo com o seu projeto de vida, mas também ao familiar
cuidador assegurar o Cuidado do Outro em situação de dependência parcial ou total, de acordo com o
modelo de parceria de Gomes (2021).
No âmbito da pandemia por SARS-Cov-2, surgiu a necessidade de reestruturar e implementar
a teleconsulta de enfermagem direcionada à população idosa com Diabetes Mellitus Tipo2 (DM2)
incluindo os familiares cuidadores na USFX utilizando a metodologia de projeto. Desta forma,
elaborámos um projeto de estágio que pretendeu dar continuidade a um já iniciado anteriormente pelas
mestrandas que estagiaram anteriormente nesta unidade (Oliveira, A. & Moniz, S., 2021). O projeto
que desenvolvemos teve como objetivo desenvolver competências de enfermeiro especialista e mestre
na prestação de cuidados de enfermagem à pessoa idosa com DM2 e familiares cuidadores através da
teleconsulta de enfermagem e simultaneamente contribuir para a capacitação dos profissionais de
enfermagem de uma USF no desenvolvimento de competências para a implementação da mesma.
Como resultado das atividades desenvolvidas, salientamos a realização de uma revisão scoping
que nos permitiu mapear a evidência da temática em estudo, a realização de um planeamento estruturado
para teleconsulta de enfermagem à pessoa idosa com DM2 e a implementação e avaliação do mesmo
com a realização de um estudo qualitativo com a metodologia de estudo de caso múltiplos, que permitiu
perceber a capacitação das pessoas idosas para o Cuidado-de-Si com a implantação desta intervenção.
Desta forma podemos concluir que os maiores ganhos da teleconsulta de enfermagem são a
possibilidade de prestar cuidados de maior proximidade, vigilância e resposta adequada e atempada
perante situações complexas/urgentes como é o caso da DM2.
Nowadays, the aging of the general population, and consequently, the increase in the prevalence of chronic diseases, became one of the most significant social transformations of the XXI century. The existence of this problem created a need for new answers and new solutions. Given this scenario, aggravated by the pandemic of Sars-Cov-2, it’s important to highlight the need to manage chronic diseases, namely, Type 2 Diabetes Mellitus (DM2). The scientific evidence has emphasized the effectiveness of the teleconsultation concept in the treatment, and improvement of clinical results in elderly people affected with DM2, namely through a process of telemonitorization. In this sense, nursing care through teleconsultation by phone can help promote certain conditions that allow the elderly person to adopt a Self-Care regime, according to their life project, but also for the family caregiver to ensure the Care of the Other in a situation of partial or total dependence, according to the partnership model by Gomes (2021). In the context of the SARS-Cov-2 pandemic, the need arose to restructure and implement a nursing teleconsultation, aimed at the elderly population with Type 2 Diabetes Mellitus (DM2), including family caregivers at USFX, using the project methodology. In this way, we created an internship project that intended to continue the one already started by the master's students who had previously been interns in this Health Care Unit (Oliveira, A. & Moniz, S., 2021). The project we prepared, was aimed at the development of specialist and master nursing skills in the clinical care of elderly people with DM2, and family caregivers, through a nursing teleconsultation and simultaneously contributing to the training of nursing professionals in a USF in the development of skills for its implementation. As a result of the activities developed, we emphasize, the elaboration of a scoping review that allowed us to map the evidence of the subject under study, the creation of structured planning for a nursing teleconsultation for the elderly person with DM2, and the implementation and evaluation of the patient with the realization of a qualitative study, using the methodology of multiple case studies, which made it possible to perceive the capacity of elderly people for Self-Care with the implementation of this intervention. In this way, we can conclude that the greatest gains from nursing teleconsultation are the possibility of providing closer care, surveillance, and adequate and timely response to complex/urgent situations such as DM2.
Nowadays, the aging of the general population, and consequently, the increase in the prevalence of chronic diseases, became one of the most significant social transformations of the XXI century. The existence of this problem created a need for new answers and new solutions. Given this scenario, aggravated by the pandemic of Sars-Cov-2, it’s important to highlight the need to manage chronic diseases, namely, Type 2 Diabetes Mellitus (DM2). The scientific evidence has emphasized the effectiveness of the teleconsultation concept in the treatment, and improvement of clinical results in elderly people affected with DM2, namely through a process of telemonitorization. In this sense, nursing care through teleconsultation by phone can help promote certain conditions that allow the elderly person to adopt a Self-Care regime, according to their life project, but also for the family caregiver to ensure the Care of the Other in a situation of partial or total dependence, according to the partnership model by Gomes (2021). In the context of the SARS-Cov-2 pandemic, the need arose to restructure and implement a nursing teleconsultation, aimed at the elderly population with Type 2 Diabetes Mellitus (DM2), including family caregivers at USFX, using the project methodology. In this way, we created an internship project that intended to continue the one already started by the master's students who had previously been interns in this Health Care Unit (Oliveira, A. & Moniz, S., 2021). The project we prepared, was aimed at the development of specialist and master nursing skills in the clinical care of elderly people with DM2, and family caregivers, through a nursing teleconsultation and simultaneously contributing to the training of nursing professionals in a USF in the development of skills for its implementation. As a result of the activities developed, we emphasize, the elaboration of a scoping review that allowed us to map the evidence of the subject under study, the creation of structured planning for a nursing teleconsultation for the elderly person with DM2, and the implementation and evaluation of the patient with the realization of a qualitative study, using the methodology of multiple case studies, which made it possible to perceive the capacity of elderly people for Self-Care with the implementation of this intervention. In this way, we can conclude that the greatest gains from nursing teleconsultation are the possibility of providing closer care, surveillance, and adequate and timely response to complex/urgent situations such as DM2.
Description
Keywords
Enfermagem geriátrica Cuidadores Diabetes mellitus tipo 2 Telemedicina Consórcios de saúde Autocuidado