Mediation between hospital social work and the informal support network in continuing healthcare

Revista Portuguesa de Investigação Comportamental e Social

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Title Mediation between hospital social work and the informal support network in continuing healthcare
Articulação do serviço social hospitalar com a rede de apoio informal em cuidados continuados
 
Creator Macedo, Paula
Guadalupe, Sónia
 
Subject Cuidados Continuados
Serviço Social
saúde
envelhecimento
apoio social informal
Continuing healthcare
social work
health
aging
informal social support
 
Description Objective:
The study aimed to analyze the mediation between healthcare and informal social support in the continuing healthcare process. Participants: fifty-seven patients were referred in 2019 by a hospital to the Rede Nacional de Cuidados Continuados Integrados in Portugal (a continuing healthcare services network). The sample was mostly female (63.2%; n = 36), with an average age of 80 years old (DP = 9.2), predominantly from rural areas (64.9%; n = 37), married (56.1%; n = 32), and 35.0% lived alone (n = 20).  Methods: Descriptive study with univariate quantitative analysis and categorical content analysis of social work data. Results: Of the 57 patients referred to the Network, deaths and cancellations were registered in 32 cases (56.1%). Of the 25 patients discharged from the Network in the post-discharge period, all needed informal and/or formal support, while at the hospital referral date, only 20.0% of the sample needed support (p < .001). Of those who had support, about a third had support from the primary social network, mostly from their sons or daughters, and about half of the patients had emigrant children. At post-discharge 64.0% (n = 16 out of 25) had informal support. We also found that 8.8% of the patients were caregivers and began to require care. Conclusion: The study confirms the importance of ensuring continued care for citizens who have seen their vulnerability increased by illness, as well as the centrality of the informal support system for patients.
Objetivo: O estudo teve como objetivo analisar a articulação entre a saúde e o apoio social informal no âmbito da continuidade de cuidados. Participantes: Participaram 57 doentes referenciados em 2019 por um hospital para a Rede Nacional de Cuidados Continuados Integrados em Portugal. A amostra era maioritariamente do sexo feminino (63,2%; n = 36), com uma média de idades de 80 anos (DP = 9,2), predominantemente de residência rural (64,9%; n = 37), casada (56,1%; n = 32), em que 35,0% vivia só ( n = 20). Método: Estudo descritivo com análise quantitativa univariada e análise categorial do conteúdo dos registos no processo social. Resultados: Dos 57 doentes referenciados para a Rede, registaram-se óbitos e cancelamentos em 32 casos (56,1%). Dos 25 doentes que tiveram alta da Rede, no pós-alta todos necessitavam de apoio informal e/ou formal, enquanto que à data de referenciação hospitalar apenas 20,0% da amostra necessitava de apoio (p < 0,001). Dos que tinham apoio, cerca de um terço tinha apoio da rede social primária, maioritariamente dos filhos e cerca de metade dos doentes tinha filhos emigrantes. No pós-alta 64% (n = 16 dos 25) tinham apoio informal. Verificámos ainda que 8,8% dos doentes eram cuidadores e passaram a necessitar de cuidados. Conclusão: O estudo confirma a importância de assegurar cuidados continuados aos cidadãos que viram a sua vulnerabilidade aumentada por doença com sequelas, assim como a fulcral articulação com o sistema de apoio informal aos doentes.
 
Publisher Instituto Superior Miguel Torga
 
Date 2020-11-29
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Text
Texto
 
Format application/pdf
text/html
text/xml
 
Identifier https://rpics.ismt.pt/index.php/ISMT/article/view/189
10.31211/rpics.2020.6.2.189
 
Source Portuguese Journal of Behavioral and Social Research; Vol. 6 No. 2 (2020): November; 69-81
Revista Portuguesa de Investigação Comportamental e Social; Vol. 6 N.º 2 (2020): Novembro; 69-81
2183-4938
 
Language por
 
Relation https://rpics.ismt.pt/index.php/ISMT/article/view/189/427
https://rpics.ismt.pt/index.php/ISMT/article/view/189/428
https://rpics.ismt.pt/index.php/ISMT/article/view/189/437
 
Rights Direitos de Autor (c) 2020 Paula Macedo, Sónia Guadalupe
http://creativecommons.org/licenses/by-nc/4.0
 

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