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Hospital discharge intervention developed in a dialogical way with families to prepare them to care for children with chronic diseases at home: Mixed methods study.
Nóbrega, Vanessa Medeiros da; Viera, Claudia Silveira; Lorenzini, Elisiane; Neves, Eliane Tatsch; Reichert, Altamira Pereira da Silva; Vaz, Elenice Maria Cecchetti; Collet, Neusa.
Afiliación
  • Nóbrega VMD; Program in Nursing at the Federal University of Paraíba, João Pessoa, Brazil.
  • Viera CS; Nursing Collegiate and the Graduate Program in Bioscience and Health at Western State University of Parana - Unioeste, Cascavel, Brazil.
  • Lorenzini E; Department of Nursing and the Graduate Program in Nursing, 28117Universidade Federal de Santa Catarina - Campus Florianópolis, Florianopolis, Brazil.
  • Neves ET; Department of Nursing and the Graduate Program in Nursing, 28118Universidade Federal de Santa Maria, Santa Maria, Brazil.
  • Reichert APDS; Program in Nursing at the Federal University of Paraíba, João Pessoa, Brazil.
  • Vaz EMC; Department of Public Health and the Graduate Program in Nursing, 28097Universidade Federal da Paraíba, João Pessoa, Brazil.
  • Collet N; Department of Public Health and the Graduate Program in Nursing, 28097Universidade Federal da Paraíba, João Pessoa, Brazil.
J Child Health Care ; : 13674935231159827, 2023 Feb 28.
Article en En | MEDLINE | ID: mdl-36853118
A convergent parallel mixed methods design with qualitative data collection embedded in a quasi-experimental study was developed to examine the potential of three modalities of preparation for hospital discharge of the families of children with chronic diseases in terms of uncertainty levels and management of the disease at home. Caregivers of these children were divided into three groups: two experimental groups and one control group. Two scales were applied: one measured family management, and the other evaluated uncertainties in relation to the disease. In addition, an in-depth interview was conducted. Wilcoxon's test and the integrated response index were used in data analysis to compare performance between the groups. Inductive thematic analysis was employed for the qualitative data. The data were integrated, comparing the groups before and after preparation for hospital discharge. Twenty-five family caregivers completed this study. Data integration showed that the intervention group, in which the families developed planning to prepare for discharge in a dialogical way with professionals, presented better perceptions regarding care management when compared to structured guide and usual care groups. Participation of families in planning for hospital discharge showed a reduction in uncertainties regarding the disease and better care management of children at home.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: J Child Health Care Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: J Child Health Care Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido