Percorrer por autor "Peralta, Teresa"
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- Apoiar no autocuidado de utentes e cuidadores informaisPublication . Dixe, Maria dos Anjos; Querido, Ana; Soares, Elsa; Gomes, José Carlos; Pereira, Cidália; Teixeira, Liliana; Sousa, Pedro; Amado, Sandra; Peralta, Teresa
- Challenges on the usability of digital platforms for informal caregivers and health professionals: the case study of Help2CarePublication . Ferreira Caroço, João Eduardo; Marques Gomes, Nuno Miguel; Martinho, Ricardo; Rijo, Rui; Peralta, Teresa; Carvalho, Daniel; Querido, Ana; Dixe, Maria dos AnjosThe usability of digital platforms assumes an important role in the support of health business processes. This is particularly relevant when these platforms automate previously manually-executed activities in a certain process, with the purpose of bringing time, cost and quality benefits both to end-users and health professionals. This is the main objective of the Help2Care e-Health digital platform, where informal caregivers can use a mobile app to access digital training materials on how to properly take care of their patients. Health professionals can, in turn, suggest these materials to their caregivers through a web application, communicate directly with them through a messaging system, and even perform remote health assessment and monitoring. However, the informal caregiver population presents specific attributes which, in general, require special attention for usability. Health professionals can also be challenged by such platforms and their inherent complexity. In this paper, we report the results and challenges of the usability studies performed on both mobile and web applications of the Help2Care platform.
- Dependent person in self-care: analysis of care needsPublication . Dixe, Maria dos Anjos; Frontini, Roberta; Miguel Lopes de Sousa, Pedro; Peralta, Teresa; Teixeira, Liliana; Querido, AnaBackground: The aim of this study was to assess the selfcare dependency levels of the dependent person at the time of home discharge and its relationship between (1) the degree of dependency of each self-care domain; (2) the previous dependency levels; and (3) the gender of the dependent person. It also aims to assess the relationship between the degree of dependency of each self-care domain, the length of admission, the length of dependency and the age of the dependent person at the time of discharge. Methods: A cross-sectional study was conducted. The sample comprised hospitalised adults and elderly in the medical services of a Portuguese hospital during the months of March, April and May of 2018. The data were collected by an interview conducted at the time of home discharge from the hospital medical ward. Results: The average age of dependent people of the sample is 80.7 years ( 10.1) with the majority being women (51.7%), with no statistical difference in the mean age according to gender (U = 2205.500; p > 0.05). They were hospitalised on average 11.4 days ( 33.2), most of them (44.0%) due to respiratory problems (85% of which were due to pneumonia). There were no statistically significant differences between the length of the hospital stay, the length of dependency and the participants’ gender (U = 2200.500, p > 0.05; U = 1688.000, p > 0.05). Medication intake was the highest dependency domain amongst participants (41.3%), followed by instrumental activities of daily living (40.6%) and bathing (39.9%). Conclusion: The amount of support required may vary according to the domain that the person is dependent. Thus, it is important to use a robust and reliable assessment tool that will be able to assess the degree of dependency on the various domains of self-care.
- Determinantes do acesso ao serviço de urgência por utentes não urgentesPublication . Dixe, Maria dos Anjos; Passadouro, Rui; Peralta, Teresa; Ferreira, Carlos; Lourenço, Georgina; Sousa, PedroEnquadramento: A utilização dos serviços de urgência (SU) por situações não urgentes constitui uma preocupação a nível nacional e mundial. Objetivos: Avaliar as características sociodemográficas e o acesso ao SU por utentes não urgentes e identificar os fatores que motivam a sua procura. Metodologia: Neste estudo transversal recorreu-se a uma entrevista e à consulta dos processos clínicos eletrónicos de 357 doentes triados como não urgentes num SU de um hospital português seguindo-se uma amostragem acidental. Resultados: Os utentes da amostra são maioritariamente do sexo feminino, de meia-idade, com reduzidas habilitações literárias, que recorrem ao SU, sobretudo no período diurno e por iniciativa própria. Os motivos mais referenciados foram: A minha doença justifica a ida à urgência (91,7%) e Posso realizar os exames todos no mesmo dia (65,6%). A maioria dos utentes (87,9%) teve alta clínica, sendo que 84,9% dos utentes tem acesso ao médico de família. Conclusão: Foram identificados múltiplos determinantes do acesso ao SU, permitindo apontar sugestões que visam uma utilização racional dos cuidados de saúde.
- Determinants of non-urgent emergency department usePublication . Dixe, Maria dos Anjos; Passadouro, Rui; Peralta, Teresa; Ferreira, Carlos; Lourenço, Georgina; Sousa, Pedro Miguel LopesBackground: The use of the emergency department (ED) for non-urgent situations is a source of concern, both at the national and international levels. Objectives: To assess the sociodemographic characteristics and ED use of non-urgent patients and to identify the reasons for non-urgent ED use. Methodology: This cross-sectional study used patient interviews and the electronic medical records of 357 patients triaged as non-urgent at a Portuguese hospital ED, using an accidental sampling technique. Results: The majority of patients were women, middle-aged, and had a low education level; most of them used the ED during the day and on their own initiative. The most common reasons were: My disease justifies ED use (91.7%) and I can undergo all medical examinations on the same day (65.6%). The majority of patients (87.9%) were discharged, and 84.9% had access to a family doctor. Conclusion: Multiple determinants of non-urgent ED use were identified. Some recommendations were put forward to improve the rational use of healthcare services.