Percorrer por autor "Rocha, Paula"
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- The family caregiver of the older person with hip fracture: perceptions about the transition to homePublication . Rocha, Paula; Albuquerque, Carlos; Batista, Susana; Henriques, Maria Adriana; Baixinho, Cristina Lavareda; Jester, RebeccaBackground Fractures resulting from falls constitute a problem of great magnitude for the older person, as they cause functional decline and difficulty in returning to the state prior to the fracture, and for the family caregiver, as they require care support to face the compromised ability to perform daily life activities that these people experience. Objective To characterize the perception of difficulties and needs felt by family caregivers in supporting older person with hip fractures in the transition home. Methods A descriptive, exploratory, qualitative study was developed, based on semi-structured interviews with family caregivers of patients with hip fractures undergoing surgical treatment, belonging to a hospital in the central region of Portugal. To analyze the data obtained, Bardin's content analysis was used, with the support of the MAXQDA Analytic pro 2022 software. Results From the analysis of the 15 interviews carried out, two categories emerged related to the difficulties perceived by family caregivers in supporting older person with hip fractures in the transition home: Care Support and Responsiveness. In relation to felt needs, the following categories emerged: Continuity of care and Training to provide care. Conclusions The family caregiver perceives multiple needs and difficulties experienced in the support provided to older person with hip fractures in the transition home. As this phenomenon is somewhat complex due to the involvement of numerous factors, the analysis of the aspects associated with this care process is essential, contributing to a favorable evolution and a safe transition.
- Functional capacity and quality of life of older person with hip fracture at hospital discharge: a cross sectional studyPublication . Rocha, Paula; Marques, Andréa; Matos, Luís; Costa, Andreia; Henriques, Maria Adriana; Baixinho, Cristina Lavareda; Jester, RebeccaBackground: In older adults, a hip fracture, leads to functional decline, resulting in dependence in activities of daily living, with a negative impact on quality of life. Objective: Characterize the functional capacity and quality of life of older person with hip fracture on returning home. Methods: Exploratory-descriptive, cross-sectional, quantitative study, with a sample of 102 individuals aged 65 years or older with hip fracture admitted to an orthopedic service in a hospital in a central region of Portugal. Was used a questionnaire that included sociodemographic and clinical characteristics, instruments to assess functional independence, ADL performance, and quality of life. Descriptive and inferential statistical analysis was performed using SPSS software, version 29. Results: The results indicate severe dependence in performing activities of daily living (Barthel: 61.08); severe gait impairment (speed and quality) (Time Up and Go Test: 85.58 s); difficulties in functional exercises (10-m Walk Test: 77.74 s); and high risk of falls (Morse: 66.53). There is a negative correlation between gait and the Barthel index (r = 0.263; p = 0.007) and the Berg Scale (r = 0.420; p < 0.001); and a positive correlation between the Berg scale and the Barthel scale (r = 0.452; p < 0.001). Individuals with a history of falls had worse scores on the Berg Scale (U = 835.5; p = 0.002), and those who had less dependence had better quality of life scores in the General Health Status (p = 0.002); Physical Function (p = 0.003) and Mental Health (p = 0.005). Conclusions: Results obtained at hospital discharge are predictors of functional loss in older adults with hip fracture on returning home. Individuals with previous falls and who are more dependent are at greater risk of loss of quality of life.
- Nurses' perspective on transitional care for older person with hip fracture: a qualitative studyPublication . Rocha, Paula; Lavareda Baixinho, Cristina; Albuquerque, Carlos; Batista, Susana; Henriques, Maria AdrianaBackground The aging process, being associated with a decrease in physical functionality, determines an increased risk of falling and, consequently, a greater risk of associated fractures. Among them, hip fracture often causes functional decline and difficulty returning to the state before the fracture. Objective To analyze nurses' perceptions of the transition process of the older person with hip fractures on returning home. Methods A descriptive, exploratory study of a qualitative nature was developed, based on two focus groups (FGs) with semi-structured interviews with nurses providing care to patients with hip fractures undergoing surgical treatment, whose activity takes place in a hospital context and care primary healthcare units, belonging to a Hospital in the central region of Portugal. Systematic data analysis and respective inductive work were carried out, with support from software Meetpulp®. Results The analysis of the two FGs, with 10 participants, outlines the contours of the problem that influences the personal, organizational and political spheres. Professionals recommend solutions to mitigate obstacles to the transition of care, such as: early involvement and better preparation of family members before discharge, offering greater support to caregivers, improving communication between professionals, creating a telephone support line, highlighting the importance networking and streamlining processes. Conclusion Nurses perceive important problems inherent to the transition process of older person with hip fractures, and the resulting impact on family caregivers and health services. The analysis of these aspects can constitute a basis for the reorganization of health services, in search of the best response to these needs.
- Safety-Promoting Interventions for the Older Person with Hip Fracture on Returning Home: A Protocol for a Systematic ReviewPublication . Rocha, Paula; Baixinho, Cristina Lavareda; Marques, Andréa; Henriques, AdrianaAgeing and physical frailty associated with decrease in muscle and bone mass lead to the older persons’ vulnerability and increased risk of falling. It is estimated that one in every ten falls in this age group results in a fracture, leading to a downward spiral in their health status, causing greater dependence, with a progressive functional decline that makes it difficult to return to their functional and social status prior to the fracture. The aim of this study is to identify the available evidence on the interventions that promote the safety of older people with hip fracture after hospital discharge. A search will be performed in MEDLINE and CINAHL databases. Randomised and controlled studies that focus on functional assessment, performance in activities of daily living, level of concern about falls, risk and prevalence of falls, injuries secondary to falls, re-fracture rate and health-related quality of life in hip fracture patients will be included. Two authors will perform the study selection, data extraction, and quality assessment independently. Any disagreements will be resolved through discussion with a third researcher. Methodological quality of the included trials will be evaluated by the Cochrane risk-of-bias criteria, and the Standards for Reporting Interventions in Controlled Trials.
- Safety-promoting interventions for the older person with hip fracture on returning home: A systematic reviewPublication . Rocha, Paula; Baixinho, Cristina Lavareda; Marques, Andrea; Henriques, Maria AdrianaBackground: Older adults with a prior history of falls that results in hip fractures have difficulties in regaining pre- fracture functional capacity. Scientific evidence has shown benefits of the implementation of multidimensional rehabilitation programs, but this evidence is not systematized with regard to continuity of care after hospital discharge. Objective: To identify interventions that promote safety and functional recovery of older adults with hip fractures after hospital discharge. Method: A systematic review was carried out according to Cochrane methodology. The research strategy was predefined for the MEDLINE and CINAHL databases. The identified articles were screened according to the eligibility criteria by two independent reviewers. The articles included in the bibliographic sample were evaluated for risk of bias. Results: Of the 10,036 articles found, 10 were included in this systematic review. The safety-promoting interventions identified were: exercise training, occupational therapy/activities of daily living training, transfer and gait training, strengthening exercises, education on assistive device use, fall prevention education, nutritional assessment, environmental modifications/adjustments at home, use of an app, medication, self-care education, and support and counseling. Conclusions: In eight studies analyzed, exercise training emerged as the most effective intervention for promoting the safety of older adults after hip fractures on returning home. Three studies associated two or more interventions, which focused on exercise training, occupational therapy/training of activities of daily living, and conventional postoperative rehabilitation with transfer and gait training, strengthening exercises, education on assistive device use and discharge planning, aiming to achieve muscle strengthening and safe gait, associated with the performance of activities of daily living.