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- 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.
- Evaluation of an e-health platform for informal caregivers and health professionals: the case study of Help2CarePublication . Gomes, N.; Caroço, J.; Rijo, R.; Martinho, R.; Querido, A.; Peralta, T.; Dixe, Maria dos AnjosThe Help2Care e-Health platform was developed in order to capacitate infor-mal caregivers with digital, multimedia training materials. Health professionals select these materials according to the needs of the homebound patients under the supervision of these caregivers. In turn, caregiver can then use their smartphones to consult and apply the care procedures illustrated by these materials. In this paper, we present the results of performed usability tests for both web and mobile software applications of the Help2Care platform. These indicate an overall positive outcome, revealing less usable aspects such as the navigation flow in the web application and some design elements in the mobile application. Important written feedback was also collected, which we took into consideration to improve the software features of the platform.
- 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
- Needs and skills of informal caregivers to care for a dependent person: a crosssectional studyPublication . Dixe, Maria dos Anjos; Teixeira, Liliana Fernanda da Conceição; Areosa, Timóteo João Teixeira Camacho Coelho; Frontini, Roberta; Peralta, Teresa de Jesus de Almeida; Querido, Ana Isabel FernandesThe world is facing many socio-demographic changes, such as an increased average life expectancy and the presence of chronic and non-communicable diseases, which in turn, leads to an enhanced dependency on others. Consequently, the demand for informal caregivers has significantly increased during the past few years. Caring for a dependent person is linked to a series of burdens that often leads to physical, psychological and emotional difficulties. Taking into consideration the difficulties faced by informal caregivers, knowing in which areas of functioning they need more guidance may help to relieve their burden. Therefore, the main goal of this study is to better understand the needs and competencies of the informal caregiver when caring for a dependent person in the different self-care domains.
- 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.