Ansiedad entre cuidadores de pacientes con Enfermedad Pulmonar Obstructiva Crónica tras el alta hospitalaria

  1. Garcia-Guillamón, Gloria 1
  2. Bernabeu-Mora, Roberto 2
  3. Montilla-Herrador, Joaquina 3
  4. Seva-Llor, Ana Myriam 4
  5. Gacto-Sánchez, Mariano 5
  6. Garcia-Vidal, Jose Antonio 1
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  2. 2 Hospital Morales Meseguer Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB) Universidad de Murcia
  3. 3 Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB) Universidad de Murcia
  4. 4 Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB) Universidad de Murcia Hospital Vega Baja
  5. 5 Euses Escola Universitària de la Salut i l´Esport, Universitat de Girona
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Revista:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Ano de publicación: 2018

Volume: 17

Número: 1

Páxinas: 164-174

Tipo: Artigo

DOI: 10.6018/EGLOBAL.17.1.280741 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

Outras publicacións en: Enfermería global: revista electrónica trimestral de enfermería

Obxectivos de Desenvolvemento Sustentable

Resumo

Objective: To identify the factors that influence changes in caregivers anxiety status three months after discharge for acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD).Methodology: Longitudinal study. Participants included 87 caregivers of patients hospitalized for acute exacerbation of COPD. Anxiety was measured at the time of hospitalization and three months after discharge. We measured factors from four domains: context of care, caregiving demands, caregiver resources, and patient characteristics. We used multiple univariate and multivariate logistic regressions to determine changes in anxiety three months later. Univariate and multivariate multiple logistic regressions were used to determine changes in anxiety three months later.Results: A total of 57.5% of caregivers reported anxiety at the time of hospitalization. Of these, 44% had a remission of their anxiety three months after discharge. However, 22% of caregivers who had not experienced anxiety at the hospitalization became anxious at 3 months. The severity of COPD and not receiving help from another caregiver decreased the likelihood of remission of anxiety. Moderately high overload increases the likelihood of experiencing anxiety symptoms.Conclusions: The perception of anxious symptoms is dynamic. Caregivers are likely to recover from anxiety when they receive help from another caregiver and if the patient they are caring for does not have severe COPD.

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Información de financiamento

Las características del paciente se relacionaron con la enfermedad y con los factores fisiológicos asociados, e incluyeron la limitación del flujo aéreo, la escala modificada de disnea del Medical Research Council (mMRC), la fragilidad y la dependencia. La limitación del flujo aéreo se extrajo de los archivos electrónicos de la última visita de control del paciente por la EPOC antes de la hospitalización. La fragilidad se midió en el hospital por medio de la escala Reported Edmonton Frail Scale, cuyo rango varía de 0 a 18, donde las puntuaciones más altas indican una mayor fragilidad.(20) La disnea y la dependencia se midieron en el hospital y a los 3 meses después del alta. La dependencia se midió a través de una escala ya descrita(17) que incluye seis actividades de la vida diaria (AVD) que incluye ir al baño, bañarse, trasladarse, comer, vestirse y caminar a través de una pequeña habitación. La dependencia se definió como un autoinforme de incapacidad para realizar una AVD o la necesidad de la ayuda de otra persona para cualquier AVD. El rango de puntuación de esta escala (0-6) se basó en el número de dependencias, con una puntuación de 6 que representan las dependencias de todas las AVD.

Financiadores

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Fonte de datos: Dialnet