Impact of internation on the national network of continuous integrated care in improving user functional capacity levels

• Autor(a) principal: Martins, Rosa
• Data de Publicação: 2018
• Outros Autores: Henriques, Tânia, Carvalho, Nélia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Texto Completo: https://doi.org/10.7559/gestaoedesenvolvimento.2018.661

The National Integrated Continuing Care Network (NICCN) is responsible for providing adequate health care and social support to all persons, regardless of age, in a situation of dependency. Thus, it is emerging to evaluate the impact of hospitalization on NICCN in improving levels of dependence of hospitalized patients and to analyze their relationship with socio-demographic, clinical and family context variables. Methods: A qualitative, descriptive and exploratory profile investigation was designed, with two moments of evaluation, admission and clinical discharge, allowing the evaluation of the health condition evolution (functional disability) of the sample participants. This is a non-probabilistic convenience smapling, consisting of 160 people hospitalized in two units of the NICCN of the district of Viseu. For the measurement of the variables, a data collection instrument was used that integrates a socio-demographic, clinical, family context and Barthel Index. Results: The impact of hospitalization was positive in improving functional disability levels, since the values found in admission versus discharge were: no disability (0% vs 10%), mild disability (2.5% vs 7.5 %), moderate disability (20% vs 30%) and severe disability (77.5% vs 52.5%). We also verified that the users with the highest functional capacity were the holders of the 2nd cycle of schooling (p = 0.005), those who received monthly incomes higher than 500 € (p = 0.023), those who performed rehabilitation programs with more than 10 hours weekly (p = 0.004) and had cutaneous integrity (p = 0.029). Conclusion: The hospitalization in the NICCN has a positive impact on the functionality of the users, given the significant improvement in the levels of dependence at discharge, compared to the time of admission.