Care transition of patients with chronic diseases from the discharge of the emergency service to their homes.

Autor: Acosta AM; Departamento de Assistência e Orientação Profissional, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil., Lima MADDS; Departamento de Assistência e Orientação Profissional, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil., Pinto IC; Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brasil., Weber LAF; Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil.
Jazyk: Portuguese; English
Zdroj: Revista gaucha de enfermagem [Rev Gaucha Enferm] 2020; Vol. 41 (spe), pp. e20190155. Date of Electronic Publication: 2020 Apr 30.
DOI: 10.1590/1983-1447.2020.20190155
Abstrakt: Objective: To evaluate the quality of the care transition for patients with chronic non-communicable diseases discharged from the emergency department to home.
Method: A cross-sectional observational and epidemiological study conducted at an emergency department in the South of Brazil with 117 patients and 81 caregivers. The Care Transitions Measure was applied by phone to collect data. A descriptive and analytical statistical analysis was performed.
Results: The quality of the care transition's total score was close to satisfactory (69.5). The "Self-Management Training" factor had the highest score (70.6), while "Understanding medications" had the lowest (68.3). Items related to understanding medications and confidence in carrying out care after discharge obtained lower scores.
Conclusions: A moderate quality of the care transition was evidenced, as well as the need to adopt strategies to improve the emergency department discharge process and the continuity of the care of patients with chronic diseases.
Databáze: MEDLINE