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Advisor(s)
Abstract(s)
O envelhecimento demográfico é um fenómeno que também se faz sentir nos estabelecimentos prisionais. Assim, os reclusos acima dos 65 anos convivem com múltiplas patologias que aumentam a complexidade do seu regime medicamentoso. Ao longo do período em reclusão, estes ficam impossibilitados de assumir a gestão do seu próprio regime terapêutico. Surgem assim duas questões que pretendemos ver respondidas: estarão estes indivíduos preparados para assumir o autocuidado? Poderão os enfermeiros ser um contributo para a reaquisição dessa autonomia? Trata-se de um estudo de paradigma quantitativo, com desenho quasi-experimental, com a aplicação de um questionário, em dois momentos diferenciados, num Estabelecimento Prisional da zona Norte. A amostra foi constituída por reclusos, com 65 anos ou mais de idade, polimedicados (com cinco ou mais medicamentos prescritos) e com ainda, no mínimo, 6 meses de pena a cumprir; foram apenas incluídos reclusos com capacidade cognitiva para participar no estudo. Estes foram avaliados face ao conhecimento e capacidade demonstrados para assumir o autocuidado na gestão do regime terapêutico em duas fases distintas, existindo entre elas um processo de desenvolvimento de competências desenvolvido por enfermeiros, de acordo com os défices encontrados. Os resultados obtidos foram ao encontro da literatura consultada. O estudo evidencia a importância de se detetarem possíveis défices relacionados com a gestão do regime terapêutico na população mais envelhecida, de forma a ser criado um projeto de capacitação antes do regresso a casa. Neste âmbito, após a implementação de intervenções de enfermagem e estratégias relacionadas com o regime medicamentoso, foram detetadas melhorias significativas. Concluímos, portanto, que apesar de ser necessária mais pesquisa e desenvolvimento científico na área em estudo, um programa de capacitação relacionado com a gestão do regime terapêutico, antes da saída em liberdade que, para além de contribuir para o desenvolvimento de prescrições de enfermagem direcionadas a uma população fragilizada e potencialmente negligenciada, pode contribuir para a reinserção social destes indivíduos permitindo, assim, a manutenção da sua qualidade de vida após o regresso a casa.
Demographic aging is a phenomenon that is also felt in prisons. Thus, prisoners over 65 years old live with multiples pathologies that increases the complexity of their medication regimen. While in prison, they are enabled to assume their own therapeutic regimen. Thus, two questions arise that we intend to see answered: are these individuals prepared to assume self-care? Can nurses be a contribution to the reacquisition of this autonomy? This is a quantitative paradigm study with a quasi-experimental design, with the application of a questionnaire, at two different moments, in a Prison Establishment in the North of Portugal. The sample consisted of inmates, aged 65 years or older, polymedicated (with five or more prescribed medications) and with at least 6 months of sentence to be served; only prisoners with cognitive capacity to participate in the study were included. These were evaluated in view of the knowledge and ability demonstrated to assume self-care in the management of the therapeutic regimen in two distinct phases, existing among them a process of development of competencies developed by nurses, according to the deficits found. The results obtained were in line with the literature consulted. The study highlights the importance of detecting possible deficits related to the management of the therapeutic regimen in the older population, to create a training project before returning home. In this context, after the implementation of nursing interventions and strategies related to the drug regimen, significant improvements were identified. We conclude, therefore, that although more research and scientific development is needed in the area under study, a training program related to the management of the therapeutic regimen, before leaving in freedom that, in addition to contributing to the development of nursing prescriptions directed to a weakened and potentially neglected population, can contribute to the social reintegration of these individuals allowing, maintenance of their quality of life after returning home.
Demographic aging is a phenomenon that is also felt in prisons. Thus, prisoners over 65 years old live with multiples pathologies that increases the complexity of their medication regimen. While in prison, they are enabled to assume their own therapeutic regimen. Thus, two questions arise that we intend to see answered: are these individuals prepared to assume self-care? Can nurses be a contribution to the reacquisition of this autonomy? This is a quantitative paradigm study with a quasi-experimental design, with the application of a questionnaire, at two different moments, in a Prison Establishment in the North of Portugal. The sample consisted of inmates, aged 65 years or older, polymedicated (with five or more prescribed medications) and with at least 6 months of sentence to be served; only prisoners with cognitive capacity to participate in the study were included. These were evaluated in view of the knowledge and ability demonstrated to assume self-care in the management of the therapeutic regimen in two distinct phases, existing among them a process of development of competencies developed by nurses, according to the deficits found. The results obtained were in line with the literature consulted. The study highlights the importance of detecting possible deficits related to the management of the therapeutic regimen in the older population, to create a training project before returning home. In this context, after the implementation of nursing interventions and strategies related to the drug regimen, significant improvements were identified. We conclude, therefore, that although more research and scientific development is needed in the area under study, a training program related to the management of the therapeutic regimen, before leaving in freedom that, in addition to contributing to the development of nursing prescriptions directed to a weakened and potentially neglected population, can contribute to the social reintegration of these individuals allowing, maintenance of their quality of life after returning home.
Description
Keywords
Contexto prisional População envelhecida Gestão do regime medicamentoso Intervenções de Enfermagem Prison context Elderly population Therapeutic regimen management Nursing interventions