A equipe de saúde da família no cuidado de idosos restritos ao domicílio

Abstract

Nursing plays a fundamental role in giving homebound elderly people access to home visits, which makes it possible to understand and plan health interventions. Objectives: To characterize the homebound elderly, identify actions carried out by the nursing team and check whether the home visit contributes to a better perception of PHC attributes. Methods: A cross-sectional study was carried out with homebound elderly people and their caregivers living in the catchment area of a UBS in Juiz de Fora/MG. A structured instrument was used alongside the PCATool-Brazil for adult patients - reduced version. Results: The average age was 79.53 (±8.99) years, the majority were women, married or widowed. The most common chronic disease was hypertension. The average time of restriction was 62.10 (±44.32), mostly due to physical condition, and all had a caregiver. 70.0% of the elderly receive or have received a home visit from at least one PHC professional, 30% have never received one and 42.8% have had their visit interrupted. Most were satisfied with the procedures carried out by the nursing staff. The mean PCATool score was 4.19 (±2.56). The mean score for the 2 1 attributes was higher among the elderly who receive visits, indicating that this group has a better perception of PHC attributes. Conclusion: The nursing team carries out the procedures as recommended. The obstacle is observed in the continuity of care, due to the large number of interruptions. The difference in perception between users who receive visits and those who don't demonstrates the importance of home visits in fulfilling the attributes.