Caregivers' Perception of Elderly Patients' Hospital Discharge and Continuity of Care at Home
DOI:
https://doi.org/10.36489/saudecoletiva.2025v15i94p15031-15046Keywords:
Patient Discharge, Health of the Elderly, Caregivers, Continuity of Patient CareAbstract
OBJECTIVE: To investigate caregivers' perception of the guidance provided for hospital discharge of elderly patients, as well as to describe caregivers' sociodemographic and clinical aspects. METHOD: A descriptive and qualitative study conducted with 20 caregivers of elderly patients discharged in the last 30 days. Data collection took place at home and in primary care through a sociodemographic questionnaire and an open-ended question about their perception of the received guidance. The analysis followed the guidelines of the Collective Subject Discourse and descriptive statistics.RESULTS: The caregivers were mostly women (90%), married (50%), and aged between 41 and 50 years (30%). Most reported feeling prepared to provide care but considered the guidance unsatisfactory. Perceptions were categorized into two themes: “Positive Perception of Guidance” and “Negative Perception of Guidance”. CONCLUSION: Although caregivers feel prepared, dissatisfaction with the guidance highlights the need for more effective and continuity-focused strategies.
References
Omonaiye O, Ward-Stockham K, Darzins P, Kitt C, Newnham E, Taylor NF, Considine J. Hospital discharge processes: Insights from patients, caregivers, and staff in an Australian healthcare setting. PLoS One. 2024;19(9):e0308042. Disponível em: https://doi.org/10.1371/journal.pone.0308042
Machado DC, Machado ACA. A otimização do processo de gerenciamento de leitos e alta hospitalar. Saúde Coletiva (Barueri). 2019;9(50):1866-72.Disponível em: https://doi.org/10.36489/saudecoletiva.2019v9i50p1866%20-%201872
Rahpeima E, Bijani M, Karimi S, Alkamel A, Dehghan A. Effect of the implementation of interdisciplinary discharge planning on treatment adherence and readmission in patients undergoing coronary artery angioplasty. Invest Educ Enferm. 2022;40. Disponível em: https://doi.org/10.17533/udea.iee.v40n2e08
Lanzoni GM, Goularte AF, Miotelo M, Peiter CC, Koerich C, Wachholz LF. Transição do cuidado da pessoa com doença crônica na alta hospitalar: perspectiva de enfermeiros. Rev Baiana Enferm. 2023;37. Disponível em: https://doi.org/10.18471/rbe.v37.47254
Tomazela M, Valente SH, Lima MADS, Bulgarelli AF, Fabriz LA, Zacharias FCM, Pinto IC. Transição do cuidado de pessoas idosas do hospital para casa. Acta Paul Enferm. 2023;36:eAPE00291. Disponível em: https://doi.org/10.37689/acta-ape/2023AO00291
Bordin D, Blanski Grden CR, Cabral LPA, Krum EA, Sanson IS. Auxílio à realização de atividades básicas de vida diária no pós-alta hospitalar de idosos. RevSALUS – Revista Científica Internacional da Rede Académica das Ciências da Saúde da Lusofonia. 2021;2(2):38-44. Disponível em: https://revsalus.com/index.php/RevSALUS/article/view/59
Asenjo-Alarcón J, Cieza L. Relationship between degree of dependency and hospitalization time of surgical patients. Invest Educ Enferm. 2023;41. Disponível em: https://doi.org/10.17533/udea.iee.v41n1e10
Meneguetti C, Pereira JA, Silva EM. Transição do cuidado e qualidade de vida entre pessoas com estomias. Revista gaúcha de enfermagem, 2025.
Conselho Federal de Enfermagem (COFEN). Resolução nº 736, de 17 de janeiro de 2024. Brasília, DF: COFEN; 2024. Disponível em: https://www.cofen.gov.br/resolucao-cofen-no-736-de-17-de-janeiro-de-2024/
Souza ND, Vilhena AO, Santos MN, Monteiro NJ. Planejamento da alta hospitalar para pacientes submetidos a revascularização do miocárdio: desafios à atuação do enfermeiro. Cogit Enferm (Online). 2020; e71602. Disponível em: http://dx.doi.org/10.5380/ce.v25i0.71602
Minayo MCS. Pesquisa Social: teoria, método e criatividade. 18ª ed. Petrópolis: Vozes; 2001.
Lefevre F, Lefevre AM. Depoimentos e discursos: uma proposta de análise em pesquisa social. Brasília-DF: Liber Livros Editora; 2005.
Souza ID, Pereira JA, Silva EM. Between State, society and family: the care of female caregivers. Rev Bras Enferm. 2018;71 Suppl 6:2720-7. Disponível em: http://dx.doi.org/10.1590/0034-7167-2018-0111.
Pereira JA, Souza ID, Bazilio J, Silva EM. Análise da qualidade de vida e sobrecarga de cuidadores familiares de idosos assistidos pela atenção domiciliar. Res Soc Dev. 2022;11(11):e466111133853. Disponível em: http://dx.doi.org/10.33448/rsd-v11i11.33853
Barbosa SM, Zacharias FCM, Schönholzer TE, Carlos DM, Lacerda MPE, Valente SH, et al. Sleep quality of nurses who worked in coping with COVID-19: an integrative review. Rev Bras Enferm. 2023;76(6):e20220772. Disponível em: https://doi.org/10.1590/0034-7167-2023-0007
Mendes PN, Figueiredo MLF, Santos AM, Fernandes MA, Fonseca RSB. Sobrecargas física, emocional e social dos cuidadores informais de idosos. Acta Paul Enferm. 2019;32(1):87-94. Disponível em: https://doi.org/10.1590/1982-0194201900012
Almeida JM, Camargo FC, Oliveira AL, Pereira EMS, Ferreira LA. Cuidados no manejo da nutrição enteral em pessoas adultas e idosas no domicílio: revisão integrativa. J Nurs Health. 2020;10(5). Disponível em: https://doi.org/10.15210/jonah.v10i5.17096