Non-face-to-face consultations with family nurses: A pre-experimental study with older adults living alone in the community
DOI:
https://doi.org/10.12707/RVI23.55.31027Keywords:
aged, social isolation, quality of life, self-care, telenursingAbstract
Background: Loneliness and social isolation are significant public health issues. Family nurses play a vital role in identifying and preventing these phenomena and designing interventions to address them.
Objective: To evaluate the impact of non-face-to-face follow-up consultations with family nurses on social isolation, quality of life, and disease self-management of older adults living alone in the community.
Methodology: This pre-experimental study utilizes a one-group pretest-posttest design on a sample of 24 older adult patients. The Lubben Social Network Scale–6 (LSNS-6), the World Health Organization Quality of Life Group (WHOQOL) - OLD scale, and the Portuguese Version of the Therapeutic Self-Care Scale were used for data collection.
Results: Following the intervention, patients’ satisfaction with the family nurse’s follow-up improved (p < 0.001). Additionally, there was a 33.3% increase in self-care management and a reduction in the risk of social isolation (45.8% to 33.3%). Although not statistically significant, there was also an increase in the global score of the quality of life variable.
Conclusion: The non-face-to-face telenursing consultations positively affected the older adult patients’ satisfaction with the family nurse’s contact and follow-up, reduced social isolation, and improved self-care activities.
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References
Adepoju, O. E., Chae, M., Woodard, L. C., Smith, K. L., Herrera, L., Han, D., Howard, D. L., Dobbins, J., & Ory, M. (2021). Correlates of social isolation among community-dwelling older adults during the COVID-19 pandemic. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.702965
Agrela, D., Santos, E., Guzman, K., Aveiro, L., Pestana, P., & Faria, L. (2021). Inclusão digital e envelhecimento ativo no século XXI. In J. Pinheiro (Coord.), Olhares sobre o envelhecimento: Estudos interdisciplinares (Vol. II, pp. 75-82). Universidade da Madeira. https://doi.org/10.34640/universidademadeira2021agrelasantosguzman
Baarck, J., D’Hombres, B., & Tintori, G. (2022). Loneliness in Europe before and during the COVID-19 pandemic. Health Policy, 126(11),1124–1129. https://doi.org/10.1016/j.healthpol.2022.09.002
Cacioppo, J. T., & Cacioppo, S. (2018). The growing problem of loneliness. The Lancet, 391(10119), 426. https://doi.org/10.1016/S0140-6736(18)30142-9
Cardoso, A. F., Queirós, P., Ribeiro, C. F., & Amaral, A. (2014). Cultural adaptation and psychometric properties of the Portuguese Version of the Therapeutic Self-Care Scale. International Journal Caring Sciences, 7(2), 426-436.
Cudjoe, T. K., Roth, D. L., Szanton, S. L., Wolff, J. L., Boyd, C. M., & Thorpe, R. J. (2020). The epidemiology of social isolation: National health and aging trends study. The Journals of Gerontology, 75(1), 107–113. https://doi.org/10.1093/geronb/gby037
Czaja, S. J., Boot, W. R., Charness, N., Rogers, W. A., & Sharit, J. (2018). Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. The Gerontologist, 58(3), 467–477. https://doi.org/10.1093/geront/gnw249
Eurostat. (2020). Eurostat. https://ec.europa.eu/eurostat/web/products-eurostat-news/-/DDN-20200623-1?inheritRedirect=true&redirect=/Eurostat
Faísca, L. R., Afonso, R. M., Pereira, H., & Patto, M. A. (2019). Solidão e sintomatologia depressiva na velhice. Análise Psicológica, 37(2), 209–222. https://doi.org/10.14417/ap.1549
Gálvez, P. G. (2022). Reflexiones sobre la teleasistencia. Revista de En fermagem Referência, 6(1),1-3. https://doi.org/10.12707/rvi22ed2
Guarda Nacional Republicana. (2021). Operação Censos Sénior 2021 https://www.gnr.pt/comunicado.aspx?linha=4625
Ibarra, F., Baez, M., Cernuzzi, L., & Casati, F. (2020). A systematic review on technology-supported interventions to improve old-age social wellbeing: Loneliness, social isolation, and connectedness. Journal of Healthcare Engineering, 2020. https://doi.org/10.1155/2020/2036842
Instituto Nacional de Estatistica. (2020). Projeções de população residente 2018-2080. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=406534255&DESTAQUESmodo=2&xlang=pt
Instituto Nacional de Estatística. (2022). Censos 2021: Resultados definitivos. https://www.ine.pt/xurl/pub/65586079
Leigh-Hunt, N., Bagguley, D., Bash, K., Turner, V., Turnbull, S., Valtorta, N., & Caan, W. (2017). An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health, 152, 157–171. https://doi.org/10.1016/j.puhe.2017.07.035
Mussi, F. C., Palmeira, C. S., Silva, R. M., & Costa, S. A. (2018). Telenfermagem: Contribuições para o cuidado em saúde e a promoção do conforto. Revista de Divulgação Cientifica Sena
Aires, 7(2), 76–79. http://revistafacesa.senaaires.com.br/index.php/revisa/article/view/306
Nicholson, N. R., Feinn, R., Casey, E. A., & Dixon, J. (2019). Psychometric evaluation of the social isolation scale in older adults. The Gerontologist, 60(7), e491-e501. https://doi.org/10.1093/geront/gnz083
Ordem dos Enfermeiros. (2021). Consultas de enfermagem à distância teleenfermagem: Guia de recomendações. https://www.ordemenfermeiros.pt/media/21380/guiatelenfermagem_final.pdf
Páscoa, G., & Gil, H. (2021). Envelhecimento e tecnologias digitais: Um estudo exploratório em universidades seniores no interior de Portugal. In J. Pinheiro (Coord.), Olhares sobre o envelhecimento: Estudos interdisciplinares (Vol. II, pp. 63-74). Universidade da Madeira. https://doi.org/10.34640/universidademadeira2021pascoagil
Paúl, C., & Ribeiro, O. (2009). Predicting loneliness in old people living in the community. Reviews in Clinical Gerontology, 19(1), 53–60. https://doi.org/10.1017/S0959259809990074
Prohaska, T., Burholt, V., Burns, A., Golden, J., Hawkley, L., Lawlor, B., Leavey, G., Lubben, J., O’Sullivan, R., Perissinotto, C., Tilburg, van T., Tully, M., Victor, C., & Fried, L. (2020). Consensus statement: Loneliness in older adults, the 21st century social determinant of health? BMJ Open, 10(8), e034967. https://doi.org/10.1136/bmjopen-2019-034967
Ribeiro, O., Teixeira, L., & Barbosa, S. (2012). Versão portuguesa da escala breve de redes sociais de lubben (LSNS-6). Revista Temática Kairós Gerontologia, 15(1), 217–234.
Roig Cabo, P., López Seguí, F., Sierra Lujan, R. M., Seda Gombau, G., Moreno Millán, N., & Torán Monserrat, P. (2021). Impact of the econsultation on the primary care agenda. Atencion Primaria, 53(8). https://doi.org/10.1016/j.aprim.2021.102070
Shah, S. G., Nogueras, D., Woerden, H. C., & Vasiliki, K. (2020). Are digital technology interventions effective to reduce loneliness in older adults? A systematic review and meta-analysis. MedRxiv, 0–36. https://doi.org/10.1101/2020.08.27.20183012
Serviços Partilhados do Ministério da Saúde. (2019). Plano Estratégico Nacional para a Telessaude 2019-2022. Serviços do Ministério da Saúde, EPE. https://www.spms.min-saude.pt/wp-content/uploads/2019/11/PENTS_portugu%C3%AAs.pdf
Vilar, M., Sousa, L. B., & Simões, M. R. (2016). The European Portuguese WHOQOL-OLD module and the new facet family/family life: Reliability and validity studies. Quality of Life Research, 25(9), 2367–2372. https://doi.org/10.1007/s11136-016-1275-9
