The Self-control: breathe in person with COPD and the nursing care process

Abstract

Problem: The Self-control: breathe in person with COPD and the nursing care process. Objectives: • To know the process of nursing cares in use in taking care of the person with COPD • To evaluate the nurses’ opinion on the know ledges and nowadays practices in who take care of the person with COPD. • To describe the nurses’ taking care behaviour when in contact with a person with COPD in hospital context. • To know the nurses’ formation necessities in a respiratory rehabilitation programme. • To know the profile of the people with t COPD hat benefit of nursing cares. Method: Inquiry share-exploratory study; The context is a unit of medicine cares of an hospital; the sample is constituted by the 27 nurses and 9 sick people; the instruments of data harvest applied to the sick people – Initial comment – Social, Demographic and Clinical information; biofisiologic parameters; scales: of dyspnea evaluation – Borg; life quality – Euroq-5D; life activities – Cr Mcgavin. the instruments of data harvest applied to the nurses had been the inventory of the behaviours of taking care of – Loureiro, Luis (2004); Consultation of nursing registers and a health information systems (SAPE), processes of the people with COPD; valuation of the nurses’ knowledge. All the ethical procedures had been respected Data management: SPSS 14; content analysis technique. Conclusion: The total of nurses – masculine and feminine and independently of their professional category – value the techniques and ethics, being considered in last the communication dimension, basic in the process of cares that aims at the self-control of the person with COPD. The nurses’ knowledge happens on the physiopathology of the; the COPD nursing practices to the level of the national and international directives and the program of respiratory rehabilitation is not valued by the nurses. It has a divergence between the knowledge and share in taking care of the person with COPD and the action, and evident in the nursing information system – the cares process in use. The profile of the person with COPD is in accordance with the described one in manuals, the age, and professions, genre, and smokers, social and economic stratus. Related to the perception of their health they declare that they are worse than twelve months before. No person knows the process of the illness .They had never been part of a respiratory rehabilitation programme. Important data for the clinic practice: Development of a formation plan for the nurses; construction of a new process of nursing cares in taking care of the person with COPD; Follow-up of the people with COPD for the intervention evaluation (weekly for telephone, and to 1.º, 3.º and 6.º month in consultation).