Impacto de un programa de enfermería de atención domiciliaria basado en aplicaciones móviles en la calidad de vida de los pacientes y la carga familiar

• Kelana Kusuma Dharma ^[1] ; P. Parellangi ^[2] ; Halina Rahayu ^[1] ; Lucky Prisandy ^[1] ; Alvi Roelanda ^[1] ; Machmud Fajri Saputro ^[1]
  1. [1] School of Nursing, Politeknik Kesehatan Kementerian Kesehatan, Pontianak, Indonesia
  2. [2] School of Nursing, Politeknik Kesehatan Kementerian Kesehatan, Kalimantan Timur, Indonesia
• Localización: Enfermería clínica, ISSN 1130-8621, Vol. 34, Nº. 3, 2024, págs. 177-186
• Idioma: español
• DOI: 10.1016/j.enfcli.2024.01.008
• Títulos paralelos:
  • Impact of a mobile application-based home care nursing program on patients’ quality of life and family burden
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• Resumen
  • español

    Objetivo Este estudio tiene como objetivo identificar la efectividad de un servicio de enfermería de atención domiciliaria basado en una aplicación móvil para mejorar la calidad de vida y el estilo de vida saludable del paciente y reducir la carga familiar.

    Métodos Este estudio fue un ensayo clínico con un diseño de grupo de control antes y después de la prueba. La población accesible en este estudio eran pacientes después del alta de hospitales generales en West Kalimantan y East Kalimantan, Indonesia, que requerían cuidados de enfermería en el hogar. Asignamos una muestra seleccionada de 40 personas al grupo de intervención y 40 personas al grupo de control mediante un diseño de bloques leatorizados. Brindamos atención de enfermería domiciliaria basada en aplicaciones móviles al grupo de intervención y atención de enfermería de salud comunitaria al grupo de control. Medimos la calidad de vida del paciente, el estilo de vida saludable y la carga familiar antes y 3 meses después de la intervención.

    Resultados No hubo diferencia significativa en la calidad de vida posterior a la prueba entre los 2 grupos (p=0,187), pero hubo una diferencia significativa en el dominio de calidad de vida psicológica (p=0,014) y de salud ambiental (p=0,021). No hubo diferencia significativa en el post-test de estilo de vida saludable entre los 2 grupos (p=0,083). Hubo una diferencia significativa en la carga familiar posterior a la prueba entre los 2 grupos (p=0,015).

    Conclusión La enfermería de atención domiciliaria basada en aplicaciones móviles es eficaz para mejorar la calidad de vida del paciente en los dominios de salud psicológica y ambiental, y reducir la carga familiar para los pacientes después del alta.

  • English

    Objective This study aims to identify the effectiveness of a mobile application-based home care nursing service in improving patient quality of life and healthy lifestyle and reducing the family burden.

    Methods This study was a clinical trial with a pre- and post-test control group design. The accessible population in this study was post-discharge patients from general hospitals in West Kalimantan and East Kalimantan, Indonesia, who required home care nursing. We allocated a selected sample of 40 people to the intervention group and 40 people to the control group using a randomized block design. We gave mobile application-based home care nursing to the intervention group and community health nursing care to the control group. This study was conducted in 10 months (January-October 2022). We measure the patient quality of life, healthy lifestyle, and family burden before and 3 months after the intervention.

    Results There was no significant difference in the post-test quality of life between the two groups (P=.187), but there was a significant difference in the psychological (P=.014) and environmental health (P=.021) domain of quality of life. There was no significant difference in the post-test of a healthy lifestyle between the two groups (P=.083). There was a significant difference in the post-test family burden between the two groups (P=.015).

    Conclusion Mobile Application-Based Home Care Nursing is effective in improving patient quality of life in the psychological and environmental health domains and reducing the family burden for post-discharge patients.

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