Evaluación del programa de neurorehabilitación intrahospitalaria del hospital de Talagante en usuarios con diagnóstico de accidente cerebro vascular isquémico hospitalizados en la unidad de médico-quirúrgico el año 2016
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2018
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es
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Universidad Andrés Bello
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Licencia CC
Resumen
El Hospital de Talagante, desde el año 2014, cuenta con un programa de neurorehabilitación intrahospitalaria que atiende a usuarios con lesión neurológica
adquirida. Este programa, funciona de forma interdisciplinaria considerando kinesiólogo, fonoaudiólogo y terapeuta ocupacional dentro de los profesionales del equipo de rehabilitación. La presente investigación corresponde a un estudio transversal de tipo descriptivo observacional que evalúa el programa en términos de acceso, oportunidad y continuidad de la atención; así como el desempeño funcional evidenciado. Ello, en usuarios con diagnóstico de accidente cerebrovascular isquémico hospitalizados en la unidad de médico-quirúrgica durante el 2016. Se evaluó el acceso, oportunidad y continuidad de la atención desde el ingreso a la
hospitalización hasta el ingreso a rehabilitación de forma ambulatoria. Asimismo, se analizó el desempeño funcional de los usuarios obtenido al ingreso a atención cerrada y al ingreso a rehabilitación en atención abierta. Los resultados evidenciados revelan que el acceso, oportunidad y continuidad durante la hospitalización son favorables en los usuarios respecto a lo sugerido en la literatura; del mismo modo, se observó una evolución positiva en el desempeño funcional de los usuarios intervenidos. Estos resultados sientan bases para futuras investigaciones que permitan determinar el efecto de este modelo de
trabajo en las instituciones públicas de salud, generando la necesidad de facilitar la gestión clínica en las unidades de rehabilitación para optimizar los recursos y establecer estándares de calidad.
Hospital de Talagante, since 2014, has an intrahospital neurorehabilitation program that serves users with acquired neurological injury. This program works interdisciplinary considering kinesiologist, speech therapist and occupational therapist within theprofessionals of the rehabilitation team. The present investigation corresponds to a crosssectional study of an observational descriptive type that evaluates the program in terms of access, opportunity and continuity of care; as well as the functional performance evidenced. This, in users with diagnosis of ischemic stroke hospitalized in the medicalsurgical unit during 2016. Access, opportunity and continuity of care were evaluated from admission to hospitalization until admission to rehabilitation on an outpatient basis. Likewise, the functional performance of the users obtained on admission to closed care and on admission to rehabilitation in open care was analyzed. The evidenced results reveal that the access, opportunity and continuity during the hospitalization are favorable in the users with regard to the suggested in the literature; In the same way, a positive evolution was observed in the functional performance of the operated users. These results provide the basis for future research to determine the effect of this work model in public health institutions, generating the need to facilitate clinical management in rehabilitation units to optimize resources and establish quality standards.
Hospital de Talagante, since 2014, has an intrahospital neurorehabilitation program that serves users with acquired neurological injury. This program works interdisciplinary considering kinesiologist, speech therapist and occupational therapist within theprofessionals of the rehabilitation team. The present investigation corresponds to a crosssectional study of an observational descriptive type that evaluates the program in terms of access, opportunity and continuity of care; as well as the functional performance evidenced. This, in users with diagnosis of ischemic stroke hospitalized in the medicalsurgical unit during 2016. Access, opportunity and continuity of care were evaluated from admission to hospitalization until admission to rehabilitation on an outpatient basis. Likewise, the functional performance of the users obtained on admission to closed care and on admission to rehabilitation in open care was analyzed. The evidenced results reveal that the access, opportunity and continuity during the hospitalization are favorable in the users with regard to the suggested in the literature; In the same way, a positive evolution was observed in the functional performance of the operated users. These results provide the basis for future research to determine the effect of this work model in public health institutions, generating the need to facilitate clinical management in rehabilitation units to optimize resources and establish quality standards.
Notas
Tesis (Magíster en Neurorrehabilitación)
Palabras clave
Accidente Cerebrovascular, Rehabilitación, Evaluación, Hospital de Talagante, Chile