Patient and family caregiver adaptation during hospital-home transition: a concept analysis

Adaptação do paciente e seu cuidador familiar durante a transição hospital-casa: análise de conceito

ABSTRACT

Objective:  To analyze the concept of “Adaptation of the patient and his family caregiver” during the hospital-home transition”.

Method:  The Walker and Avant method was followed. This included a scoping review following the Joanna Briggs Institute (JBI) parameters conducted in the Dimensions and Eureka metasearch engines and the PubMed, Embase, Scielo, CINAHL, and ScienceDirect databases.

Results:  Of 6073 articles, 85 met inclusion criteria. The transition from hospital to home of the patient and his/her family caregiver after discharge from the hospital requires them to take on care tasks for which they are not always prepared. Adapting to this transition involves understanding it, coping with it; having support; anticipating risks; transferring instructions; adhering to therapy; and monitoring and recording the health condition.

Conclusion:  The adaptation of the patient and his/her family caregiver during the hospital-home transition is a comprehensive response to the responsibility of caring for his/her health. Adapting means being able to reestablish routines, maintain or improve quality of life, strengthen autonomy and have a sense of achievement and control over the situation.

DESCRIPTORS
Adaptation; Transitional Care; Patient Discharge; Caregivers; Nursing Theory; DeCS