Humanized tele-accompaniment for users with chronic pathologies: a health promotion and self-care strategy towards the implementation of a salutogenesis model in Chile.
DOI:
https://doi.org/10.56294/saludcyt2024.936Keywords:
telenursing, salutogenic model, care’s humanization, chronic pathologies, primary health careAbstract
Introduction: In a context of growing multimorbidity and increasing costs of the system, primary health care strategies are limited in terms of access and holistic care for the patient and family, making telenursing presented as a cost-effective alternative, but one that it requires being enhanced with a humanized approach focused on health promotion from the individual's own resources.
Method: Reflective analysis of numbers theoretical sources regarding the concepts of telenursing, humanization and salutogénesis. The authors propose the linking of these three concepts in a holistic and humanized remote health model.
Results: A paradigm shift is proposed from a vision of telenursing monitoring to one of teleaccompaniment focused on the generation of health and the holistic and humanized care of pacients.
Conclusions: The development of humanized telecompanion strategies in the care of users with chronic pathologies integrated into a salutogenic model is presented as a promising solution to the difficulty of access to comprehensive care and the depersonalization that the technologization of health brings with it. The term "accompaniment" reinforces this vision of humanization of care strategies, highlighting the importance of a close and empathetic bond between the socio-health professional and the user and responding to the current needs of the health system.
References
Enfermedades no transmisibles. World Health Organization n.d. https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases (accessed July 27, 2024). Extraído de: https://www.who.int/es/newsroom/factsheets/detail/noncommunicable-diseases
Barros Urzua J, Zamorano Pichard P, Varela Yuraszeck T, Irazoqui Soto E, Téllez Téllez A. Cambios en el modelo de atención de personas con multimorbilidad crónica: una revisión narrativa. ARS MED. 2019;44(4). doi:10.11565/arsmed.v44i4.1569.
Sanhueza-Muñoz M, Monsálvez FV, Castillo-Carreño A. TELENURSING AS A TOOL TO PROMOTE SELF-EFFICACY IN PEOPLE WITH CHRONIC DISEASES. Ciencia y Enfermeria. 2022 Mar 22;28.
Gutiérrez Fernández R. La humanización de (en) la Atención Primaria. Rev clín med fam [Internet]. 2017 [citado el 28 de julio de 2024];10(1):29–38. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699-695X2017000100005&lng=es.
Velasco Bueno JM, La Calle GH. Humanizing intensive care. Crit Care Nurs Clin North Am [Internet]. 2020;32(2):135–47. Disponible en: http://dx.doi.org/10.1016/j.cnc.2020.02.001
Margozzini P, Passi Á. Encuesta Nacional de Salud, ENS 2016-2017: un aporte a la planificación sanitaria y políticas públicas en Chile. ARS Medica [Internet]. 2018;43(1):30–4. Disponible en: http://dx.doi.org/10.11565/arsmed.v43i1.1354
Legetic B (ed )., Medici A (ed )., Hernández-Ávila M (ed )., Alleyne GAO (ed )., Hennis A (ed ). Las dimensiones económicas de las enfermedades no transmisibles en América Latina y el Caribe. OPS; 2017. (p.p 119-126). Extraído de: https://iris.paho.org/handle/10665.2/33994
Prados-Torres A, del Cura-González I, Prados-Torres JD, Leiva-Fernández F, López-Rodríguez JA, Calderón-Larrañaga A, et al. Multimorbilidad en medicina de familia y los principios Ariadne. Un enfoque centrado en la persona. Aten Primaria [Internet]. 2017;49(5):300–7. Disponible en: http://dx.doi.org/10.1016/j.aprim.2016.11.013
Tamayo Verdecia A. Prevención de enfermedades crónicas no transmisibles: a propósito de una reflexión. Finlay [Internet]. 2019 [citado el 28 de julio de 2024];9(4):243–5. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342019000400243
Pérez-Wilson P, Rico Soto F. Automanejo en personas con multimorbilidad: aportes desde la salutogénesis y el modelo de activos en salud. Aten Primaria [Internet]. 2022;54(4):102283. Disponible en: http://dx.doi.org/10.1016/j.aprim.2022.102283
Leutualy V, Trisyani Y, Nurlaeci N. Effectivity of health education with telenursing on the self-care ability of coronary artery disease patients: A systematic review. Vol. 9, Open Access Macedonian Journal of Medical Sciences. Scientific Foundation SPIROSKI; 2021. p. 690–8.
T Toffoletto MC, Tello JDA. Telenursing in care, education and management in Latin America and the Caribbean: an integrative review. Rev Bras Enferm [Internet]. 2020;73(suppl 5). Disponible en: http://dx.doi.org/10.1590/0034-7167-2019-0317
Zaforteza Lallemand C, Prieto González S, Canet Ferrer TP, Díaz López Y, Molina Santiago M, Moreno Mulet C, et al. Mejorando el cuidado a los familiares del paciente crítico: estrategias consensuadas. Enferm Intensiva. 2010 Jan;21(1):11–9.
Velasco Bueno JM, La Calle GH. Humanizing intensive care. Crit Care Nurs Clin North Am [Internet]. 2020;32(2):135–47. Disponible en: http://dx.doi.org/10.1016/j.cnc.2020.02.001
Colunga Santos S, Moya Rodríguez JL. Salutogénesis, sanación y curación. Humanid médicas [Internet]. 2023 [citado el 28 de julio de 2024];23(1). Disponible en: http://scielo.sld.cu/scielo.php?pid=S1727-81202023000100014&script=sci_arttext&tlng=en
Fonseca Canteros MA. Atención de las necesidades espirituales y religiosas de pacientes por personal de salud. Un modelo basado en el acompañamiento espiritual. Rev Cirugia [Internet]. 2022 [citado el 28 de julio de 2024];74(3):318–24. Disponible en: https://www.scielo.cl/scielo.php?pid=S2452-45492022000300318&script=sci_arttext
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