Competence for care and access to rural health

Competencia para el cuidado y acceso a la salud rural

Main Article Content

Lorena Alejandra Bernal-Baron
Olga Janneth Gómez-Ramírez
Abstract

Objective: To describe the competence for care in the person with chronic disease residing in rural areas and their caregiver and to identify the barriers to accessing health services. Method: descriptive cross-sectional quantitative study, with a non-probability sample of 218 dyads (patient-caregiver), who met the study inclusion criteria and to whom the following instruments were applied: dyad characterization sheet; Competence for care in the home patient and caregiver and Survey of access to health services for Colombian households. Results: the competence for patient care reveals to be less than that developed by the caregiver, however, in both cases the greatest deficiency in rural residents is the lack of knowledge about the chronic pathology suffered, in this way becomes a challenge for care in rural areas. Likewise, it is evident that access to health services is limited in these populations, given by administrative, economic and displacement access barriers, which are facilitated by the conditions of the rural area. Faced with this scenario, the nurse becomes the ideal professional and with the appropriate capacities to mitigate these difficulties from their actions. Conclusion: In rural areas, the challenges are diverse and adverse, however, their intervention is necessary, with the aim of improving health conditions in the populations that reside there.

Downloads

Download data is not yet available.

Article Details

Author Biographies (SEE)

Lorena Alejandra Bernal-Baron, Universidad Nacional de Colombia

Enfermera, Magister en enfermería. Tunja, Colombia Correo: lbernalb@unal.edu.co

Olga Janneth Gómez-Ramírez, Universidad Nacional de Colombia

Enfermera, Doctora en Enfermería. Profesora Asociada. Facultad de Enfermería. Universidad Nacional de Colombia. Bogotá, Colombia. Correo: ojgomezr@unal.edu.co

References

Goeres LM, Gille A, Furuno JP, Erten-Lyons D, Hartung DM, Calvert JF, et al. Rural-Urban Differences in Chronic Disease and Drug Utilization in Older Oregonians. J Rural Health [Internet]. 2016;32(3):269–79. Available from: https://doi.org/10.1111/jrh.12153

Lauckner HM, Hutchinson SL. Peer support for people with chronic conditions in rural areas: a scoping review. Rural Remote Health [Internet]. 2016;16(1):3601. Available from: https://pubmed.ncbi.nlm.nih.gov/26943760/

Paskulin LMG, Molzahn A. Quality of Life of Older Adults in Canada and Brazil. West J Nurs Res [Internet]. 2007;29(1):10–26. Available from: https://doi.org/10.1177%2F0193945906292550

Hayter AKM, Jeffery R, Sharma C, Prost A, Kinra S. Community perceptions of health and chronic disease in South Indian rural transitional communities: a qualitative study. Glob Health Action [Internet]. 2015;8(1):25946. Available from: https://doi.org/10.3402/gha.v8.25946

Carrillo-González GM, Barreto RV, Arboleda LB, Gutierrez-Lesmes OA, Gregoria-Melo B, Tamara-Ortiz V. Competencia para cuidar en el hogar de personas con enfermedad crónica y sus cuidadores en Colombia. Rev la Fac Med. 2015;63(4):669–75.

Sánchez LM, Mabel Carrillo G. Competencia para el cuidado en el hogar diada persona con cáncer en quimioterapia-cuidador familiar. Psicooncologia. 2017;14(1):137–48.

Quintero D. Patricia S. Sobre una propuesta de popularización del derecho a la salud con comunidades rurales 1. A proposal about the popularization to the right of health with rural communities. 2016;12.

Bejarano-Daza JE, Hernández-Losada DF. Fallas del mercado de salud colombiano. Rev la Fac Med [Internet]. 2017;65(1):107–13. Available from: https://doi.org/10.15446/revfacmed.v65n1.57454

Huang X, Yang H, Wang H, Qiu Y, Lai X, Zhou Z, et al. The Association Between Physical Activity, Mental Status, and Social and Family Support with Five Major Non-Communicable Chronic Diseases Among Elderly People: A Cross-Sectional Study of a Rural Population in Southern China. Int J Environ Res Public Health [Internet]. 2015;12(12):13209–23. Available from: https://doi.org/10.3390/ijerph121013209

Casado-Cañete F. Objetivos de desarrollo del milenio [Internet]. 2015. 56-57 p. Available from: https://upcommons.upc.edu/handle/2099/7274

Informe nacional de calidad de la atención en salud 2015. Ministerio de salud y protección social Colombia. 2015. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/informe-nal-calidad-atencion-salud-2015.pdf

Boletín Técnico de Pobreza Multidimensional en Colombia Año 2018. DANE. Available from: https://www.dane.gov.co/files/investigaciones/condiciones_vida/pobreza/2018/bt_pobreza_multidimensional_18.pdf

Restrepo-Zea JH, Silva-Maya C, Andrade-Rivas F, Vh-Dover R. Acceso a servicios de salud: Analisis de barreras y estrategias en el caso de Medellin, Colombia. Rev Gerenc y Polit Salud. 2014;13(27):236–59.

Maimela E, Alberts M, Modjadji SEP, Choma SSR, Dikotope SA, Ntuli TS, et al. The Prevalence and Determinants of Chronic Non-Communicable Disease Risk Factors amongst Adults in the Dikgale Health Demographic and Surveillance System (HDSS) Site, Limpopo Province of South Africa. PLoS One [Internet]. 2016;11(2):e0147926. Available from: https://doi.org/10.1371/journal.pone.0147926

Organización Panamericana de la Salud. Ampliación del rol de las enfermeras y enfermeros en la atención primaria de salud. Washington, D.C.: OPS; 2018.

Carrillo-González GM, Barreto-Osorio RV, Arboleda LB. Competencia para cuidar en el hogar de personas con enfermedad crónica y sus cuidadores en Colombia. Bogota, Rev. Fac. Med. 2015 Vol. 63 No. 4: 665-75

Achury-Saldaña DM , Restrepo-Sánchez A , Torres- Castro NM, Buitrago-Mora AL, Neira-Beltrán NX , Devia-Florez PD. Competencia de los cuidadores familiares para cuidar a los pacientes con falla cardíaca. Rev Cuid. 2017; 8(3): 1721-32.

Carreño-Moreno S, Arias-Rojas M. Competencia para cuidar en el hogar y sobrecarga en el cuidador del niño con cáncer. Gac Mex Oncol. 2016; 15(6):336–43.

Aldana EA, Barrera SY, Rodríguez KA, Gómez OJ, Carrillo GM. Competencia para el cuidado (CUIDAR) en el hogar de personas con enfermedad renal crónica en hemodiálisis. Enfermería Nefrológica [Internet]. 2016;19(3):3–9. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2254-28842016000300009&lang=pt

Carrillo GM, Carreño SP, Sánchez LM. Competencia para el cuidado en el hogar y carga en cuidadores familiares de adultos y niños con cáncer. Revista Investigaciones Andina. 2018; 20(36):87-101.

Girardi-Paskulin LM, Molzahn A. Quality of Life of Older Adults in Canada and Brazil. West J Nurs Res [Internet]. 2007;29 (1):10–26. Available from: https://doi.org/10.1177%2F0193945906292550

Pérez-Correa E. Nueva ruralidad, globalizacion y salud. Rev CES Med 2007; 21(Supl 1):89-100

Pineda BC. Desarrollo humano y desigualdades en salud en la población rural en Colombia. Univ Odontol. 2012 Ene-Jun; 31(66): 97-102.

Republica de Colombia. Plan Nacional de Salud Rural Ministerio de Salud y Protección Social [Internet] 2018; Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PES/msps-plan-nacional-salud-rural-2018.pdf

Coppetti LC, Girardon-Perlini NMO, Andolhe R, Gutiérrez MGR, Dapper SN, Siqueira FD. Caring ability of family caregivers of patients on cancer treatment: associated factors. Rev. Latino-Am. Enfermagem. 2018; 26:e3048.

Soto P, Masalan P, Barrios S. La educación en salud, un elemento central del cuidado de enfermería. ELSEVIER. 2018; 29 (3):288-300.

Marilaf M, Alarcón A, Illesca M. Rol del enfermero/a rural en la región de la Araucanía Chile: percepción de usuarios y enfermeros. Ciencia y Enfermería. 2011 (2):111-118.

Tian M, Wang H, Tong X, Zhu K, Zhang X, Chen X. Essential public health services’ accessibility and its determinants among adults with chronic diseases in China. PLoS One. 2015;10(4):1–12.

Arrivillaga M, Aristizabal JC, Pérez M, Estrada VE. Encuesta de acceso a servicios de salud para hogares colombianos. Gac Sanit [Internet]. 2016; 30(6):415–20. Available from: http://dx.doi.org/10.1016/j.gaceta.2016.05.008

Campaz N, Montaño SM. Barreras de acceso al servicio de salud en el contexto colombiano a partir de la promulgación del derecho a la salud en la legislación colombiana. Universidad Santiago de Cali; 2019.

Acosta SR. Barreras y Determinantes del Acceso a los Servicios de Salud en Colombia. Tesis. 2010;(March):1–34.

OJS System - Metabiblioteca |