Telessaúde: contribuições na assistência de enfermagem ao idoso institucionalizado

Abstract

This study has the object of research the Telehealth applied in the care of the institutionalized elderly. The changes and adaptations of society in a context marked by technological advances, the growth of the elderly population and the increase of Long Stay Institutions for the Elderly make it possible to evaluate the contribution of the use of Telehealth technology and its contribution to care for the elderly population. The objective of this research is to evaluate the coverage and quality of care, focusing on the timely care in the cardiological and dermatological areas of a Long Stay Institution located in the city of Pelotas, where since 2015 the technology of Telehealth has been made available in partnership with the University of Cardiology Foundation / Institute of Cardiology of Porto Alegre. This is a descriptive study, based on secondary data, based on the registry of the cardiological and dermatological exams of the elderly residents in the institution in the years of 2015 and 2016. The records of a total of 123 elderly people were evaluated, most of them female, 75 years of age or older and white skin color. For the use of the database, authorization was requested from the institution. The project was approved by the Research Ethics Committee of the Federal University of Pelotas (CEP / UFPEL) through an opinion of No. 2.307.437, following the ethical precepts of Resolution of the National Health Council No. 466 of December 12, the prevalence of hypertension was 65% and diabetes was 24%. The coverage of the Telecardiology system in 2015 was 77% and 82% in 2016. The coverage of the Teledermatology system reached 100% in the period under study. The mean time between the completion of the cardiological examination and the return of the report was 34 minutes in 2015 and 10 hours in 2016. In the dermatological evaluation, the mean time between registration and the issuance of the report, the average time was six days in 2015 , and four days in 2016. Care in both specialties can be considered opportune compared to the conventional system and other systems of Telehealth. For nursing it becomes an ally to subsidize care, providing the most efficient and quality care. Telehealth has proved to be a potential tool for the provision of nursing care and assistance, considering cost, practicality, comfort and quality.