Necessidades assistenciais de pacientes admitidos no Serviço de Atenção Domiciliar de um Hospital Universitário

Abstract

Introduction: Healthcare service production processes aim to meet the health needs of their users. The systematic identification of the most prevalent health needs in a population primarily enables the determination of the most appropriate level of service requirements and their reorganization to achieve greater efficiency in health promotion and recovery.Objective: This study primarily aims to identify the prevalent healthcare needs among patients admitted to the Home Care Service (SAD) of a university hospital (HU).Methodology: This is a cross-sectional, descriptive, retrospective, quantitative study based on data obtained from electronic medical records provided by the Aplicativo de Gestão para Hospitais Universitários (AGHUx) of HC/UFU. An instrument (Appendix I) adapted from the e-SUS Eligibility and Admission Assessment Form was used for patients over 18 years of age, referred from hospitals, and admitted to SAD between January and December 2023. After data collection, statistical analyses were performed, including bivariate analysis and correlation tests, using SPSS® version 25.0. Results: A total of 98 participants were included in the study, with a mean age of 62.9 (±16.6) years. The majority were male (n=56, 57.1%), with nervous system, musculoskeletal, and respiratory diseases (25.5%, 23.4%, and 15.3%, respectively) and circulatory system diseases (n=42, 42.4%) as comorbidities. The most prevalent healthcare needs were therapeutic, involving 60 (61.2%) cases, and oxygenation needs (n=43, 43.8%). The average number of home visits per participant was 25.17 (±27.5), with no observed correlation to the number of healthcare needs or medical diagnosis, regardless of comorbidities. However, in cases of osteomyelitis, the number of visits was significantly higher (p=0.002). Conclusion: Continuous training of multidisciplinary healthcare teams is essential for managing chronic and acute conditions at home. It should be emphasized to ensure safe transitions from hospital to home care, promoting patient autonomy and preventing complications.