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Introduction: Hypertensive disorders during pregnancy are a global health problem. Health education is a strategy that provides pregnant women with knowledge and skills for self-care. Objective: evaluate the effect of health education interventions on pregnant women's knowledge and self-care practices for hypertensive disorders in pregnancy, compared to standard prenatal care. Materials and Methods: Systematic review and meta-analysis protocol. The study record can be consulted in PROSPERO (CRD42021252401). The search will be conducted in the following databases, PubMed/MEDLINE, CENTRAL, LILACS, CINAHL, EMBASE, and WoS. Additionally, clinical trial records in ClinicalTrials and grey literatura in OpenGrey and Google Scholar. The search will include studies of health education intervention in knowledge and self-care practices about hypertensive disorders in pregnancy. All statistical analysis will be carried out with the Review Manager software. Data will be combined using random-effects models, binary data with odds ratios or relative risks, and continuous data using mean differences. Heterogeneity between studies will be assessed using the Q-Cochran test to measure the significance and the l2 statistic to measure magnitude. Discussion: This study will contribute to the knowledge of health interventions that are effective in guiding and educating pregnant women about the disease and self-care practices. Conclusion: The results of this study will be used to provide recommendations in the management of maternal perinatal care, that promote comprehensive care in accordance with the Primary Health Care policy.

RESUMEN: Introducción: El objetivo de este estudio fue describir las relaciones entre la dedicación del cuidador a las labores de cuidado, la incertidumbre ante la enfermedad y la calidad de vida de cuidadores familiares de personas con cáncer en cuidados paliativos. Métodos: Estudio descriptivo correlacional de corte transversal desarrollado con 127 cuidadores familiares seleccionados mediante muestreo intencional en dos instituciones de salud en Bogotá- Colombia, a los que se les aplicaron los cuestionarios de caracterización del cuidado, incertidumbre ante la enfermedad y calidad de vida del cuidador. Para el análisis estadístico inferencial se emplearon las correlaciones por coeficiente de Pearson posterior a la prueba de normalidad. Resultados: Para las correlaciones, se estableció un coeficiente de Pearson de r = -0,27 con una p < 0,002 entre la incertidumbre y la calidad de vida; surgieron además correlaciones negativas entre las dimensiones de bienestar psicológico y social con la inconsistencia (r = -0,27 p < 0,01 y r = -0,19 p < 0,05, respectivamente) y entre el bienestar social y la complejidad de la escala de incertidumbre (r = -0,2 p < 0,05). De las características del cuidado, se encontró únicamente una correlación negativa entre el bienestar físico y el tiempo que el cuidador lleva en este rol (r = -0,18 p < 0,05). Conclusiones: El valor de las correlaciones indican que son significativas pero débiles dada la multidimensionalidad de los fenómenos. Las asociaciones inversas indican que a mayores niveles de incertidumbre, menor percepción de calidad de vida y viceversa. ABSTRACT: Background: The objective of this study was to describe the relationships between the caregiver's dedication to care work, the uncertainty of the disease and the quality of life of family caregivers of people with cancer in palliative care Methods: Descriptive correlational and cross-sectional study, carried out with 127 family caregivers selected through intentional sampling in two health institutions in Bogotá-Colombia, to which the care characterization, uncertainty regarding disease and caregiver quality of life questionnaires were applied. For statistical inferential analysis, Pearson's coefficient correlations were used after the normality test. Results: For the correlations, a Pearson coefficient of r = -0.27 was established with a p < 0.002 between uncertainty and quality of life; Negative correlations also emerged between the dimensions of psychological and social well-being with inconsistency (r = -0.27 p < 0.01 and r = -0.19 p < 0.05, respectively) and between social well-being and the complexity of the uncertainty scale (r = -0.2 p < 0.05). Of the characteristics of care, only a negative correlation was found between physical well-being and the time the caregiver has been in this role (r = -0.18 p < 0.05). Conclusions: The value of the correlations indicate that they are significant but weak given the multidimensionality of the phenomena. Inverse associations indicate that at higher levels of uncertainty, less perception of quality of life and vice versa. COL0146822

Introduccion: La Escala de Incertidumbre ante la Enfermedad es una herramienta con la que cuenta el profesional de enfermeria para medir la incertidumbre que experimentan las personas en relacion con la enfermedad. Los cuidadores familiares de pacientes en cuidados paliativos experimentan altos niveles de incertidumbre debido a la enfermedad de su familiar. Actualmente no existen herramientas...

Objective.This work sought to develop, validate, and determine the reliability of an instrument on Competency in Homecare of the family caregiver of an individual with chronic disease. Methodology. The test validation study was carried out in the following phases: 1) literature review; 2) analysis of results of programs to help family caregivers in Latin America; 3) exploration of the classification of nursing results (NOC) related to the family caregiver and discharge; 4) proposal of an instrument of care competence; and 5) psychometric tests: apparent validity with 25 family caregivers of individuals with chronic disease and six experts in the area; construct validity and reliability through internal consistency with 311 family caregivers of chronic patients. Results. The instrument on homecare competency of the family caregiver of an individual with chronic disease (CUIDAR, for the term in Spanish) has 60 items that inquire on six categories: knowledge, uniqueness, instrumentation, enjoyment of life, anticipation and relationships, and social interaction. The apparent validity evidences clarity, coherence, sufficiency, and relevance of the scale. With the factor analysis six components were obtained through the Varimax rotation in which most of the items are associated according to the categories proposed. The reliability (internal consistency) reported a Cronbach's alpha of 0.96. Conclusion. The Homecare Competency instrument permits assessing the capacity of a family caregiver to care for an individual with chronic disease, proving valid and reliable for the Colombian context.

Background: there are many people with advanced cancer who are cared for in the community, though little is known about patients' and family members' lived experiences during discharge from hospital to home. Objectives: to describe the experiences of the patient-family caregiver dyad during the transition from hospital to home at a National Cancer Institute in Colombia. Methods: a descriptive phenomenological approach was taken for this study. Results: Forty-one nominal codes emerged, comprising seven themes that describe the experience of the individual in palliative care and their family caregiver during the transition from hospital to home care. Conclusions: the patient-family caregiver dyad have to deal with symptoms while being confronted with the prognosis and progression of the disease at home. The economic costs in acquiring supplies needed for proper care provision are considerable. In addition there are administrative fees from consultations and accessing the health services. Emotional and spiritual support for the dyad is required.

RESUMEN: Este estudio tiene como objetivo integrar la evidencia acerca de la incertidumbre ante la enfermedad en el paciente con enfermedad crónica y su cuidador familiar, guiados por la teoría de la incertidumbre ante la enfermedad. Para esto se realizó una síntesis integrativa de la literatura durante los años 2007 a 2017. Se usaron las bases de datos Medline, Science Direct, Ovid Nursing, Scielo, Scopus, cinahl y Psycinfo en los idiomas inglés y español. Para realizar la síntesis integrativa se incluyeron 46 publicaciones, con 21 estudios de tipo cualitativo, 19 cuantitativo, 2 mixtos y 4 revisiones. Los estudios se realizaron en su mayoría en pacientes con cáncer, enfermedades neurodegenerativas, fallos orgánicos, falla cardiaca, epoc y en cuidados paliativos de distintas enfermedades. Dentro de las principales conclusiones del estudio se plantea que la persona con enfermedad crónica y su cuidador familiar desarrollan incertidumbre ante la enfermedad crónica debido a falencias en la educación acerca de la enfermedad y el cuidado, así como el soporte social que reciben del equipo de salud y de sus redes de apoyo. ABSTRACT: This study aims to integrate the evidence about the uncertainty about the disease in the patient with chronic illness and their family caretaker, guided by the theory of uncertainty about the disease. For this, an integrative synthesis of the literature was carried out during the years 2007 to 2017. The Medline, Science Direct, Ovid Nursing, Scielo, Scopus, CINAHL and Psycinfo databases were used in the English and Spanish languages. To carry out the integrative synthesis, 46 publications were included, with 21 qualitative, 19 quantitative, 2 mixed and 4 reviews. The studies were mostly carried out in patients with cancer, neurodegenerative diseases, organic failures, heart failure, COPD and in palliative care of different diseases. Among the main conclusions of the study, it is suggested that the person with chronic illness and their family caretaker develop uncertainty about the chronic illness due to shortcomings in education about the disease and care, as well as the social support they receive from the health team and its support networks. COL0146822