Browsing by Author "Henriques, Helga Rafael"
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- Avaliação da dispneia como intervenção de enfermagem facilitadora da gestão do regime terapêutico no idoso com DPOCPublication . Henriques, Helga Rafael; Gomes, Idalina Delfina; Rainho, GoretiO envelhecimento está associado a várias perdas perceptivas, entre elas a capacidade para detectar e interpretar sintomas físicos. No idoso com DPOC, a dispneia é um dos sintomas mais frequentes. O seu reconhecimento é essencial para que se desencadeie o processo de AGRT. A avaliação da percepção de dispneia, através da Escala Modificada de Borg (EMB), constitui-se numa intervenção de enfermagem centrada na pessoa que possibilita uma maior compreensão da experiência de transição saúde-doença, bem como uma maior objectividade no processo de cuidados. O objectivo deste projecto foi a implementação da avaliação sistemática da dispneia, através da Escala Modificada de Borg (EMB), ao doente idoso com DPOC internado num serviço de Pneumologia, visando uma melhor gestão do regime terapêutico e o desenvolvimento de competências como enfermeira especialista em enfermagem médico-cirurgica, enfermagem à pessoa idosa. A metodologia utilizada foi a de projecto, centrada num percurso de investigação-acção, que passou pela análise e reflexão das práticas de cuidados e pela formação a todos os 16 membros da equipa de enfermagem. Acompanhámos 16 idosos com DPOC, internados no período de Novembro de 2010 a Fevereiro de 2011. Os resultados revelaram mudanças na abordagem e compreensão da pessoa idosa com dispneia. Verifica-se a utilização regular da EMB na avaliação da percepção da dispneia. Esta é documentada no processo do doente e a sua interferência nas várias dimensões da pessoa é valorizada no planeamento e execução das acções de enfermagem, havendo maior preocupação em registar acções relacionadas com a educação do idoso para gerir o seu regime terapêutico. Conclui-se que a avaliação da percepção da dispneia do doente idoso com DPOC, através da EMB, promove uma melhor gestão do regime terapêutico. Possibilita o planeamento de acções de enfermagem centradas na pessoa e permite que o idoso aprenda a reconhecer e interpretar este sintoma e passe a gerir o esforço que despende nas suas actividades de vida.
- Nurses' Interventions in Minimizing Adult Patient Vulnerability During Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation: An Integrative ReviewPublication . Costa, Nuno; Henriques, Helga Rafael; Durão, CândidaIntroduction: People during extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation find themselves in a high degree of physical and psychological vulnerability, which could cause additional problems for their health status. Therefore, this review aims to identify the interventions that shape critical nursing care to minimize patient vulnerability during ECMO as a bridge to lung transplantation. Method: A literature review was performed using CINAHL, MEDLINE, PubMed, Scopus and Web of Science databases with searches conducted in March 2023, with temporal restriction of articles published between 2013 and 2023. After selecting articles involving adults in critical situations on ECMO, their quality was assessed using the critical appraisal tools from the Joanna Briggs Institute. Articles with the pediatric population, reviews, and opinion articles were excluded. A spreadsheet was built for data extraction and a narrative analysis was performed. Results: Three articles were included involving 40 participants in total. Interventions that shape critical nursing care to minimize a person's vulnerability are in the physical domain (basic precautions to prevent infection) and in the psychological domain (trusting relationships, consistent and clear communication, physical presence of nurses and family members and the use of advocacy). The Awake ECMO strategy was identified as beneficial for reducing vulnerability. Conclusion: By recognizing and identifying the person's vulnerability during ECMO as a bridge to lung transplantation, nurses can implement effective interventions to minimize vulnerability in this population, thus contributing to the person's well-being through personalization and individualization of care. Additionally, the results of this review could be useful for developing tools to assess the degree of vulnerability and for implementing person-centered care measures and policies. However, further research is warranted given the scarcity of literature on these topics.
- Nursing interventions to promote dyspnea self-management of complex chronic patients: An integrated reviewPublication . Henriques, Helga Rafael; Correia, Andreia; Santos, Tatiana; Faria, José; Sousa, Diana; Portela, Joana; Teixeira, JoanaObjectives: Chronic dyspnea, a distressing symptom in patients with complex chronic conditions, is linked to higher risks of mortality. This study aimed to identify nursing interventions that could improve self-management for complex chronic patients, thereby enhancing control over chronic dyspnea. The findings intend to guide nursing care strategies that promote self-management among this population. Methods: We searched the databases Medline, Scopus, Web of Science, CINAHL, Cochrane Database of Systematic Reviews (CDSR), and Joanna Briggs Institute (JBI) databases were searched in December 2023. We included adult patients with complex chronic conditions with chronic dyspnoea. The team screened articles collaboratively, using Rayyan software. A qualitative appraisal was performed according to JBI Critical Appraisal Checklist tools. The review protocol is registered under the number CRD42023456021. Results: Our review included 18 studies that explored a variety of interventions for chronic dyspnea. We identified pharmacological interventions (such as oxygen therapy and inhalation treatments) and nonpharmacological approaches (including educational programs, breathing exercises, fluid intake management, body awareness techniques, peer support, emotional intelligence training, and the use of web applications). Those interventions empower patients, improve their ability to fulfill life roles, mitigate emotional distress, and improve overall quality of life. Nursing care can be crucial in enabling individuals to achieve independence and autonomy in self-care. Conclusions: Promoting self-management for chronic dyspnea in complex chronic patients requires a holistic approach, encompassing multidisciplinary interventions, individualized self-care education, peer engagement, and technological support. Current research on self-management inadequately addresses interventions targeting patient behaviour change. It highlights the need to delve deeper into the selfmanagement process. Further research is needed to expand the evidence base and refine these interventions.
- Specialized nursing intervention on critically ill patient in the prevention of intubation-associated pneumonia: an integrative literature reviewPublication . Almeida, Daniela Fradinho; Pinto, Maria do Rosário; Durao, Maria Candida; Henriques, Helga Rafael; Teixeira, Joana FerreiraHealthcare-associated infections are adverse events that affect people in critical condition, especially when hospitalized in an intensive care unit. The most prevalent is intubation-associated pneumonia (IAP), a nursing-care-sensitive area. This review aims to identify and analyze nursing interventions for preventing IAP. An integrative literature review was done using the Medline, CINAHL, Scopus and PubMed databases. After checking the eligibility of the studies and using Rayyan software, ten final documents were obtained for extraction and analysis. The results obtained suggest that the nursing interventions identified for the prevention of IAP are elevating the headboard to 30º; washing the teeth, mouth and mucous membranes with a toothbrush and then instilling chlorohexidine 0.12%-0.2% every 8/8 hr; monitoring the cuff pressure of the endotracheal tube (ETT) between 20-30 mm Hg; daily assessment of the need for sedation and ventilatory weaning and the use of ETT with drainage of subglottic secretions. The multimodal nursing interventions identified enable health gains to be made in preventing or reducing IAP. This area is sensitive to nursing care, positively impacting the patient, family, and organizations. Future research is suggested into the effectiveness of chlorohexidine compared to other oral hygiene products, as well as studies into the mortality rate associated with IAP, with and without ETT for subglottic aspiration.
- Translating the Behaviour Change Technique Taxonomy v.1 to other languages: the approach used in European Portuguese (BCTTv1-PT)Publication . Félix, Isa Brito; Silva, Carolina C.; Guerreiro, Mara Pereira; Henriques, Helga Rafael; Michie, Susan; Henriques, Maria Adriana; Marques, Marta M.Background: The Behaviour Change Techniques Taxonomy v1 (BCTTv1) is the most widely used classification of behaviour change techniques (BCTs), contributing to the accurate report and evaluation of behaviour change interventions and accumulation of evidence. This study reports a structured approach to adapt the BCTTv1 into European Portuguese (BCTTv1-PT). Methods: A collaborative and iterative approach was used. The translation process encompassed four phases: (1) independent forward translation by two native Portuguese speakers proficient in English, (2) forward translation reconciliation, (3) expert consultation by involving seven experts in behaviour change to collect feedback on the draft version of the taxonomy through a structured online form; and (4) feedback analysis and improvement of the BCTTv1-PT. Results: Independent forward translations and a reconciled version of the BCTTv1-PT were produced. All experts agreed with the groupings designation (100%). Recommendations were made to improve BCTs labels, definitions and/or examples in all groupings, except for Feedback and monitoring. Experts disagreed with the translated definitions in 40.9% of the BCTs (38/93), with examples in 21.5% (20/93) and with labels in 11.8% (11/93). Recommendations were made for all instances where there was disagreement (n = 69) and were enacted entirety, yielding the final version (BCTTv1-PT). Conclusions: Researchers, educators, students and health and other professionals will be able to standardise terminology and have a common language, contributing to the impact of the BCTTv1-PT. This study presents a systematic and rigorous approach for the adaptation of the BCTTv1 and similar taxonomies, which may guide others.