Browsing by Author "Pires, Rita"
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- A alimentação da criança com cancro em casaPublication . Pires, Rita; Reis Santos, Margarida; Pinto, Cândida
- Criança com cancro: apoio na gestão da doençaPublication . Pires, Rita; Reis Santos, Margarida; Pinto, Cândida
- Intervenção do Enfermeiro Especialista em Reabilitação na mobilidade da pessoa idosa institucionalizada – Programa TEIAPublication . Pires, Rita; Martins, MM; Gomes, Bárbara; Monteiro, Clara; Ribeiro, OlgaIntrodução: O envelhecimento produz alterações fisiológicas, anatómicas, comportamentais, sociais e culturais. Indiscutivelmente, o enfermeiro especialista em reabilitação, assume cada vez mais um papel importante nos cuidados prestados durante o envelhecimento, através da elaboração de planos de cuidados especializados que maximizem a funcionalidade do idoso, capacitando-o para uma maior autonomia e independência no autocuidado, incrementando desta forma a sua qualidade de vida. Nesta perspetiva, apresentamos o programa TEIA que se foca no treino do equilíbrio, da continência urinaria e a cognição em idosos ativos. Objetivo: Avaliar o impacto do programa de 12 semanas, em idosos ativos institucionalizados, sobre o estado de equilíbrio, cognição, sintomatologia de incontinência urinária e qualidade de vida. Método: Estudo quasi-experimental, antes-depois, com grupo de controlo. Amostra total de 30 idosos, 16 no grupo de programa e 14 no grupo de controlo. Foram aplicados vários instrumentos de avaliação funcional, na versão portuguesa, nomeadamente: Falls Efficacy Scale Internacional (FES I); Teste de Tinetti; Escala de Equilíbrio de Berg (EEB); Teste Timed Up and Go (TUG); International Consultation on Incontinence Questionnaire - Short Form (ICIQSF); Índice de Lawton-Brody; Escala Geriátrica de Depressão de 15 questões (GDS15); Teste de Declínio Cognitivo de 6 itens (6CIT); e Questionário de vida associado à saúde (SF-36). Resultados: Os idosos do grupo de programa melhoraram no equilíbrio, estático e dinâmico, no medo cair e na execução da marcha (Tinetti, Z=-3,126; p=0,002; EEB, Z=-3,304; p=0,001; FES I, Z=-3,059; p=0,002 e TUG, Z=-3,516; p=0,0001). Trouxe-lhes benefícios no desempenho da cognição (6CIT, Z=-3,088; p=0,002) e na perceção da qualidade de vida associada à incontinência urinária (ICIQ-SF, Z=-2,680; p=0,007). Conclusão: A implementação do Programa TEIA traduz-se em ganhos significativos para a saúde dos idosos, melhorando o equilíbrio, a competência dos músculos do assoalho pélvico e no desempenho da cognição potenciado a qualidade de vida dos participantes.
- Nonpharmacological interventions used in the perioperative period to prevent anxiety in adolescents: a scoping reviewPublication . Pestana-Santos, Márcia; Pires, Rita; Goncalves, Andreia; Parola, Vitor; Reis Santos, Margarida; Lomba, LurdesObjective: The objective of this scoping review was to examine and map the range of nonpharmacological interventions used in the perioperative period to prevent anxiety in adolescents. Introduction: Undergoing surgery involves experiencing fears and uncertainties that lead to an increase in anxiety levels. The interventions used to prevent anxiety in the perioperative period in adolescents must be appropriate to their developmental stage. Inclusion criteria: Studies involving adolescents (10 to 19 years of age) undergoing any type of surgical procedure and specifying any nonpharmacological interventions administered to prevent anxiety, implemented in the perioperative period, were included in this review. Methods: A comprehensive search strategy using multiple databases was employed to find relevant studies. The databases search included MEDLINE via PubMed; CINAHL Plus with Full Text via EBSCO; Cochrane Central Register of Controlled Trials; LILACS; Scopus; Library, Information Science and Technology Abstracts; PsycINFO; JBI Connectþ; and Cochrane Database of Systematic Reviews. Sources of unpublished studies and gray literature were TDX – Tesis Doctorals en Xarxa (Spain); RCAAP – Reposito´ rio Cientı´fico de Acesso Aberto de Portugal; OpenGrey – System for Information on Grey Literature in Europe; and MedNar. Studies published in English, Spanish, or Portuguese were included. There was no date restriction, or geographical or cultural limitation applied to the search. The relevant studies and their reported outcomes were organized and analyzed. Results: The database search yielded 1438 articles, and three additional records were added after hand searching. Title, abstract, and full-text review identified 11 papers that met the inclusion criteria. The final data set represented 947 participants. The data were analyzed according to the type of nonpharmacological intervention, population, concept (outcome measured and tool used), context (physical location; preoperative vs. postoperative), frequency and duration of the intervention, and which professional team member implemented the intervention. Eight nonpharmacological interventions were identified, applied either in the preoperative or postoperative context. The nurses were the main professionals administering the nonpharmacological interventions to the adolescents. Conclusions: A variety of nonpharmacological interventions were used in the perioperative period to prevent anxiety in adolescents. The most common interventions were music/musicotherapy and hypnosis/guided imagery. However, other interventions such as therapeutic play, preoperative preparation program, mothers’ presence during the anesthesia induction, distraction, relaxation training, massage therapy, and reading were also identified. These interventions were used alone or in a combination of two interventions, either preoperatively or postoperatively. The adolescents in the early stage (10 to 14 years) were the most studied group and the adolescents in the late stage (17 to 19 years) were the least studied. Future research should focus on the implementation of nonpharmacological interventions in the perioperative period involving adolescents, particularly late adolescents. A systematic review on the effect of nonpharmacological interventions for anxiety management in adolescents in the perioperative period should be conducted.
- Perceção dos pais sobre o futuro da criança com cancroPublication . Pires, Rita; Reis Santos, Margarida; Pinto, CândidaCancer in the child affects the whole family, which experiences the uncertainty of the prognosis, projecting itself into an unpredictable future. Parents come to live with the disease, the treatments and their effects, in a sinuous path lined by the uncertainty of the next day. The aim was to identify parents’ perceptions regarding the future of children / adolescents with cancer undergoing chemotherapy. A qualitative, exploratory, descriptive and transversal study was developed. Eleven parents of children with cancer who underwent chemotherapy after their homecare were enrolled. Data were collected by semi-structured interview and analyzed according to Bardin. From the content analysis emerged the domain “Future Uncertain”, which integrates the category “Syndrome of Damocles” and the subcategories “Fear” and “Unpredictability of the Future”. Fear is a negative emotion experienced by parents of children with cancer, from the time of diagnosis and throughout the course of the disease. The unpredictability of the future is a constant in the life of parents, generating a continuous concern, so they resort to the strategy of thinking and living only in the present. However, uncertainty can catalyze psychological growth, leading them to value small moments, and to incorporate uncertainty as an integral part of life. Nurses must carry out interventions aimed at better management of uncertainty, as they help in the process of adaptation and management of stress. These interventions should lead to a “new normality” in family life, in which confrontation with adversity leads to a whole new meaning of existence.
- Preparar o regresso a casa da criança com cancroPublication . Pires, Rita; Reis Santos, Margarida; Pinto, Cândida