Browsing by Author "Rocha, Paula"
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- Atividade Científica_2017Publication . Rocha, Paula
- Lower prevalence of congenital cytomegalovirus infection in Portugal: possible impact of COVID-19 lockdown?Publication . Fernandez, Catarina; Chasqueira, Maria-Jesus; Marques, Augusta; Rodrigues, Lúcia; Marçal, Mónica; Tuna, Madalena; Braz, Mónica Cró; Neto, Ana Serrão; Mendes, Cândida; Lito, David; Rocha, Paula; Vasconcellos, Gabriela; Menezes, Maria-Favila; Sousa, Maria José; Nunes, Carla; Paixão, Paulo
- A qualitative study of older adults: The difficulties and needs of returning home after hip fracturesPublication . Rocha, Paula; Baixinho, Cristina Lavareda; Henriques, Maria AdrianaBackground: Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs. Objective: To define the difficulties and needs felt by older adults with hip fractures when returning home. Methods: This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software. Results: The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information. Conclusions: The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.
- Safety-promoting interventions for the older person with hip fracture on returning home: A systematic reviewPublication . Rocha, Paula; Lavareda Baixinho, Cristina; Marques, Andrea; Pereira Henriques, Maria AdrianaBackground: Older adults with a prior history of falls that results in hip fractures have difficulties in regaining pre-fracture functional capacity. Scientific evidence has shown benefits of the implementation of multidimensional rehabilitation programs, but this evidence is not systematized with regard to continuity of care after hospital discharge. Objective: To identify interventions that promote safety and functional recovery of older adults with hip fractures after hospital discharge. Method: A systematic review was carried out according to Cochrane methodology. The research strategy was predefined for the MEDLINE and CINAHL databases. The identified articles were screened according to the eligibility criteria by two independent reviewers. The articles included in the bibliographic sample were evaluated for risk of bias. Results: Of the 10,036 articles found, 10 were included in this systematic review. The safety-promoting interventions identified were: exercise training, occupational therapy/activities of daily living training, transfer and gait training, strengthening exercises, education on assistive device use, fall prevention education, nutritional assessment, environmental modifications/adjustments at home, use of an app, medication, self-care education, and support and counseling. Conclusions: In eight studies analyzed, exercise training emerged as the most effective intervention for promoting the safety of older adults after hip fractures on returning home. Three studies associated two or more interventions, which focused on exercise training, occupational therapy/training of activities of daily living, and conventional postoperative rehabilitation with transfer and gait training, strengthening exercises, education on assistive device use and discharge planning, aiming to achieve muscle strengthening and safe gait, associated with the performance of activities of daily living.