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- Autogestão das complicações associadas ao tratamento de quimioterapia: uma scoping reviewPublication . Magalhães, Bruno; Fernandes, Carla Sílvia; Santos, Célia; Lima, Ligia; Martínez-Galiano, Juan MiguelObjetivo: explorar o estado atual do conhecimento científico relacionado com o fenômeno da autogestão da doença e dos efeitos secundários associados ao tratamento de quimioterapia. Método: realizou-se uma scoping review, para mapeamento dos estudos publicados nos últimos 10 anos, recorrendo a bases de dados eletrônicas MEDLINE, CINAHL e Psychology and Behavioral Sciences Collection. Resultados: foram incluídos 88 estudos. Identificou um primeiro grupo de estudos (15 artigos), de natureza qualitativa, que maioritariamente analisam as percepções e vivências dos doentes relativamente ao fenômeno. Outro conjunto de estudos (32 artigos) analisam as variáveis ou fatores que interferem na autogestão da doença. E o último, com 39 estudos que apresenta intervenções direcionadas para a promoção da autogestão durante o tratamento de quimioterapia, nos quais prevalecem as intervenções que recorrem ao uso de tecnologia, nomeadamente os equipamentos móveis. Conclusão: as intervenções neste âmbito deverão abordar determinantes importantes, tais como autocuidado, autocontrole, autoeficácia, crenças e estratégias de coping. O uso das tecnologias de informação, poderão ser efetivamente um caminho profícuo a seguir nesta era da comunicação e representar uma nova forma de “cuidar” em oncologia.
- Marital Satisfaction of Portuguese Families in Times of Social LockdownPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Silva, Sílvia; Edra, BeatrizAbstract The COVID-19 pandemic represents a global threat and crisis situation, and its wide-reaching impact has also affected marital satisfaction. Dysfunction of the marital system puts the survival of the family unit at risk. This research aimed to determine the level of marital satisfaction of Portuguese families during the social lockdown and the association between the variables under study. A descriptive, exploratory study was conducted. During the social lockdown, 276 people of Portuguese nationality and residing in Portugal were recruited using nonprobabilistic convenience sampling. Marital satisfaction in the pandemic phase showed low values that may be associated with the social, economic, and political context experienced by the pandemic situation. Future research must be carried out in order to identify, prevent, and intervene in situations of violence. In addition, future research should explore not only marital satisfaction during the current pandemic but a more systemic assessment of marital relations during crises, expanding the impact of marital satisfaction in family functioning.
- Exergames to improve Rehabilitation after Anterior Cruciate Ligament Injury: Systematic review and GRADE evidence synthesisPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Gomes, José Augusto; Santos, CéliaIntroduction Exergames are a fun, engaging, and interactive form of exercise that has been used in rehabilitation. This systematic review aimed to evaluate the effectiveness of exergames compared to usual rehabilitation after anterior cruciate ligament reconstruction. Method We performed a Systematic Review and GRADE evidence synthesis. The PRISMA guidelines for systematic reviews were followed. MEDLINE® (Medical Literature Analysis and Retrieval System Online), CINAHL® (Cumulative Index to Nursing and Allied Health Literature), SPORTDiscus, SCOPUS, SciELO (Scientific Electronic Library Online), Cochrane Central Register of Controlled Trials, and PEDro (Physiotherapy Evidence Database) were searched from their first record to May 2021. Randomised controlled trials using exergames as an intervention were included. Results Initial literature searches yielded 794 non-duplicated records. After exclusion based on title, abstract, and full text review, five articles were included for analysis. Compared with the control group, the participants in the exergames group showed differences in proprioception and flexion angle difference. Conclusion Although there is no conclusive evidence that favours exergames over traditional rehabilitation, they did not aggravate the effects of rehabilitation. Nonetheless, exergames can be safe and motivating.
- (Re)‘Thinking’ family in nursing care in pandemic timesPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Silva, Sílvia; Edra, BeatrizAim: This study aimed to identify which strategies are being adopted to deal with family restrictions in health units and assess nurses’ perceptions of including families in nursing care during the current pandemic. Background: Due to the COVID-19 pandemic, health organisations limited access for visitors. Introduction: Family centred care needs to be guaranteed, and alternatives for face-toface interaction should be fostered. Therefore, there is an urgent need to rethink the family in nursing care during a pandemic. Methods: We conducted a descriptive exploratory mixed-method study in Portugal using an electronic questionnaire. The study included 192 nurses recruited using a nonprobabilistic convenience sample. The study was reported using the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Results: A total of 41.1% of participants (n = 79) reported that visits to their services were not authorised, and 66.7%(n=128) reported resorting to video calls because of the restrictions imposed. Regarding attitude assessment, the average score of the scale was 77.9 (SD = 10.0), ranging between 26 and 98.When analysing the different dimensions of the ‘Families’ Importance in Nursing Care - Nurses Attitudes’ scale, family data stand out as a burden. Conclusion: Although a large percentage of participants had a positive attitude towards families and tried to find strategies to maintain family centred care, many nurses still considered the family as a burden. The current COVID-19 pandemic may have aggravated this perception. Implications for nursing practice, nursing policy and health policy: The continued implementation of family centred nursing practice is essential for child-well-being, including during the current pandemic. Therefore, having intervention policies with alternative forms of care is highly recommended.
- Exergames to improve rehabilitation after knee arthroplasty: a systematic review and grade evidence synthesisPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Gomes, José Augusto; Lima, Andreia; Santos, CéliaObjective: We aimed to systematically review and synthesise the impact of rehabilitation with games in people after knee arthroplasty. Methods: We conducted a systematic review following the Preferred Reporting Items for the declaration of Systematic Reviews (PRISMA – Preferred Reporting Items for Systematic Reviews and Meta- Analysis). The summary of evidence was developed using the Grading of Recommendations, Assessment, Development, and Assessment (GRADE). The review included randomised controlled trials that used characteristics of games in rehabilitation. Results: Eight articles from a total of 1289 identified articles were included after duplicates were removed. In total, 239 participants participated. There were no statistically significant changes between the groups using the exergames and control groups. The level of evidence was rated using GRADE and was very low or moderate. The difference in grouped means was not significant for Knee Flexion, Knee extension, Range of Motion, WOMAC (Western Ontario and McMaster Universities Arthritis Index), AKSS (American Knee Society Score), Self-Efficacy, Five Times Sit-to-Stand Test time, Pain, or Proprioception. Conclusions: The results of the different studies did not find significant changes in the intervention groups with exergames in the physical domains, especially in studies with shorter interventions. Therefore, further investment in future studies on developing and evaluating games is suggested to enhance training during the recovery process.
- Validação de uma lista de orientações terapêuticas para a promoção da autogestão da alopécia na pessoa em tratamento de quimioterapiaPublication . Rafael, Carla; Magalhães, Bruno; Fernandes, Carla Sílvia; Santos, Célia
- Programas de intervenção de enfermagem promotores da autogestão durante o tratamento de quimioterapia: uma revisão sistemática da literatura.Publication . Magalhães, Bruno; Santos, Célia; Fernandes, Carla Sílvia; Lima, Ligia; Martinez Galiano, Juan M
- A atividade física como intervenção de enfermagem durante a quimioterapia: revisão integrativaPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Santos, Célia
- Walking as an intervention during chemotherapy: integrative reviewPublication . Fernandes, Carla Sílvia; Magalhães, Bruno; Santos, Célia; Galiano, JuanBackground: Walking has been used as a health promotion and symptom relief intervention in patients with cancer during chemotherapy. Objective: To map the existing literature on the use of walking as an intervention in patients undergoing chemotherapy. Methodology: Integrative review of articles found in MEDLINE® and CINAHL® databases. The review protocol was designed and the thematic categorization was performed. Results: Based on inclusion and exclusion criteria, 12 primary studies published between 2010 and 2017 were considered for analysis. Five relevant thematic areas were identified: duration, frequency, and monitoring of walking during chemotherapy; adherence to the walking intervention; effects on psychological and physical symptoms; target population; and assessment tools. Conclusion: Despite the advantages of the walking intervention during chemotherapy, evidence on its use as a nursing intervention is still scarce, with further research being required in this area.
- Variáveis ou fatores associados à autogestão das complicações durante o tratamento de quimioterapia: uma revisão integrativa da literatura.Publication . Magalhães, Bruno; Santos, Célia; Fernandes, Carla Sílvia; Lima, Ligia; Martinez Galiano, Juan M