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Umbrella review sobre os efeitos dos programas de exercício na pessoa com neuropatia periférica induzida pela quimioterapia: contributos para a enfermagem de reabilitação
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Abstract(s)
Introdução: O cancro é um problema de saúde a nível mundial, mas com a melhoria ao nível da deteção precoce e dos tratamentos disponíveis, tem havido melhores taxas de sobrevivência. Não obstante, devido aos efeitos secundários relacionados com os tratamentos oncológicos, a qualidade de vida dos sobreviventes pode ser prejudicada. Um dos efeitos adversos é a neuropatia periférica induzida pela quimioterapia (NPIQ) que é um evento adverso decorrente da administração de alguns tipos de quimioterapia. Para a gestão desta condição, o exercício físico tem sido apontado como tratamento de suporte e estudado com o objetivo é estabelecer a sua aplicação e benefícios.
Objetivo: Identificar e analisar o impacto dos programas de exercício físico para a pessoa com neuropatia periférica induzida pela quimioterapia.
Metodologia: Desenvolveu-se uma umbrella review de acordo com as recomendações do Instituto Joanna Briggs, a partir dos termos específicos identificados para a pesquisa da literatura na MEDLINE, CINAHL, SPORTDiscuss, Scielo e Scopus.
Resultados: Oito artigos foram considerados elegíveis para esta revisão abrangente e identificados os programas de exercício e os resultados ao nível do impacto ao nível dos sintomas de NPIQ, dor neuropática, funcionalidade e qualidade de vida. Da análise descritiva realizada, resultou que os programas de exercícios combinados, incluindo resistência, força, equilíbrio e treino sensório-motor, apresentam resultados ao nível dos sintomas da NPIQ, dor neuropática, funcionalidade e qualidade de vida.
Conclusão: Esta revisão abrangente apresenta dados que foram analisados de modo descritivo, mas que permitiram estabelecer os programas de exercício com maior impacto no alívio de alguns sintomas da NPIQ. Da análise realizada também foi possível identificar aspetos relevantes e clinicamente úteis para ajustar possíveis intervenções nesta área da enfermagem de reabilitação na pessoa com cancro.
Introduction: Cancer is a worldwide health problem, but with the improvement in early detection and available treatments, there have been better survival rates. However, due to treatment related side effects, survivors' quality of life can be impaired. Among these is c hemotherapy induced peripheral neuropathy (CIPN), which is an adverse event resulting from the administration of some types of chemotherapy. For the management of this condition, physical exercise has been identified as a supportive treatment and studied w ith the aim of establishing its application and benefits. Objective: To identify and analyse the impact of physical exercise programs on people with chemotherapy induced peripheral neuropathy. Methodology: An umbrella review was developed in accordance with the recommendations of the Joanna Briggs Institute, based on the specific terms identified in the literature search in MEDLINE , CINAHL , SPORTDiscuss, Scielo and Scopus. Results: Eight articles were considered eligible for this comprehensive review and identified exercise programs and results in terms of their impact on CIPN symptoms, neuropathic pain, functionality and quality of life. From the descriptive analysis carried out, it resulted that the combined exercise programs, including resistance, strength, balance and sensorimotor training, present results in terms of CIPN symptoms, neuropathic pain, functionality and quality of life. Conclusion: This comprehensive review presents data that were analyzed descriptively, but which allowed establishing the exercise programs with the greatest impact on relieving some CIPN symptoms. From the analysis carried out, it was also possible to identify releva nt and clinically useful aspects to adjust possible interventions in this area of nursing rehabilitation for people with cancer.
Introduction: Cancer is a worldwide health problem, but with the improvement in early detection and available treatments, there have been better survival rates. However, due to treatment related side effects, survivors' quality of life can be impaired. Among these is c hemotherapy induced peripheral neuropathy (CIPN), which is an adverse event resulting from the administration of some types of chemotherapy. For the management of this condition, physical exercise has been identified as a supportive treatment and studied w ith the aim of establishing its application and benefits. Objective: To identify and analyse the impact of physical exercise programs on people with chemotherapy induced peripheral neuropathy. Methodology: An umbrella review was developed in accordance with the recommendations of the Joanna Briggs Institute, based on the specific terms identified in the literature search in MEDLINE , CINAHL , SPORTDiscuss, Scielo and Scopus. Results: Eight articles were considered eligible for this comprehensive review and identified exercise programs and results in terms of their impact on CIPN symptoms, neuropathic pain, functionality and quality of life. From the descriptive analysis carried out, it resulted that the combined exercise programs, including resistance, strength, balance and sensorimotor training, present results in terms of CIPN symptoms, neuropathic pain, functionality and quality of life. Conclusion: This comprehensive review presents data that were analyzed descriptively, but which allowed establishing the exercise programs with the greatest impact on relieving some CIPN symptoms. From the analysis carried out, it was also possible to identify releva nt and clinically useful aspects to adjust possible interventions in this area of nursing rehabilitation for people with cancer.
Description
Keywords
Neuropatia periférica Doenças do sistema nervoso periférico Quimioterapia Reabilitação Exercício físico Revisão do tipo Umbrella