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A Artroplastia Total da Anca é uma intervenção cirúrgica amplamente utilizada no tratamento da osteoartrose avançada e de fraturas, visando reduzir a dor e restaurar a função articular. Apesar da eficácia clínica, esta cirurgia envolve um período pós-operatório complexo, marcado por limitações físicas, psicológicas e sociais significativas, afetando diretamente a autonomia e a qualidade de vida das pessoas.
Foi realizada uma revisão scoping assente na metodologia do The Joanna Briggs Institute, procurou-se dar resposta à seguinte questão de investigação: Quais as intervenções do EEER à pessoa submetida à ATA? A pesquisa foi efetuada nas bases de dados Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL Complete e MEDLINE Complete, entre 2014 e 2024, nos idiomas inglês e português.
Neste contexto, as intervenções especializadas do Enfermeiro Especialista em Enfermagem de Reabilitação assumem um papel essencial, atuando ao nível da prevenção de complicações, mobilização precoce, treino funcional adaptado, gestão da dor, educação terapêutica e adaptação ambiental. O Enfermeiro de Reabilitação realiza uma avaliação abrangente das necessidades e capacidades individuais, implementando intervenções personalizadas que potenciam a recuperação funcional e promovem a autonomia para as atividades de vida diária.
O objetivo central destas intervenções consiste em maximizar a recuperação física, psicológica e social, permitindo à pessoa reintegrar-se eficazmente na sua rotina diária, melhorando assim a qualidade de vida. O atingimento destes objetivos contribui significativamente para reduzir complicações pós-operatórias e custos associados, evidenciando-se como um elemento fundamental numa abordagem multidisciplinar centrada na pessoa submetida a ATA.
Total Hip Arthroplasty is a surgical procedure widely used in the treatment of advanced osteoarthritis and fractures, aiming to reduce pain and restore joint function. Despite its clinical effectiveness, this surgery involves a complex postoperative period characterized by significant physical, psychological, and social limitations, directly affecting patients' autonomy and quality of life. A scoping review was conducted based on The Joanna Briggs Institute methodology, seeking to answer the following research question: What are the rehabilitation nursing specialist’s interventions for individuals undergoing total hip arthroplasty? The research was performed in the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL Complete, and MEDLINE Complete databases, covering the period from 2014 to 2024, in English and Portuguese languages. In this context, specialized interventions by rehabilitation nurses play an essential role, addressing complication prevention, early mobilization, individualized functional training, pain management, therapeutic education, and environmental adaptation. Rehabilitation nurses conduct a comprehensive assessment of individual needs and capacities, implementing personalized interventions that enhance functional recovery and promote independence in daily activities. The primary objective of these interventions is to maximize physical, psychological, and social recovery, enabling effective reintegration into daily routines and thus improving quality of life. Achieving these goals significantly contributes to reducing postoperative complications and associated healthcare costs, highlighting rehabilitation nursing as a fundamental element within a multidisciplinary, patient-centered approach to total hip arthroplasty.
Total Hip Arthroplasty is a surgical procedure widely used in the treatment of advanced osteoarthritis and fractures, aiming to reduce pain and restore joint function. Despite its clinical effectiveness, this surgery involves a complex postoperative period characterized by significant physical, psychological, and social limitations, directly affecting patients' autonomy and quality of life. A scoping review was conducted based on The Joanna Briggs Institute methodology, seeking to answer the following research question: What are the rehabilitation nursing specialist’s interventions for individuals undergoing total hip arthroplasty? The research was performed in the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL Complete, and MEDLINE Complete databases, covering the period from 2014 to 2024, in English and Portuguese languages. In this context, specialized interventions by rehabilitation nurses play an essential role, addressing complication prevention, early mobilization, individualized functional training, pain management, therapeutic education, and environmental adaptation. Rehabilitation nurses conduct a comprehensive assessment of individual needs and capacities, implementing personalized interventions that enhance functional recovery and promote independence in daily activities. The primary objective of these interventions is to maximize physical, psychological, and social recovery, enabling effective reintegration into daily routines and thus improving quality of life. Achieving these goals significantly contributes to reducing postoperative complications and associated healthcare costs, highlighting rehabilitation nursing as a fundamental element within a multidisciplinary, patient-centered approach to total hip arthroplasty.
Descrição
Relatório de Estágio para obtenção do grau de mestre na Escola Superior de Saúde Egas Moniz
Palavras-chave
Artroplastia total da anca Enfermagem de reabilitação Enfermagem