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Publication
Enfermagem de reabilitação à pessoa após AVC: programa RIR
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.85 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: O Acidente Vascular Cerebral (AVC) manifesta-se através de défices
neurológicos que se prolongam além das 24 horas, considerando-se a principal causa de
morbilidade e mortalidade a nível mundial (World Health Organization [WHO], 2018).
Dados estes que justificam uma necessidade de evoluir em métodos eficazes na
reabilitação à pessoa após AVC (Benjamin, et al, 2018). O ritmo tem demonstrado
inúmeros benefícios na reabilitação à pessoa com problemas neurológicos destacando-se
ganhos a nível motor e cognitivo (Silva, Ribeiro, & Neves, 2019). Por conseguinte,
considerou-se pertinente cooperar no desenvolvimento e sustentação de uma intervenção
autónoma do Enfermeiro Especialista em Enfermagem de Reabilitação (EEER).
Objetivos: Construir o programa de reabilitação com integração de ritmo; Validar o
conteúdo do programa de reabilitação com integração de ritmo através da técnica Delphi;
Verificar a exequibilidade do programa de reabilitação com integração de ritmo.
Material e métodos: Foi delineado um estudo descritivo, que se divide em três etapas:
Desenvolvimento de uma Intervenção Complexa com base na guideline descrita pela
Medical Research Council; Validação do programa com recurso ao teste Delphi; Estudo
Piloto do programa de reabilitação com integração de ritmo.
Resultados: Sustentada na evidência científica construiu-se um programa de reabilitação
com integração de ritmo. Ainda assim, considerou-se pertinente validar o programa
construído em consenso de peritos através do teste Delphi. A fase de validação do
Programa de Reabilitação com Integração de Ritmo (Programa RIR) consistiu em duas
rondas, com necessidade de alguns ajustes no cluminar da primeira, no que concerne ao
tipo de música eleita pelo investigador. Na segunda ronda obteve-se 100% de
concordância entre peritos. Por fim, o Programa RIR constatou-se ser exequível, tendo
por base alguns ajustes.
Conclusão: Visto estar garantida a validação e exequibilidade do Programa RIR, importa
prosseguir com estudos por forma a verificar a efetividade do mesmo.
Introduction: Stroke is manifested through neurological deficits that extend beyond 24 hours, considering the main cause of morbidity and mortality worldwide (World Health Organization [WHO], 2018). These data justify a need to evolve in effective methods for rehabilitation of the person after a stroke (Benjamin, et al, 2018). The pace has shown numerous benefits in the rehabilitation of the person with neurological problems, highlighting gains at the motor and cognitive level (Silva, Ribeiro, & Neves, 2019). Therefore, it was considered pertinent to cooperate in the development and support of an autonomous intervention by the Specialist Nurse in Rehabilitation Nursing (EEER). Objectives: Build the rehabilitation program with pace integration; Validate the content of the rehabilitation program with rhythm integration through the Delphi technique; Check the feasibility of the rehabilitation program with pace integration. Material and methods: A descriptive study was designed, which is divided into three stages: Development of a Complex Intervention based on the guideline described by the Medical Research Council; Program validation using the Delphi test; Pilot study of the rhythm integration rehabilitation program. Results: Based on scientific evidence, a rehabilitation program with pace integration was built. Even so, it was considered pertinent to validate the program built in consensus of experts through the Delphi test. The validation phase of the Rhythm Integration Rehabilitation Program (RIR Program) consisted of two rounds, with the need for some adjustments to the first one, with regard to the type of music chosen by the researcher. In the second round, 100% agreement was obtained between experts. Finally, the RIR Program was found to be feasible, based on some adjustments. Conclusion: Since the validity and feasibility of the RIR Program is guaranteed, it is important to continue with studies in order to verify its effectiveness.
Introduction: Stroke is manifested through neurological deficits that extend beyond 24 hours, considering the main cause of morbidity and mortality worldwide (World Health Organization [WHO], 2018). These data justify a need to evolve in effective methods for rehabilitation of the person after a stroke (Benjamin, et al, 2018). The pace has shown numerous benefits in the rehabilitation of the person with neurological problems, highlighting gains at the motor and cognitive level (Silva, Ribeiro, & Neves, 2019). Therefore, it was considered pertinent to cooperate in the development and support of an autonomous intervention by the Specialist Nurse in Rehabilitation Nursing (EEER). Objectives: Build the rehabilitation program with pace integration; Validate the content of the rehabilitation program with rhythm integration through the Delphi technique; Check the feasibility of the rehabilitation program with pace integration. Material and methods: A descriptive study was designed, which is divided into three stages: Development of a Complex Intervention based on the guideline described by the Medical Research Council; Program validation using the Delphi test; Pilot study of the rhythm integration rehabilitation program. Results: Based on scientific evidence, a rehabilitation program with pace integration was built. Even so, it was considered pertinent to validate the program built in consensus of experts through the Delphi test. The validation phase of the Rhythm Integration Rehabilitation Program (RIR Program) consisted of two rounds, with the need for some adjustments to the first one, with regard to the type of music chosen by the researcher. In the second round, 100% agreement was obtained between experts. Finally, the RIR Program was found to be feasible, based on some adjustments. Conclusion: Since the validity and feasibility of the RIR Program is guaranteed, it is important to continue with studies in order to verify its effectiveness.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Música Reabilitação AVC Enfermagem de reabilitação