Publication
Aptidão Aeróbica e Força: Relação com a Capacidade Funcional em Clientes Alvo de Cuidados em Enfermagem de Reabilitação em Rede Regional de Cuidados Continuados do Serviço de Saúde da RAM
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Advisor(s)
Abstract(s)
Os eventos agudos de doença com consequente hospitalização, constituem um grande risco de comprometimento na aptidão aeróbica, força e capacidade funcional, afetando negativamente o desempenho das atividades de vida diárias. Este estudo teve como objetivos os seguintes: (1) investigar os níveis de aptidão aeróbica, força e a capacidade funcional em função do género, e (2) analisar as associações entre as variáveis anteriores e a capacidade funcional em clientes internados na Rede Regional de Cuidados Continuados do Serviço de Saúde da Região Autónoma da Madeira.
Trata-se de um estudo transversal, descritivo-correlacional. A população é constituída por 34 clientes (11 homens e 23 mulheres), com 65.7 ±13.2 anos de idade, respetivamente. Todos os elementos da população foram alvo de cuidados por parte do enfermeiro especialista em enfermagem de Reabilitação, no dia 5 de junho, de 2019. A caracterização sociodemográfica e a capacidade funcional foram avaliadas a partir de questionários. A aptidão aeróbica e a força muscular foram avaliadas com recurso a testes físicos. Nas análises estatísticas recorreram-se aos testes de Mann-Whitney U e correlações de spearman (Rho).
Verificaram-se diferenças significativas entre homens e mulheres apenas na força muscular (p=.019). Quanto aos níveis do Índice de Barthel (IB), 54.5% dos homens e 39.1% mulheres são independentes, enquanto que, 39.1% dos homens e mulheres apresentam ligeira independência. A associação entre a aptidão aeróbica e a força muscular foi positiva e forte (Rho=0.50, p=.016). Ambas as componentes, aptidão aeróbica e força muscular apresentaram uma correlação moderada e positiva com o IB (.39 >Rho <0.47; ps<.027).
Os homens apresentaram melhores resultados na força muscular comparativamente às mulheres. A aptidão aeróbica e a força muscular estão associadas a níveis elevados de independência funcional, no contexto de doença aguda durante o internamento.
Acute events of illness followed by hospitalisation constitute great risk at compromising the aerobic/fitness aptitude, strength and functional capacity, which will affect negatively daily life activities. This study aims at (1) investigating the levels of aerobics/fitness according to gender and (2) analysing the correlations between these variables and the functional capacities in clients/patients admitted to the Regional Continuing Care Network of the SESARAM. This is a quantitative, cross-sectional, descriptive-correlational study. The sample used consists of 34 clients (11 men and 23 women) with an average age of 65.7 ±13.2 respectively. All elements in the sample have been assisted by a Rehabilitation Nurse on the 5th June 2019. The social and demographic characterization as well as the functional capacities were obtained through questionnaires. The aerobic/fitness capacity and muscle strenght were evaluated through physical tests. The statistics analysis were conducted by using Mann-Whitney and spearman (RHo) correlations. Significant differences were found between men and women only in terms of muscle strenght (p=.019). As for the levels of the Barthel Index (BI), 54.5% of men and 39.1% of women were considered independent while 39.1% of men and women show little independence. The association between aerobic/fitness capacity and muscle strenght was both positive and strong (RHo =0.50, p=.016). Both components, aerobic/fitness capacity and muscle srenght, showed moderate and positive correlation according to the BI (.39 >Rho <0.47; ps<.027).Men presented better results in muscle strength when compared to women. The aerobic/fitness capacity and muscle strength are linked to higher levels of functional independence in acute illness during hospitalisation.
Acute events of illness followed by hospitalisation constitute great risk at compromising the aerobic/fitness aptitude, strength and functional capacity, which will affect negatively daily life activities. This study aims at (1) investigating the levels of aerobics/fitness according to gender and (2) analysing the correlations between these variables and the functional capacities in clients/patients admitted to the Regional Continuing Care Network of the SESARAM. This is a quantitative, cross-sectional, descriptive-correlational study. The sample used consists of 34 clients (11 men and 23 women) with an average age of 65.7 ±13.2 respectively. All elements in the sample have been assisted by a Rehabilitation Nurse on the 5th June 2019. The social and demographic characterization as well as the functional capacities were obtained through questionnaires. The aerobic/fitness capacity and muscle strenght were evaluated through physical tests. The statistics analysis were conducted by using Mann-Whitney and spearman (RHo) correlations. Significant differences were found between men and women only in terms of muscle strenght (p=.019). As for the levels of the Barthel Index (BI), 54.5% of men and 39.1% of women were considered independent while 39.1% of men and women show little independence. The association between aerobic/fitness capacity and muscle strenght was both positive and strong (RHo =0.50, p=.016). Both components, aerobic/fitness capacity and muscle srenght, showed moderate and positive correlation according to the BI (.39 >Rho <0.47; ps<.027).Men presented better results in muscle strength when compared to women. The aerobic/fitness capacity and muscle strength are linked to higher levels of functional independence in acute illness during hospitalisation.
Description
Keywords
Aptidão aeróbica Força Muscular Capacidade Funcional Enfermagem de Reabilitação Rede Regional de Cuidados Continuados Integrados