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Publication
E depois da doença Covid-19? :
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| 1.99 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A pandemia COVID-19 apresenta-se como o maior desafio global do século XXI, é a
primeira vez que um vírus atinge proporções alarmantes em todos os continentes, as
sequelas desta doença ainda não são totalmente conhecidas, desta forma, é importante
intervir na recuperação e manutenção da capacidade funcional de todos os doentes com
a síndroma pós-COVID-19, sendo fulcral a intervenção do enfermeiro especialista em
enfermagem de reabilitação.
Procurou-se estudar a intervenção do EEER ao doente com sequelas da doença Covid 19, uma vez que é considerada uma necessidade emergente de investigação pela falta
de informação disponível.
A doença COVID-19 afeta principalmente o aparelho respiratório, que pode ir desde
doença respiratória ligeira, sem insuficiência respiratória, até pneumonia mais extensa
com hipoxemia significativa e eventual evolução para ARDS e/ou Sépsis.
A esta doença está associada a necessidade de medidas de isolamento, logo uma maior
restrição ao espaço físico e ao leito, existindo maior intolerância ao exercício, diminuição
da força muscular, um padrão ventilatório ineficaz e falta de capacidade para eliminar
eficazmente a expetoração (Rocha, 2020).
A teoria de enfermagem que norteou este trabalho foi a teoria do défice do autocuidado
de Dorothea Orem em que o objetivo é a recuperação do autocuidado.
A teoria do défice do autocuidado, pretende definir os momentos em que os cuidados
de enfermagem são necessários. A necessidade de intervenção do enfermeiro
especialista em enfermagem de reabilitação é fundamental pelas sequelas decorrentes
da COVID-19. A ação do EEER vai centrar-se na minimização das sequelas e na
promoção do autocuidado com vista a melhorar a capacidade funcional.
Definiram-se 7 objetivos que procuram responder ao desenvolvimento das
competências do EEER e à problemática em questão, para tal procedeu-se a um revisão
sistemática da literatura, nas bases de dados CINAHL Complete e MEDLINE Complete,
tendo em consideração certos critérios de elegibilidade e exclusão definidos. Este
relatório demonstra que na abordagem ao doente com sequelas após doença COVID 19 obtiveram-se ganhos ao nível das alterações respiratórias como a melhoria da
dispneia e fadiga, a nível musculosquelético como o aumento da força muscular e ao
nível do autocuidado e do estado funcional, constataram-se ganhos na independência.
The COVID-19 pandemic presents itself as the greatest global challenge of the 21st century, it is the first time that a virus has reached alarming proportions on all continents, the sequels of this disease are not yet fully known, therefore, it is important to intervene in the recovery and maintenance of the functional capacity of all patients with post COVID-19 syndrome, in which the intervention of a specialist nurse in rehabilitation nursing is crucial. It was sought to study the rehabilitation specialist nurse intervention to the patient with sequels of Covid-19 disease, as it is considered an emerging research need due to the lack of available information. COVID-19 disease mainly affects the respiratory system, which may range from mild respiratory disease without respiratory failure to more extensive pneumonia with significant hypoxemia and eventual evolution to ARDS and/or sepsis. This disease is associated with the need for isolation measures, thus a greater restriction to the physical space and bedding, increased exercise intolerance, decreased muscle strength, an ineffective ventilatory pattern, and lack of ability to effectively eliminate sputum (Rocha, 2020). The nursing theory that guided my work as Dorothea Orem's self-care deficit theory, in which the goal is the recovery of self-care. The self-care deficit theory aims to define the moments when nursing care is needed. The need for intervention by the nurse specialist in rehabilitation nursing is fundamental due to the sequels resulting from COVID-19. The rehabilitation specialist nurses action will focus on minimizing the sequels and promoting self-care with a view to improving functional capacity. To this end, a systematic literature review was conducted in the CINAHL Complete and MEDLINE Complete databases, taking into account certain defined eligibility and exclusion criteria. This report shows that, in the approach to patients with sequels after COVID-19 disease, gains were obtained in terms of respiratory changes, such as the improvement of dyspnea and fatigue, and musculoskeletal level, such as the increase in muscle strength. In terms of self-care and functional status, gains in independence were observed.
The COVID-19 pandemic presents itself as the greatest global challenge of the 21st century, it is the first time that a virus has reached alarming proportions on all continents, the sequels of this disease are not yet fully known, therefore, it is important to intervene in the recovery and maintenance of the functional capacity of all patients with post COVID-19 syndrome, in which the intervention of a specialist nurse in rehabilitation nursing is crucial. It was sought to study the rehabilitation specialist nurse intervention to the patient with sequels of Covid-19 disease, as it is considered an emerging research need due to the lack of available information. COVID-19 disease mainly affects the respiratory system, which may range from mild respiratory disease without respiratory failure to more extensive pneumonia with significant hypoxemia and eventual evolution to ARDS and/or sepsis. This disease is associated with the need for isolation measures, thus a greater restriction to the physical space and bedding, increased exercise intolerance, decreased muscle strength, an ineffective ventilatory pattern, and lack of ability to effectively eliminate sputum (Rocha, 2020). The nursing theory that guided my work as Dorothea Orem's self-care deficit theory, in which the goal is the recovery of self-care. The self-care deficit theory aims to define the moments when nursing care is needed. The need for intervention by the nurse specialist in rehabilitation nursing is fundamental due to the sequels resulting from COVID-19. The rehabilitation specialist nurses action will focus on minimizing the sequels and promoting self-care with a view to improving functional capacity. To this end, a systematic literature review was conducted in the CINAHL Complete and MEDLINE Complete databases, taking into account certain defined eligibility and exclusion criteria. This report shows that, in the approach to patients with sequels after COVID-19 disease, gains were obtained in terms of respiratory changes, such as the improvement of dyspnea and fatigue, and musculoskeletal level, such as the increase in muscle strength. In terms of self-care and functional status, gains in independence were observed.
Description
Keywords
Enfermagem em reabilitação COVID-19 Cuidados de enfermagem Reabilitação Dor crónica