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Efeitos de um programa de enfermagem de reabilitação à pessoa com fratura proximal do fémur
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Authors
Advisor(s)
Abstract(s)
O presente trabalho académico, realizado no âmbito do mestrado em enfermagem de
reabilitação com o tema “efeitos de um programa de enfermagem de reabilitação à pessoa
com fratura da extremidade proximal do fémur”. Pretendeu-se demonstrar a efetividade
de um programa de reabilitação na recuperação da funcionalidade. O programa consistiu
num estudo de investigação-ação, implementado num serviço de ortopedia a pessoas
intervencionadas a fratura do fémur. Consistiu na aplicação de um programa, dividido em
4 sessões, desde a admissão até à alta hospitalar. Foram usadas várias escalas para avaliar
os resultados, desde a admissão até 30 dias após a cirurgia. Foram alvo do estudo 13
doentes idosos, com fratura do fémur. Como resultados, verificaram-se ganhos efetivos
na capacidade funcional, redução da dor e na força muscular. A implementação e sua
realização permitiram confirmar a eficácia das intervenções, contribuindo positivamente
para a melhoria do autocuidado, contudo a autoeficácia baixou.
The present academic work carried out within the scope of the master's degree in rehabilitation nursing with the theme "effects of a rehabilitation nursing program on the person with proximal femur fracture". The goal is to demonstrate the effectiveness of a rehabilitation program in the recovering functionality. The program consisted on an action-research study, implemented in an orthopedic service for people with fracture of the femur, to apply a program, divided into 4 sessions, from admission till hospital discharge. From admission, up to 30 days after surgery, several scales were used to evaluate the results and it was applied on 13 elderly patients with femoral fracture. As results, there were effective gains in functional capacity, pain reduction and muscle strength. The implementation of this protocol allowed us to confirm the effectiveness of the interventions that contributed positively to the improvement of the self-care, although the self-efficacy decreased.
The present academic work carried out within the scope of the master's degree in rehabilitation nursing with the theme "effects of a rehabilitation nursing program on the person with proximal femur fracture". The goal is to demonstrate the effectiveness of a rehabilitation program in the recovering functionality. The program consisted on an action-research study, implemented in an orthopedic service for people with fracture of the femur, to apply a program, divided into 4 sessions, from admission till hospital discharge. From admission, up to 30 days after surgery, several scales were used to evaluate the results and it was applied on 13 elderly patients with femoral fracture. As results, there were effective gains in functional capacity, pain reduction and muscle strength. The implementation of this protocol allowed us to confirm the effectiveness of the interventions that contributed positively to the improvement of the self-care, although the self-efficacy decreased.
Description
Mestrado em Enfermagem, Área de especialização em Enfermagem de Saúde Infantil e Pediátrica
Keywords
enfermagem de reabilitação fratura de quadril capacidade funcional rehabilitation nursing hip fracture functional capacity
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde