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Intervenção do Enfermeiro Especialista em Reabilitação na mobilidade da pessoa idosa institucionalizada – Programa TEIA
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Advisor(s)
Abstract(s)
Introdução: O envelhecimento produz alterações fisiológicas, anatómicas, comportamentais, sociais e culturais.
Indiscutivelmente, o enfermeiro especialista em reabilitação, assume cada vez mais um papel importante nos
cuidados prestados durante o envelhecimento, através da elaboração de planos de cuidados especializados que
maximizem a funcionalidade do idoso, capacitando-o para uma maior autonomia e independência no autocuidado,
incrementando desta forma a sua qualidade de vida. Nesta perspetiva, apresentamos o programa TEIA que se foca
no treino do equilíbrio, da continência urinaria e a cognição em idosos ativos.
Objetivo: Avaliar o impacto do programa de 12 semanas, em idosos ativos institucionalizados, sobre o estado de
equilíbrio, cognição, sintomatologia de incontinência urinária e qualidade de vida.
Método: Estudo quasi-experimental, antes-depois, com grupo de controlo. Amostra total de 30 idosos, 16 no grupo
de programa e 14 no grupo de controlo. Foram aplicados vários instrumentos de avaliação funcional, na versão
portuguesa, nomeadamente: Falls Efficacy Scale Internacional (FES I); Teste de Tinetti; Escala de Equilíbrio de Berg
(EEB); Teste Timed Up and Go (TUG); International Consultation on Incontinence Questionnaire - Short Form (ICIQSF);
Índice de Lawton-Brody; Escala Geriátrica de Depressão de 15 questões (GDS15); Teste de Declínio Cognitivo de
6 itens (6CIT); e Questionário de vida associado à saúde (SF-36).
Resultados: Os idosos do grupo de programa melhoraram no equilíbrio, estático e dinâmico, no medo cair e na
execução da marcha (Tinetti, Z=-3,126; p=0,002; EEB, Z=-3,304; p=0,001; FES I, Z=-3,059; p=0,002 e TUG, Z=-3,516;
p=0,0001). Trouxe-lhes benefícios no desempenho da cognição (6CIT, Z=-3,088; p=0,002) e na perceção da
qualidade de vida associada à incontinência urinária (ICIQ-SF, Z=-2,680; p=0,007).
Conclusão: A implementação do Programa TEIA traduz-se em ganhos significativos para a saúde dos idosos,
melhorando o equilíbrio, a competência dos músculos do assoalho pélvico e no desempenho da cognição potenciado
a qualidade de vida dos participantes.
Introduction: Aging produces physiological, anatomical, behavioral, social and cultural changes. Arguably, the nurse specialist in rehabilitation, assumes an increasingly important role in the care provided during the aging, through the elaboration of specialized care plans that maximize the functionality of the elderly, enabling them to have greater autonomy and independence in self-care, such that they can have a better quality of life. In this work, we present the TEIA program that focuses on the training of balance, urinary continence and cognition in active elderly. Objective: To assess the impact of the 12-week program on institutionalized elderly individuals on the state of balance, cognition, symptoms of urinary incontinence and quality of life. Method: Quasi-experimental study, before-after, with control group. A total sample of 30 elderly, 16 in the program group and 14 in the control group. Several functional evaluation instruments were applied in the Portuguese version, namely: Falls Efficacy Scale International (FES I); Tinetti's test; Berg Balance Scale (BBS); Timed Up and Go Test (TUG); International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF); Lawton- Brody Index; Geriatric Depression Scale of 15 questions (GDS15); Cognitive Decline Test of 6 items (6CIT); and Health-related Life Questionnaire (SF-36). Results: Elderlies in the program group improved their static and dynamic balance, fear of falling and gait execution (Tinetti, Z=-3,126, p=0,002; BBS, Z=-3,304, p=0,001; FES I, Z=-3,059, p=0,002; and TUG, Z=-3,516, p=0,0001). Additionally, the program brought them benefits in the performance of cognition (6CIT, Z= -3,088, p=0,002) and in the perception of quality of life associated with urinary incontinence (ICIQ-SF, Z=-2,680, p=0,007). Conclusion: The implementation of the TEIA Program led to significant gains on the health of the elderly, improving the balance, competence of the pelvic floor muscles and the performance of cognition, resulting in enhanced the participants' quality of life.
Introduction: Aging produces physiological, anatomical, behavioral, social and cultural changes. Arguably, the nurse specialist in rehabilitation, assumes an increasingly important role in the care provided during the aging, through the elaboration of specialized care plans that maximize the functionality of the elderly, enabling them to have greater autonomy and independence in self-care, such that they can have a better quality of life. In this work, we present the TEIA program that focuses on the training of balance, urinary continence and cognition in active elderly. Objective: To assess the impact of the 12-week program on institutionalized elderly individuals on the state of balance, cognition, symptoms of urinary incontinence and quality of life. Method: Quasi-experimental study, before-after, with control group. A total sample of 30 elderly, 16 in the program group and 14 in the control group. Several functional evaluation instruments were applied in the Portuguese version, namely: Falls Efficacy Scale International (FES I); Tinetti's test; Berg Balance Scale (BBS); Timed Up and Go Test (TUG); International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF); Lawton- Brody Index; Geriatric Depression Scale of 15 questions (GDS15); Cognitive Decline Test of 6 items (6CIT); and Health-related Life Questionnaire (SF-36). Results: Elderlies in the program group improved their static and dynamic balance, fear of falling and gait execution (Tinetti, Z=-3,126, p=0,002; BBS, Z=-3,304, p=0,001; FES I, Z=-3,059, p=0,002; and TUG, Z=-3,516, p=0,0001). Additionally, the program brought them benefits in the performance of cognition (6CIT, Z= -3,088, p=0,002) and in the perception of quality of life associated with urinary incontinence (ICIQ-SF, Z=-2,680, p=0,007). Conclusion: The implementation of the TEIA Program led to significant gains on the health of the elderly, improving the balance, competence of the pelvic floor muscles and the performance of cognition, resulting in enhanced the participants' quality of life.
Description
Keywords
Envelhecimento Enfermagem de Reabilitação
Citation
RPER V2N1 06.019
Publisher
Associação Portuguesa dos Enfermeiros Especializados em Enfermagem de Reabilitação (APER)