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Qualidade de vida no idoso com dependência funcional: influência de um programa de reabilitação durante o internamento
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| 5.15 MB | Adobe PDF |
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Abstract(s)
Enquadramento: Ao longo do ciclo de vida ocorrem alterações fisiológicas que condicionam o grau de funcionalidade da pessoa, com consequente aumento da dependência no autocuidado. O enfermeiro especialista em enfermagem de reabilitação assume um papel fundamental como facilitador nas transições identificadas ao longo do processo de saúde-doença, prevenção de incapacidades, minimização do impacto do internamento na funcionalidade e otimização da qualidade de vida dos idosos.
Objetivo: Desenvolver competências em enfermagem de reabilitação, identificando ganhos sensíveis aos cuidados de Enfermagem de Reabilitação ao utente idoso em contexto de internamento, minimizando o respetivo impacto na sua qualidade de vida.
Metodologia: O projeto de intervenção foi suportado pela metodologia de estudo de casos múltiplos, com base numa amostra de conveniência. Os cuidados foram contextualizados através do referencial teórico de Afaf Meleis e do modelo teórico de Nancy Roper, seguindo as etapas do processo de enfermagem.
Resultados: Todos os seis utentes incluídos no programa de enfermagem de reabilitação apresentaram ganhos no aumento da funcionalidade, evoluindo de um score médio de 51.1 pontos na avaliação da Medida de Independência Funcional, para um score médio de 92 pontos. No que se refere à perceção da Qualidade de Vida, todos os participantes evoluíram de forma positiva nos vários domínios que constituem o instrumento EQ-5D-3L.
Conclusão: As intervenções realizadas no âmbito do projeto implementado demonstraram ser eficazes na maximização da funcionalidade e da qualidade de vida dos idosos hospitalizados, alicerçadas nas competências adquiridas e desenvolvidas de enfermeiro especialista, enfermeiro especialista em enfermagem de reabilitação e de mestre.
Background: Throughout the life cycle, physiological changes occur that affect the person's level of functionality, with a consequent increase in dependence on self-care. The rehabilitation nurse plays a fundamental role in facilitating the transitions identified throughout the health-disease process, preventing disabilities, minimising the impact of hospitalization on functionality and optimising the quality of life of the elderly. Objective: To develop skills in rehabilitation nursing, identifying significant gains in Rehabilitation Nursing care for elderly patients in an inpatient context, minimizing the respective impact on their quality of life. Methodology: The intervention project was supported by the multiple case study methodology, based on a convenience sample. The care was contextualised using Afaf Meleis' theoretical framework and Nancy Roper's theoretical model, following the stages of the nursing process. Results: All six patients included in the rehabilitation nursing programme showed gains in increased functionality, evolving from an average score of 51.1 points on the Functional Independence Measure to an average score of 92 points. In terms of perceived Quality of Life, all the participants evolved positively in the various domains that make up the EQ-5D-3L instrument. Conclusion: The interventions carried out within the scope of the implemented project proved to be effective in maximising the functionality and quality of life of hospitalized elderly people, based on the skills acquired and developed as a specialist nurse, rehabilitation nurse and master's degree.
Background: Throughout the life cycle, physiological changes occur that affect the person's level of functionality, with a consequent increase in dependence on self-care. The rehabilitation nurse plays a fundamental role in facilitating the transitions identified throughout the health-disease process, preventing disabilities, minimising the impact of hospitalization on functionality and optimising the quality of life of the elderly. Objective: To develop skills in rehabilitation nursing, identifying significant gains in Rehabilitation Nursing care for elderly patients in an inpatient context, minimizing the respective impact on their quality of life. Methodology: The intervention project was supported by the multiple case study methodology, based on a convenience sample. The care was contextualised using Afaf Meleis' theoretical framework and Nancy Roper's theoretical model, following the stages of the nursing process. Results: All six patients included in the rehabilitation nursing programme showed gains in increased functionality, evolving from an average score of 51.1 points on the Functional Independence Measure to an average score of 92 points. In terms of perceived Quality of Life, all the participants evolved positively in the various domains that make up the EQ-5D-3L instrument. Conclusion: The interventions carried out within the scope of the implemented project proved to be effective in maximising the functionality and quality of life of hospitalized elderly people, based on the skills acquired and developed as a specialist nurse, rehabilitation nurse and master's degree.
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Keywords
Enfermagem de Reabilitação Idoso Funcionalidade Qualidade de Vida Rehabilitation Nursing Aged Functionality Quality of Life