A carregar...
Publicação
Impacto da autoeficácia na independência nas AVD's em utentes com AVC: um estudo observacional longitudinal
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.09 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução: Em Portugal o Acidente Vascular Cerebral (AVC) constitui a principal causa de incapacidade em adultos, estando permanentemente associado a uma necessidade de internamento para reabilitação após a fase hospitalar, tais como, a Rede Nacional de Cuidados Continuados Integrados (RNCCI) e os Centros de Medicina e Reabilitação, em que estes têm como objetivo principal o de alcançar a máxima autonomia funcional com vista à alta para o domicílio. Objetivo: O objetivo do presente estudo é investigar de que forma o nível de independência nas atividades da vida diária (AVDs) em indivíduos que sofreram um AVC e foram submetidos a um período de internamento para reabilitação se alterou entre o momento após a alta e três meses após o regresso ao domicílio. Consecutivamente, pretende-se analisar se o nível de autoeficácia poderá estar correlacionado com a evolução da independência funcional nas AVDs. Métodos: Trata-se de um estudo observacional longitudinal com intuito de comparar o nível de independência nas AVDs, avaliada através do Índice de Barthel e também avaliar o nível de autoeficácia através do Questionário de Autoeficácia após AVC, procurando perceber se o nível de autoeficácia poderá estar correlacionado com a evolução da independência funcional. O recrutamento foi realizado através de um processo de amostragem não probabilística por conveniência e a seleção da amostra realizada de acordo com os critérios de inclusão e exclusão definidos. Resultados: Podem ser observadas diferenças estatisticamente significativas nos níveis de independência funcional entre T0 e T1 (p <0,001). Contudo, não se verificou associação estatisticamente significativa entre autoeficácia e a variação funcional (p = -0,084; p = 0,271). Conclusão: Este estudo reforça a evolução positiva dos níveis de funcionalidade após a alta para o domicílio e sugere que a autoeficácia, embora sem correlação estatística, e não isoladamente, poderá influenciar indiretamente a recuperação funcional.
Purpose: In Portugal, stroke is the leading cause of disability in adults, consistently associated with the need for inpatient care for rehabilitation after the acute hospital phase. Therefore, there's been identify many care environments for rehabilitation, such as the National Network of Integrated Continuous Care (RNCCI) and the Centers for Rehabilitation, whose main objective of rehabilitation is to achieve maximum functional autonomy aiming for discharge and return home. Objective: The aim of this study is to investigate how the level of independence in activities of daily living (ADLs) changes between the moment of discharge and three months after returning home in individuals who suffered a stroke and underwent an inpatient rehabilitation programme. Consequently, the study intends to analyse whether self-efficacy levels may be correlated with the evolution of functional independence in ADLs. Methods: This is a longitudinal observational study designed to compare the level of independence in ADLs, evaluated through the Barthel Index, and to also assess the level of self-efficacy at the initial stage using the Stroke Self- Efficacy Questionnaire, seeking to understand if self-efficacy levels may be associated with changes in functional independence. Recruitment will be conducted through a nonprobabilistic convenience sampling process and the sample selection will be carried out according to defined inclusion and exclusion criteria. Results: Statistically significant differences were observed in functional independence levels between T0 and T1 (p < 0,001). However, no statistically significant association was found between self-efficacy and functional variation (ρ = –0,084; p = 0,271). Conclusion: This study reinforces the positive evolution of functionality levels after discharge home and suggests that self-efficacy, although not statistically correlated and not acting alone, may indirectly influence functional recovery.
Purpose: In Portugal, stroke is the leading cause of disability in adults, consistently associated with the need for inpatient care for rehabilitation after the acute hospital phase. Therefore, there's been identify many care environments for rehabilitation, such as the National Network of Integrated Continuous Care (RNCCI) and the Centers for Rehabilitation, whose main objective of rehabilitation is to achieve maximum functional autonomy aiming for discharge and return home. Objective: The aim of this study is to investigate how the level of independence in activities of daily living (ADLs) changes between the moment of discharge and three months after returning home in individuals who suffered a stroke and underwent an inpatient rehabilitation programme. Consequently, the study intends to analyse whether self-efficacy levels may be correlated with the evolution of functional independence in ADLs. Methods: This is a longitudinal observational study designed to compare the level of independence in ADLs, evaluated through the Barthel Index, and to also assess the level of self-efficacy at the initial stage using the Stroke Self- Efficacy Questionnaire, seeking to understand if self-efficacy levels may be associated with changes in functional independence. Recruitment will be conducted through a nonprobabilistic convenience sampling process and the sample selection will be carried out according to defined inclusion and exclusion criteria. Results: Statistically significant differences were observed in functional independence levels between T0 and T1 (p < 0,001). However, no statistically significant association was found between self-efficacy and functional variation (ρ = –0,084; p = 0,271). Conclusion: This study reinforces the positive evolution of functionality levels after discharge home and suggests that self-efficacy, although not statistically correlated and not acting alone, may indirectly influence functional recovery.
Descrição
Palavras-chave
Acidente Vascular Cerebral Independência nas Atividades da Vida Diária Autoeficácia Reabilitação Pós-alta Stroke Independence in Activities of Daily Living Self-efficacy Rehabilitation Post-discharge