Loading...
Publication
Impacto da autoeficácia na independência nas AVDs em utentes com AVC: um estudo observacional longitudinal
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.15 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: O diagnóstico de Acidente Vascular Cerebral (AVC) encontra-se associado a
um estado de incapacidade súbito que implica um encaminhamento para respostas
direcionadas a este problema, como é o caso da Rede Nacional de Cuidados Continuados
Integrados (RNCCI). O internamento na RNCCI direciona-se à maximização da
funcionalidade, procurando capacitar os utentes face às atividades da vida diária (AVDs) e
gestão dos desafios inerentes ao regresso ao contexto domiciliário, entre eles, aspetos físicos
inerentes à habitação, mas também aspetos relacionados com a autoconfiança e gestão da
condição. Objetivo: Este estudo pretendeu avaliar se o nível de independência nas AVDs de
indivíduos com AVC após internamento para reabilitação se alterou entre a alta e três meses
após o regresso ao domicílio. Com o follow-up pretendeu-se avaliar se o nível de autoeficácia
dos indivíduos no primeiro momento de avaliação se correlacionava com a evolução
funcional nos 3 meses após o regresso ao domicílio. Métodos: Foi realizado um estudo
observacional longitudinal com dois follow-ups onde se avaliou o nível de independência
nas AVDs através do Índice de Barthel e a autoeficácia, através do Questionário de
Autoeficácia após AVC (Stroke Self-Efficacy Questionnaire - SSEQ). Foram ainda
recolhidos dados relativos à caracterização da amostra através de um Questionário de
Caracterização Sociodemográfica e Clínica. Resultados: A autoeficácia apresentou uma
correlação positiva forte com a independência funcional em participantes com maiores níveis
de autoeficácia (r=0.736). No que respeita à comparação do nível de independência nas
AVDs, podem ser observadas diferenças estatisticamente significativas no Índice de Barthel
entre as médias em T0 e T1 (p<0,001). Conclusão: O estudo contribuiu para o aumento do
conhecimento acerca do impacto da autoeficácia na funcionalidade dos sobreviventes com
AVC, sendo um fator importante a considerar tanto durante o internamento para reabilitação
na RNCCI como na preparação da alta para o domicílio.
Purpose: The diagnosis of Stroke (AVC) is associated with a sudden state of disability, requiring referral to specific services addressing this issue, such as Rede Nacional de Cuidados Continuados Integrados (RNCCI).Inpatient at RNCCI is aimed at maximizing function, seeking to empower patients to the activities of daily living (ADLs) and management of the challenges inherent to returning to the home context, including physical aspects inherent to housing, but also aspects related to self-confidence and condition management. Objective: The objective of this study was to assess whether the level of independence in activities of daily living (ADLs) of individuals who suffered a stroke and underwent a rehabilitation stay of at least 30 days, changed between 7 to 10 days after discharge and three months after returning home. Subsequently, this follow-up sought to evaluate whether the level of self-efficacy of individuals at the first assessment was correlated with their level of functionality three months after returning home. Methods: A longitudinal observational study was carried out with two follow-ups where the level of independence in ADLs was evaluated through the Barthel Index and self-efficacy through the Questionário de Autoeficácia após AVC (Stroke Self-Efficacy Questionnaire - SSEQ). Data were also collected regarding the characterization of the sample through a sociodemographic data form – Questionário de caracterização sociodemográfica e clínica. Results: Self-efficacy showed a strong positive correlation with functional independence in participants with higher levels of self-efficacy (r=0.736). Regarding the comparison of the level of independence in ADLs, statistically significant differences in the Barthel Index can be observed between the means at T0 and T1 (p<0.001). Conclusion: The study contributed to the increased understanding of the impact of self efficacy on the functionality of stroke survivors, highlighting it as an important factor to consider both during the rehabilitation stay in the RNCCI and in the preparation for discharge home.
Purpose: The diagnosis of Stroke (AVC) is associated with a sudden state of disability, requiring referral to specific services addressing this issue, such as Rede Nacional de Cuidados Continuados Integrados (RNCCI).Inpatient at RNCCI is aimed at maximizing function, seeking to empower patients to the activities of daily living (ADLs) and management of the challenges inherent to returning to the home context, including physical aspects inherent to housing, but also aspects related to self-confidence and condition management. Objective: The objective of this study was to assess whether the level of independence in activities of daily living (ADLs) of individuals who suffered a stroke and underwent a rehabilitation stay of at least 30 days, changed between 7 to 10 days after discharge and three months after returning home. Subsequently, this follow-up sought to evaluate whether the level of self-efficacy of individuals at the first assessment was correlated with their level of functionality three months after returning home. Methods: A longitudinal observational study was carried out with two follow-ups where the level of independence in ADLs was evaluated through the Barthel Index and self-efficacy through the Questionário de Autoeficácia após AVC (Stroke Self-Efficacy Questionnaire - SSEQ). Data were also collected regarding the characterization of the sample through a sociodemographic data form – Questionário de caracterização sociodemográfica e clínica. Results: Self-efficacy showed a strong positive correlation with functional independence in participants with higher levels of self-efficacy (r=0.736). Regarding the comparison of the level of independence in ADLs, statistically significant differences in the Barthel Index can be observed between the means at T0 and T1 (p<0.001). Conclusion: The study contributed to the increased understanding of the impact of self efficacy on the functionality of stroke survivors, highlighting it as an important factor to consider both during the rehabilitation stay in the RNCCI and in the preparation for discharge home.
Description
Keywords
Acidente Vascular Cerebral Independência AVDs Autoeficácia Reabilitação Follow up Stroke Functionality Self-efficacy Rehabilitation