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Dependência Funcional e Qualidade de Vida dos Clientes Alvo de Cuidados de Enfermagem de Reabilitação: Um Estudo Descritivo-Correlacional nas Unidades de Rede da Região Autónoma da Madeira
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| 1.86 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Enquadramento: A funcionalidade e a qualidade de vida são focos indiscutíveis da
intervenção da Enfermagem de reabilitação. A sua avaliação é relevante no
estabelecimento do plano terapêutico e na mensuração de ganhos em saúde dos clientes.
Contudo, verifica-se existir uma insuficiente caraterização destes indicadores de resultado.
Objetivos: Determinar os níveis de dependência funcional e de qualidade de vida dos
clientes alvo de cuidados de Enfermagem de reabilitação nas unidades de cuidados
continuados da Região Autónoma da Madeira, tal como, analisar a relação entre estas duas
variáveis.
Metodologia: Desenvolveu-se um estudo quantitativo, transversal, descritivocorrelacional,
nas unidades de cuidados continuados da Região Autónoma da Madeira,
envolvendo 34 participantes. Os níveis de dependência funcional e de qualidade de vida
foram avaliados pelo Índice de Barthel e o SF-36, respetivamente, e a relação entre estas
variáveis foi investigada através da correlação de Spearman.
Resultados: Constatou-se a prevalência de dois níveis de dependência funcional, sendo
esses, a independência total (44%) e a dependência ligeira (32%). Identificaram-se baixos
níveis de qualidade de vida (M=377,3), percecionados mais negativamente ao nível da
componente física (M=134). Porém, confirmou-se existir uma relação estatisticamente
significativa entre estas duas variáveis, particularmente traduzida pelas correlações
positivas e moderadas-a-fortes, entre o domínio da mobilidade do Índice de Barthel e as
componentes física, mental e o score total do SF-36 (.443 rho .521, n=34, p<.014) e
entre o score total do Índice de Barthel e as componentes física, mental e o score total do
SF-36 (.462 rho .522, n=34, p<.010).
Conclusão: Os resultados sugerem que uma melhor capacidade funcional está associada a
uma melhor qualidade de vida dos participantes. O desenvolvimento de estudos que
permitam compreender o impacto na qualidade de vida dos ganhos decorrentes da
intervenção da Enfermagem de reabilitação no que respeita à independência funcional seria
assim relevante no aperfeiçoamento da práxis.
Background: Functionality and quality of life are indisputable focuses of rehabilitation nursing intervention. Their assessment is relevant in establishing the therapeutic plan and in measuring clients’ health gains. However, there is an insufficient characterization of these result indicators. Objectives: Determine the levels of functional dependence and quality of life of clients target of rehabilitation nursing care in community rehabilitation units of the Autonomous Region of Madeira, as well as analyze the relationship between these two variables. Methodology: A quantitative, cross-sectional, descriptive-correlational study was carried out in community rehabilitation units of the Autonomous Region of Madeira, involving 34 participants. Levels of functional dependence and quality of life were assessed using the Barthel Index and SF-36, respectively, and the relationship between these variables was investigated using Spearman's correlation. Results: The prevalence of two levels of functional dependence was found, such as, total independence (44%) and mild dependence (32%). Low levels of quality of life were identified (M=377,3), perceived more negatively at the physical component (M=134). However, it was confirmed that there is a statistically significant relationship between these two variables, particularly translated by the positive and moderate-to-strong correlations, between the Barthel Index mobility domain and the physical, mental components and the total SF-36 score (.443 rho .521, n=34, p<.014) and between the total Barthel Index score and the physical, mental components and the total SF-36 score (.462 rho .522, n=34, p<.010). Conclusion: The findings suggest that the improvement in functional capacity is associated to better quality of life of the participants. Thus, the development of studies that make it possible to understand the impact on the quality of life of the gains resulting from the intervention of rehabilitation nursing with regard to functional independence, would be relevant in the improvement of its praxis.
Background: Functionality and quality of life are indisputable focuses of rehabilitation nursing intervention. Their assessment is relevant in establishing the therapeutic plan and in measuring clients’ health gains. However, there is an insufficient characterization of these result indicators. Objectives: Determine the levels of functional dependence and quality of life of clients target of rehabilitation nursing care in community rehabilitation units of the Autonomous Region of Madeira, as well as analyze the relationship between these two variables. Methodology: A quantitative, cross-sectional, descriptive-correlational study was carried out in community rehabilitation units of the Autonomous Region of Madeira, involving 34 participants. Levels of functional dependence and quality of life were assessed using the Barthel Index and SF-36, respectively, and the relationship between these variables was investigated using Spearman's correlation. Results: The prevalence of two levels of functional dependence was found, such as, total independence (44%) and mild dependence (32%). Low levels of quality of life were identified (M=377,3), perceived more negatively at the physical component (M=134). However, it was confirmed that there is a statistically significant relationship between these two variables, particularly translated by the positive and moderate-to-strong correlations, between the Barthel Index mobility domain and the physical, mental components and the total SF-36 score (.443 rho .521, n=34, p<.014) and between the total Barthel Index score and the physical, mental components and the total SF-36 score (.462 rho .522, n=34, p<.010). Conclusion: The findings suggest that the improvement in functional capacity is associated to better quality of life of the participants. Thus, the development of studies that make it possible to understand the impact on the quality of life of the gains resulting from the intervention of rehabilitation nursing with regard to functional independence, would be relevant in the improvement of its praxis.
Description
Keywords
Dependência Qualidade de Vida Rede de cuidados continuados de saúde Enfermagem em Reabilitação Ganhos em Saúde