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Publication
A intervenção do enfermeiro especialista em enfermagem de reabilitação na sobrecarga do familiar cuidador do idoso com demência: scoping review
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Advisor(s)
Abstract(s)
O aumento do envelhecimento populacional tem impacto na vida dos indivíduos,
refletindo-se na diminuição da capacidade de realização das atividades de vida diária.
Além disso, leva ao aparecimento de doenças crónicas, como a demência, tornando a
pessoa dependente de um cuidador. O papel de cuidador é maioritariamente assumido
pelos familiares que, sem a devida formação ou qualificação para o exercício dessa
função, acabam por experienciar situações de sobrecarga. Desta forma, o Enfermeiro
Especialista em Enfermagem de Reabilitação, com as suas competências específicas e
visão familiar holística, poderá ser um agente facilitador da transição saudável do familiar
cuidador, capacitando-o para o desempenho do novo papel.
Esta dissertação de mestrado assenta na metodologia de scoping review, tendo
como objetivo mapear e analisar a evidência científica sobre a intervenção do Enfermeiro
Especialista em Enfermagem de Reabilitação na sobrecarga do familiar cuidador do idoso
com demência. Para o seu desenvolvimento seguiu-se as guidelines preconizadas por
Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for
Scoping Reviews (PRISMA-ScR®), do Joanna Briggs Institute (JBI®). A pesquisa foi
conduzida na SCOPUS®, Web of Science™ e EBSCO®, e na literatura cinzenta:
Repositórios Científicos de Acesso Aberto de Portugal, Google Scholar e MedNar.
Quanto aos resultados obtidos, foram incluídos 13 estudos, que defendem a
implementação de intervenções psicoeducativas, psicossociais, de assistência domiciliar
e com recurso tecnológico. De facto, demonstram que estes programas têm um impacto
positivo na redução da sobrecarga do familiar cuidador, dos seus níveis de stress e de
depressão.
A presente dissertação permitiu constatar que, até à data, não existe evidência
sobre a intervenção do Enfermeiro Especialista em Enfermagem de Reabilitação na
sobrecarga do familiar cuidador do idoso com demência. Assim, torna-se imprescindível
a realização de investigação para perceber em que medida o Enfermeiro Especialista em
Enfermagem de Reabilitação, inserido numa equipa interdisciplinar, poderá contribuir
para melhorar a assistência prestada ao familiar cuidador.
The increase of aging population has an impact on the individuals’ lives, reflected in the reduced ability to carry out activities of daily living. In addition, it leads to the appearance of chronic diseases, such as dementia, making the person dependent on a caregiver. The role of caregiver is mostly taken on by family members who, without proper training or qualification to exercise this function, end up experiencing situations of burden. In this way, the Specialist Nurse in Rehabilitation, with their specific skills and holistic family view, can be an agent that facilitates the healthy transition of the family caregiver, enabling them to perform their new role. This master's thesis is based on the scoping review methodology, with the objective of mapping and analyzing the scientific evidence on the intervention of the Specialist Nurse in Rehabilitation in the family caregiver burden of the elderly with dementia. For its development, the guidelines recommended by Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR®) of the Joanna Briggs Institute (JBI®) were followed. The search was conducted in SCOPUS®, Web of Science™ and EBSCO®, and in the gray literature: Repositórios Científicos de Acesso Aberto de Portugal, Google Scholar and MedNar. As for the results obtained, 13 studies were included, which advocate the implementation of psychoeducational, psychosocial, home care interventions and with technological resources. In fact, they demonstrate that these programs have a positive impact on reducing the family caregiver's burden, their levels of stress and depression. The present dissertation showed that, to date, there is no evidence about the intervention of the Specialist Nurse in Rehabilitation in the family caregiver burden of the elderly with dementia. Thus, it is essential to carry out research to understand to what extent the Specialist Nurse in Rehabilitation, inserted in an interdisciplinary team, can contribute to improving the assistance provided to the family caregiver.
The increase of aging population has an impact on the individuals’ lives, reflected in the reduced ability to carry out activities of daily living. In addition, it leads to the appearance of chronic diseases, such as dementia, making the person dependent on a caregiver. The role of caregiver is mostly taken on by family members who, without proper training or qualification to exercise this function, end up experiencing situations of burden. In this way, the Specialist Nurse in Rehabilitation, with their specific skills and holistic family view, can be an agent that facilitates the healthy transition of the family caregiver, enabling them to perform their new role. This master's thesis is based on the scoping review methodology, with the objective of mapping and analyzing the scientific evidence on the intervention of the Specialist Nurse in Rehabilitation in the family caregiver burden of the elderly with dementia. For its development, the guidelines recommended by Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR®) of the Joanna Briggs Institute (JBI®) were followed. The search was conducted in SCOPUS®, Web of Science™ and EBSCO®, and in the gray literature: Repositórios Científicos de Acesso Aberto de Portugal, Google Scholar and MedNar. As for the results obtained, 13 studies were included, which advocate the implementation of psychoeducational, psychosocial, home care interventions and with technological resources. In fact, they demonstrate that these programs have a positive impact on reducing the family caregiver's burden, their levels of stress and depression. The present dissertation showed that, to date, there is no evidence about the intervention of the Specialist Nurse in Rehabilitation in the family caregiver burden of the elderly with dementia. Thus, it is essential to carry out research to understand to what extent the Specialist Nurse in Rehabilitation, inserted in an interdisciplinary team, can contribute to improving the assistance provided to the family caregiver.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Cuidador Demência Fardo do Cuidador Reabilitação