Abstract(s)
Introdução: As demências são reconhecidas como uma das principais perturbações neurocognitivas, sendo responsáveis por grande parte da perda de autonomia e pela necessidade de cuidados residenciais e institucionais entre idosos. Esta realidade reforça a importância da implementação de estratégias de intervenção inovadoras, utilizando novas tecnologias para manter ou melhorar o funcionamento cognitivo e promover o bem-estar de pessoas com demência. Este estudo teve como objetivo implementar um programa de estimulação cognitiva digital para idosos com demência e avaliar o seu impacto na cognição e autonomia dos residentes de uma Estrutura Residencial para Pessoas Idosas (ERPI).
Materiais e Métodos: A metodologia seguiu as diretrizes de Filho, Ferreira-Borges e Frasquilho (2008), com o projeto desenvolvido em várias etapas. Os critérios de inclusão para os participantes foram: idade superior a 65 anos, residência numa ERPI, interesse em participar, diagnóstico médico de demência nas fases iniciais, e capacidade de leitura e escrita. A avaliação inicial dos participantes foi realizada utilizando o Montreal Cognitive Assessment (MoCA) para a função cognitiva e o Índice de Barthel para a autonomia nas atividades de vida diária. Entre março e abril de 2024, foi implementado o programa de estimulação cognitiva digital siosLIFE, conduzido por um Enfermeiro Especialista em Saúde Mental e Psiquiátrica (EESMP). Este programa incluiu intervenções personalizadas e estruturadas, visando estimular áreas cognitivas como orientação, concentração, atenção, memória e pensamento abstrato, através de técnicas como orientação para a realidade, terapia de reminiscência, estimulação social, exercícios físicos, autocuidado, entre outros. Após a implementação, os instrumentos de avaliação foram reaplicados, juntamente com um questionário de satisfação para os participantes e stakeholders. Todos os princípios éticos relevantes foram respeitados.
Resultados: O programa foi aplicado durante seis semanas, com vinte sessões estruturadas e personalizadas realizadas para dez idosas, com uma idade média de 82,80 anos (DP = 7,81). Houve uma melhoria significativa na função cognitiva de todos os participantes, com um aumento médio de 10,10 pontos no MoCA. Observou-se também uma melhoria na autonomia dos idosos, com um aumento médio de 3,5 pontos no Índice de Barthel. Todos os participantes consideraram a experiência "muito satisfatória", destacando a importância de "ocupar a mente" e "estimulá-la". Os stakeholders identificaram como principais pontos
fortes do projeto "a inovação", "a socialização dos idosos", "a melhoria cognitiva" e "a acessibilidade às plataformas digitais".
Conclusão: O programa de estimulação cognitiva digital demonstrou eficácia na melhoria das funções cognitivas e da autonomia dos idosos com demência em ERPIs. Os aumentos nos scores do MoCA e no Índice de Barthel, juntamente com a elevada satisfação dos participantes, enfatizam a relevância do uso de tecnologias digitais como ferramenta de intervenção cognitiva para idosos institucionalizados.
Introduction: Dementias are recognised as a major neurocognitive disorder and are consequently among the leading causes of loss of autonomy and the need for residential and institutional care for the elderly. This reality highlights the importance of implementing innovative intervention strategies using new technologies to maintain or improve cognitive functioning and promote the well-being of people with this condition. This study aimed to implement a digital cognitive stimulation program for older adults with dementia and assess its impact on cognition and autonomy among residents of a Residential Care Facility for the Elderly (ERPI). Materials and Methods: The project methodology was developed in several stages, following the guidelines presented by Filho, Ferreira-Borges, and Frasquilho (2008). The inclusion criteria for participants were being over 65 years old, residing in an ERPI, demonstrating interest in participating, having a medical diagnosis of dementia in its early stages, and having the ability to read and write. A preliminary assessment of the elderly participants was conducted using the following instruments: the Montreal Cognitive Assessment (MoCA) to assess cognitive function and the Barthel Index to measure autonomy in activities of daily living. Subsequently, between March and April 2024, the digital cognitive stimulation program siosLIFE was implemented by a Specialist Nurse in Mental Health and Psychiatry (EESMP). This digital program allows for personalised and structured interventions aimed at stimulating the most affected cognitive areas, such as orientation, concentration, attention, memory, and abstract thinking, through techniques such as reality orientation, reminiscence therapy, social stimulation, physical exercise, self-care, and other strategies based on calculation exercises, drawing and painting, cognitive memory games, concentration exercises, and social interactions. After the implementation phase, the scales were reapplied, along with a satisfaction questionnaire for the users and stakeholders. All ethical principles inherent to this type of project were respected. Results: The program was applied over six weeks, with twenty structured and personalised sessions conducted for ten older women with an average age of 82.80 years (SD = 7.81). An improvement in cognitive function was observed in all elderly participants, with an average increase of 10.10 points on the MoCA. There was also an improvement in the autonomy of older people, with an average increase of 3.5 points on the Barthel Index. All participants reported that participating in the project was productive and yielded positive results, rating it as "very satisfactory." Stakeholders highlighted as critical strengths "the innovation of the project," "the socialisation of the institution's elderly," "improvement in cognition," and "accessibility to digital platforms." Conclusion: The digital cognitive stimulation program demonstrated efficacy in improving the mental functions and autonomy of elderly patients with dementia in ERPIs. With the increase in scores on the MoCA and Barthel Index and the high satisfaction of the participants, the project emphasises the importance of new technologies in cognitive intervention for older people.
Introduction: Dementias are recognised as a major neurocognitive disorder and are consequently among the leading causes of loss of autonomy and the need for residential and institutional care for the elderly. This reality highlights the importance of implementing innovative intervention strategies using new technologies to maintain or improve cognitive functioning and promote the well-being of people with this condition. This study aimed to implement a digital cognitive stimulation program for older adults with dementia and assess its impact on cognition and autonomy among residents of a Residential Care Facility for the Elderly (ERPI). Materials and Methods: The project methodology was developed in several stages, following the guidelines presented by Filho, Ferreira-Borges, and Frasquilho (2008). The inclusion criteria for participants were being over 65 years old, residing in an ERPI, demonstrating interest in participating, having a medical diagnosis of dementia in its early stages, and having the ability to read and write. A preliminary assessment of the elderly participants was conducted using the following instruments: the Montreal Cognitive Assessment (MoCA) to assess cognitive function and the Barthel Index to measure autonomy in activities of daily living. Subsequently, between March and April 2024, the digital cognitive stimulation program siosLIFE was implemented by a Specialist Nurse in Mental Health and Psychiatry (EESMP). This digital program allows for personalised and structured interventions aimed at stimulating the most affected cognitive areas, such as orientation, concentration, attention, memory, and abstract thinking, through techniques such as reality orientation, reminiscence therapy, social stimulation, physical exercise, self-care, and other strategies based on calculation exercises, drawing and painting, cognitive memory games, concentration exercises, and social interactions. After the implementation phase, the scales were reapplied, along with a satisfaction questionnaire for the users and stakeholders. All ethical principles inherent to this type of project were respected. Results: The program was applied over six weeks, with twenty structured and personalised sessions conducted for ten older women with an average age of 82.80 years (SD = 7.81). An improvement in cognitive function was observed in all elderly participants, with an average increase of 10.10 points on the MoCA. There was also an improvement in the autonomy of older people, with an average increase of 3.5 points on the Barthel Index. All participants reported that participating in the project was productive and yielded positive results, rating it as "very satisfactory." Stakeholders highlighted as critical strengths "the innovation of the project," "the socialisation of the institution's elderly," "improvement in cognition," and "accessibility to digital platforms." Conclusion: The digital cognitive stimulation program demonstrated efficacy in improving the mental functions and autonomy of elderly patients with dementia in ERPIs. With the increase in scores on the MoCA and Barthel Index and the high satisfaction of the participants, the project emphasises the importance of new technologies in cognitive intervention for older people.
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Keywords
Demência Cognição Saúde do Idoso Institucionalizado Instituição de Longa Permanência para Idosos E-Saúde
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