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Dependência em Cuidados de Enfermagem de Reabilitação da Pessoa com Doença Respiratória na RAM
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Abstract(s)
Ao aumento da longevidade associam-se elevados índices de dependência devido ao aumento das doenças incapacitantes, como as doenças respiratórias. Estas assumem-se como patologias com grandes handicaps na autonomia e autocuidado representando um desafio para a enfermagem de reabilitação. A avaliação do grau de dependência, permite aos Enfermeiros especialistas em enfermagem de reabilitação um trabalho sistemático e de rigor na promoção e na avaliação da autonomia.
Este estudo quantitativo, descritivo e transversal permitiu avaliar o nível de dependência da pessoa com doença do foro respiratório alvo de cuidados especializados de enfermagem de reabilitação na Região Autónoma da Madeira, partindo-se da questão: Qual o nível de dependência das pessoas com doença respiratória alvo dos cuidados especializados em enfermagem de reabilitação na Região Autónoma da Madeira?
Teve como objetivos caracterizar as pessoas com doença respiratória alvo dos cuidados de enfermagem de reabilitação na Região Autónoma da Madeira e quantificar a dependência destas, através da aplicação da Escala de Dependência em Cuidados de Enfermagem de Reabilitação a um conjunto de 64 pessoas.
Os achados mostram uma população envelhecida, do género feminino, casada, com habilitações ao nível do 1º ciclo do ensino básico, reformada ou inválida, que apresenta, maioritariamente, dificuldade na mobilidade como resultado da doença respiratória.
A dependência é mais acentuada nos idosos, do género masculino, que não sabem ler nem escrever, viúvos, reformados ou inválidos, naqueles que vivem com outros familiares, possuem cuidador informal e encontram-se nas Unidades de Internamento de Longa Duração e Rede Regional de Cuidados Continuados Integrados.
O item H, Higiene, é o que apresenta uma maior percentagem de participantes no grau mais grave de dependência. Na observação da distribuição das pessoas com doença do foro respiratório independentes, concluímos que a totalidade dos participantes se apresenta nos itens B, C e G (continência, postura corporal e temperatura corporal) no grau de maior independência, i.e. grau 5.
Este estudo mostra-nos que é importante para a prática do Enfermeiro especialista em enfermagem de reabilitação conhecer as necessidades reais das pessoas alvo dos seus cuidados, de forma a poder estabelecer um plano de cuidados individualizado e assertivo,
estabelecendo um plano preventivo que responda às reais necessidades apresentadas, capacitando a pessoa para o seu autocuidado.
Increased longevity is associated with high levels of dependence due to the growth in disabling diseases, such as respiratory diseases. These are assumed as pathologies with large handicaps in autonomy and self-care, representing a challenge for rehabilitation nursing. The assessment of the degree of dependence, allows specialized nurses in rehabilitation nursing to work systematically and rigorously in the promotion and assessment of autonomy. This quantitative, descriptive and cross-sectional study made it possible to assess the level of dependence of the person with respiratory illness target of specialized rehabilitation nursing care in the Autonomous Region of Madeira, having departed from the research question: What is the level of dependence of people with respiratory disease under specialized care in rehabilitation nursing in the Autonomous Region of Madeira? It aimed to characterize people with respiratory diseases targeted by rehabilitation nursing care in the Autonomous Region of Madeira and to quantify their dependence, through the application of the Dependence Scale in Rehabilitation Care to a group of 64 people. The findings show that the target population is aged, female, married, with qualifications in the 1st cycle of elementary education, retired or disabled, and largely evidence mobility difficulties as a result of respiratory diseases. Dependence is rather noticeable among the elderly, and male, who do not know how to read or write, widowed, retired or disabled, among those who live with other family members/relatives, those who have an informal caregiver or are part of Long Term Care Units and the Regional Network of Integrated Continuous Care. Item H, Hygiene, is the one with the highest percentage of participants in the most severe degree of dependence. By observing the distribution of people with independent respiratory diseases, it is concluded that all participants are enclosed in items B, C and G (continence, body posture and body temperature) in a degree of greater independence, i.e., level 5. This study shows that it is important for the practice of the nurse specialist in rehabilitation nursing to learn about the real needs of the people object of their care, in order to be able to establish an individualized and assertive care plan, devise a preventive plan likely to meet the real needs disclosed, and enabling individual users to self-care.
Increased longevity is associated with high levels of dependence due to the growth in disabling diseases, such as respiratory diseases. These are assumed as pathologies with large handicaps in autonomy and self-care, representing a challenge for rehabilitation nursing. The assessment of the degree of dependence, allows specialized nurses in rehabilitation nursing to work systematically and rigorously in the promotion and assessment of autonomy. This quantitative, descriptive and cross-sectional study made it possible to assess the level of dependence of the person with respiratory illness target of specialized rehabilitation nursing care in the Autonomous Region of Madeira, having departed from the research question: What is the level of dependence of people with respiratory disease under specialized care in rehabilitation nursing in the Autonomous Region of Madeira? It aimed to characterize people with respiratory diseases targeted by rehabilitation nursing care in the Autonomous Region of Madeira and to quantify their dependence, through the application of the Dependence Scale in Rehabilitation Care to a group of 64 people. The findings show that the target population is aged, female, married, with qualifications in the 1st cycle of elementary education, retired or disabled, and largely evidence mobility difficulties as a result of respiratory diseases. Dependence is rather noticeable among the elderly, and male, who do not know how to read or write, widowed, retired or disabled, among those who live with other family members/relatives, those who have an informal caregiver or are part of Long Term Care Units and the Regional Network of Integrated Continuous Care. Item H, Hygiene, is the one with the highest percentage of participants in the most severe degree of dependence. By observing the distribution of people with independent respiratory diseases, it is concluded that all participants are enclosed in items B, C and G (continence, body posture and body temperature) in a degree of greater independence, i.e., level 5. This study shows that it is important for the practice of the nurse specialist in rehabilitation nursing to learn about the real needs of the people object of their care, in order to be able to establish an individualized and assertive care plan, devise a preventive plan likely to meet the real needs disclosed, and enabling individual users to self-care.
Description
Keywords
Dependência Enfermagem de Reabilitação Pessoa com Doença Respiratória EDC-R