THE CONTRIBUTION OF NURSES SPECIALISTS IN REHABILITATION NURSING TO QUALITY OF CARE | Author : Maria Manuela Martins, Olga Ribeiro, João Ventura da Silva | Abstract | Full Text | Abstract :Objective: To understand the perception of nurses who are specialists in rehabilitation nursing, regarding the achievement of quality standards in the hospital context.
Method: A quantitative, descriptive-exploratory study conducted in 36 hospital institutions, with the participation of 306 nurses. A self-filling questionnaire was used to collect data.
Results: The majority of the participants always perform activities that contribute to quality of care. From the analysis performed, the activities of the dimensions of prevention of complications, wellbeing and self-care, functional readaptation and responsibility and rigor are those that the nurses perceive as more executed. On the other hand, the activities less concretized, refer to those included in the dimensions of customer satisfaction, organization of nursing care and, essentially, health promotion.
Conclusion: The data made clear that the contribution of nurses specialists in rehabilitation nursing for quality of care is specifically focused on the descriptive statements well-being and selfcare and functional readaptation. |
| IMPACT OF PULMONARY REHABILITATION ON SELF-CARE HYGIENE, DRESSING/UNDRESSING AND WALKING IN PATIENTS WITH CHRONIC RESPIRATORY DISEASE | Author : Luis Gaspar, Paula Martins | Abstract | Full Text | Abstract :Patients with chronic respiratory disease (CRD) have impaired respiratory process, with a high impact on self-care, namely caused by dyspnoea and fatigue due to immobility induced by the disease. The relevance of this study is to know the impact of pulmonary rehabilitation programs (PRP) on self-care hygiene, dressing / undressing and walking. This is a quasi-experimental study that included CRD patients admitted to PRP and the impact of CRD on self-care was assessed at the beginning and at the end of the PRP. Thirty eight patients were included in the study (71.9% men), median ages 67 years (± 15.6) and FEV1% median of 39.51%. Statistical improvements (p < 0.001) and clinically significant were found in all self-care studied. The data from this study allow us to conclude that this PRP improves functional independence for the Hygiene, Dressing / Undressing and Walking self-care evaluated by the London Chest Activity Scale of Daily Living in CRD patients. |
| BRIEF OVERVIEW OF REHABILITATION NURSING WORLDWIDE | Author : Soraia Dornelles Schoeller, Maria Manuela Martins, Isabel Ribeiro, Daniella Karine Souza Lima, Maria Itayra Padilha, Bárbara Pereira Gomes | Abstract | Full Text | Abstract :Aim: To describe and analyze the world landscape of rehabilitation nursing today.
Method: Descriptive and Retrospectiv study, with research into databases of official sites from the International Council of nurses.
Results: Of the 134 countries surveyed, 13 present rehabilitation nursing. There are common axes between countries and some differences, which gives specificities in each country.
Discussion: Rehabilitation nursing stems from the sequels of soldiers at war.
Conclusion: Rehabilitation Nursing is a philosophy of care, with the realization of specific and intentional care. We must move forward in the global construction and consolidation of the specialty. |
| REVIEWS OF THE SCIENTIFIC LITERATURE: TYPES, METHODS AND APPLICATIONS IN NURSING | Author : Luís Manuel Mota De Sousa, Cristiana Furtado Firmino, Cristina Maria Alves Marques-Vieira, Sandy Silva Pedro Severino, Helena Castelão Figueira Carlos Pestana | Abstract | Full Text | Abstract :Introduction: The interest of nursing in the methodology of systematic review of the literature has been increasing, since it constitutes a method that allows a practice based on scientific evidence with scientific rigor.
Objective: To characterize the different types of literature review and to describe the main steps of a systematic review of the literature
Material and methods: Narrative review of the literature. Database search on the following platforms: Google Academic, Scientific Electronic Library Online (SciELO), EBSCO Host, and Virtual Health Library (VHL). Keywords: meta-analysis; evidence-based medicine; review literature as topic; methodology, in the English and Portuguese languages.
Results: fourteen types of reviews were described and analyzed according to the type of research, evaluation of the methodological quality of the articles included, synthesis of the information collected and global analysis of the data.
The advantages and disadvantages of each type and the main steps of a systematic review of the literature were presented.
Conclusions: A systematic review of the literature is the foundation for evidence-based practice, since it aggregates a large amount of information in a single study. |
| NURSING REHABILITATION INTERVENTIONS IN THE PREVENTION OF PARASTOMAL HERNIAS | Author : Paula Topa, Marina Santos, Carla Castro, Carla Paiva, Cláudia Leite | Abstract | Full Text | Abstract :Abdominal surgery and the confection of a stoma causes trauma to the abdominal muscles.
The quality of life and the adaptation of the person with ostomy are conditioned by complications that may arise in the postoperative period. Among the complications of ostomies, parastomal hernias are those with a higher incidence, making it essential to develop specifically targeted interventions for their prevention.
The UK Association of Stoma Care Nurses in 2016(1) recommended that patients with a stoma undergo an appropriate abdominal exercise program after surgery to strengthen the abdominal muscles and reduce the risk of hernia.
The teaching / learning process of the patients with a stoma should begin in the preoperative period, in order to achieve a more rapid adaptation to lifestyle modifications, thus ensuring a more effective management of the therapeutic regimen and, consequently, a better quality of life.
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| PROFESSIONAL SATISFACTION: A STUDY WITH REHABILITATION NURSES | Author : Raquel Marques, Rui Pimenta, Ana Nascimento | Abstract | Full Text | Abstract :The goal of this study was to analyze the professional satisfaction of rehabilitation nurses, as well as to verify whether
the practice of specialized care or the practice of general care influences your professional satisfaction.
The study involved 306 rehabilitation nurses and their professional satisfaction was evaluated through their responses
to the “Satisfaction in Nurses’ Work Scale”. We used an analytics transverse methodology.
For statistical evaluation, we used factorial analysis, Spearman’s correlation coefficient and parametric test t-student for independent samples.
Our results show that the rehabilitation nurses are slightly dissatisfied.
We found that Nurses who practice general care are more dissatisfied than those who practice specialty care. |
| THE IMPACT OF LOWER URINARY TRACT SYMPTOMS ON PATIENTS WITH MULTIPLE SCLEROSIS | Author : Fernando Manuel Dias Henriques, Cátia Patrícia Palhais Rodrigues | Abstract | Full Text | Abstract :This study aimed to describe the impact of lower urinary tract symptoms on the health-related quality of life of patients with Multiple Sclerosis, using Qualiveen, which assesses the impact, real and perceived, of urinary problems on the quality of life of people with spinal cord injury and multiple sclerosis. A quantitative, descriptive-correlational study was conducted with a nonprobability, convenience sample of 72 patients.
The most common lower urinary tract symptoms are mixed symptoms. Urinary urgency is the most frequent. The
Impact of Urinary Problems on Quality of Life is evident. Higher scores were found among female patients, retired
patients, patients requiring assistance for indoor and outdoor activities of daily living, and patients using protective
devic ception of how they urinate and moderate correlated with the number of lower urinary tract symptoms, the increased urinary frequency per day, and the years of evolution of lower
urinary tract symptoms.
Lower urinary tract symptoms are a common problem in patients with Multiple Sclerosis, with an impact on their
quality of life, with an urgent need, active and immediate intervention of the Rehabilitation Nurses. |
| TIMED UP AND GO TEST IN COMMUNITY-DWELLING PEOPLE WITH STROKE | Author : Heidi de Jesus Faísca Salvado, Sónia Cristina Ferreira Raposo, Ana Isabel Carneiro, Patrícia Maria Silva Fonseca, Luís Manuel Mota Sousa | Abstract | Full Text | Abstract :Background: Stroke is the first cause of acquired disability in adults, causing changes in the normal gait pattern. The use of evaluation tools that are easy to apply, valid, reliable and responsive is imperative.
Objective: To evaluate the metric properties of the Timed Up and go Test in community-dwelling people with stroke.
Method: Systematic Review of Literature based on the recommended actions of the Joanna Brigs Institute for the PICo strategy and PRISMA recommendations, starting with the question: "What are the metric properties of the Timed Up and Go test in community-dwelling people with stroke?"
Results: Five studies were included in this review. This test presents significant reproducibility values and responsiveness. Criterion and construct validity is demonstrated in two studies.
Conclusions: The Timed Up and go Test can be considered as a reliable, valid instrument with responsiveness in community-dwelling people with stroke. |
| PULMONARY REHABILITATION IN PATIENTS WITH BRONCHIECTASIAS NON- CYSTIC FIBROSIS: QUALITY OF LIFE, ANXIETY AND RESPIRATORY FUNCTION | Author : Luis Gaspar, Paula Martins | Abstract | Full Text | Abstract :Bronchiectasis (BQ) are abnormal and irreversible dilations of the bronchi that increased production of secretions and
respiratory infections and can interfere in the Quality of life (QOL).
The objective of this study was to evaluate the effect of a pulmonary rehabilitation program (PRP) on QOL, Anxiety
and Pulmonary Function (PF) in people with BQ.
Prospective, quantitative and exploratory study that included non-cystic fibrosis bronchiectasis patients admitted for
pulmonary rehabilitation (PR). Collecting data of QOL, Anxiety and PF performed before and after PRP.
It included 30 people (39.1% men); mean age of 53.3 years. Statistically significant improvements were found in the
QOL, (p = 0.003, p = 0.005, p = 0.005) and anxiety (p = 0.001). No significant results were found in RF.
The results of this study allow us to conclude that RR improves QOL, reduces anxiety and does not alter PF in people
with non-cystic fibrosis bronchiectasis. |
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