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Abstract(s)
Ao longo dos últimos anos, com a funcionalidade a não acompanhar o aumento da esperança média de vida, houve um acréscimo do número de pessoas a enfrentar processos de transição que implicam, em algum momento, passar pela situação de dependência relativamente à satisfação das suas necessidades de autocuidado. Este processo, quando associado a situações de recuperação pós doença/acidente, envolve, muitas das vezes, a passagem por uma unidade de internamento na Rede Nacional de Cuidados Continuados Integrados, onde existem profissionais de enfermagem envolvidos no processo de reconstrução do autocuidado. Contudo, apesar do seu, inegável, envolvimento, a visibilidade da ação efetiva dos enfermeiros neste domínio ainda não está, claramente, explícita, razão pela qual se projetou uma scoping review seguindo as recomendações metodológicas do Joanna Briggs Institute Reviewer’s Manual. Na literatura analisada emergem quatro fatores determinantes para a dependência do autocuidado ao nível das alterações dos processos corporais, em que os enfermeiros se envolvem, sendo estes a perda da capacidade para realizar movimentos articulares finos, perda de força muscular, perda de equilíbrio e perda da capacidade de coordenação de movimentos. Os enfermeiros destacam-se quer na avaliação das necessidades de autocuidado, como na prescrição de intervenções sistematizadas, de onde se destaca o treino de marcha, de equilíbrio e de capacidade para realizar as atividades de vida diária, estruturadas de acordo com as necessidades individuais, com o objetivo de obter ganhos em saúde nos diferentes domínios do autocuidado, principalmente ao nível das atividades de vida diária. Esta scoping review evidencia a necessidade dos cuidados de enfermagem na RNCCI, dado que estes podem ser traduzidos em ganhos em saúde significativos e diretos para os indivíduos e seus familiares.
Over the last few years, with functionality not keeping up with the increase in average life expectancy, there has been an increase in the number of people facing transition processes that imply, at some point, going through a situation of dependence in relation to the satisfaction of their needs. of self-care. This process, when associated with post-illness/accident recovery situations, often involves going through an inpatient unit in the National Network of Integrated Continuing Care, where there are nursing professionals involved in the self-care reconstruction process. However, despite their undeniable involvement, the visibility of nurses' effective action in this domain is still not clearly explicit, which is why a scoping review was designed following the methodological recommendations of the Joanna Briggs Institute Reviewer's Manual. In the analyzed literature, four determining factors emerge for the dependence of selfcare in terms of changes in body processes, in which nurses are involved, which are the loss of ability to perform fine joint movements, loss of muscle strength, loss of balance and loss of ability of movement coordination. Nurses stand out both in assessing self-care needs and in prescribing systematic interventions (including gait, balance and ability to perform activities of daily living, structured according to individual needs, with the objective of obtaining health gains in the different domains of self-care, mainly in terms of activities of daily living. This scoping review highlights the need for nursing care in the RNCCI, as these can be translated into significant and direct health gains for individuals and their families.
Over the last few years, with functionality not keeping up with the increase in average life expectancy, there has been an increase in the number of people facing transition processes that imply, at some point, going through a situation of dependence in relation to the satisfaction of their needs. of self-care. This process, when associated with post-illness/accident recovery situations, often involves going through an inpatient unit in the National Network of Integrated Continuing Care, where there are nursing professionals involved in the self-care reconstruction process. However, despite their undeniable involvement, the visibility of nurses' effective action in this domain is still not clearly explicit, which is why a scoping review was designed following the methodological recommendations of the Joanna Briggs Institute Reviewer's Manual. In the analyzed literature, four determining factors emerge for the dependence of selfcare in terms of changes in body processes, in which nurses are involved, which are the loss of ability to perform fine joint movements, loss of muscle strength, loss of balance and loss of ability of movement coordination. Nurses stand out both in assessing self-care needs and in prescribing systematic interventions (including gait, balance and ability to perform activities of daily living, structured according to individual needs, with the objective of obtaining health gains in the different domains of self-care, mainly in terms of activities of daily living. This scoping review highlights the need for nursing care in the RNCCI, as these can be translated into significant and direct health gains for individuals and their families.
Description
Keywords
Autocuidado Cuidados de enfermagem Rede Nacional de Cuidados Continuados Self-care Nursing care National continuing care network