Palavras-chave
Categorias
Como Citar
Citações
Dimensions
Resumo
Introdução: A lesão medular (LM), traz consequências devastadoras do ponto de vista biológico, psicológico e social confrontando a pessoa com múltiplos e complexos desafios. Um programa de reabilitação multidisciplinar deve ser estabelecido desde a fase aguda, com enfase na prevenção de complicações, na promoção do autocuidado, na reeducação funcional e na reinserção social. O enfermeiro de reabilitação tem um papel relevante acompanhando a os primeiros passos dos percursos de autonomia da pessoa com LM. Com este estudo pretende-se mapear áreas de intervenção de enfermagem promotoras de independência e autonomia em pessoas com LM em fase aguda e subaguda.
Metodologia: Revisão do tipo Scoping, com base no modelo do Joanna Briggs Institute. A formulação da questão de investigação baseou-se no acrónimo PCC (População, Conceito e Contexto). Os artigos foram extraídos das bases de dados Web of Science, Scopus, Scielo, PubMed, CINALH e APA PsycInfo, redigidos em português e inglês, com limite temporal 2011-2021.
Resultados: dos 437 estudos identificados incluíram-se 69 na revisão. Formaram-se 10 categorias de áreas de intervenção de enfermagem promotoras de independência e autonomia na pessoa com LM. Foi evidenciada a importância de intervenções promotoras do bem-estar psicológico e de programas de educação para a promoção do autocuidado, prevenção de complicações e regresso a casa seguro.
Conclusão: Garantir uma resposta de tratamento onde se inclui reabilitação adequada e atempada, ainda na fase aguda e subaguda, seguida por serviços de apoio e ambientes acessíveis, ajudarão a minimizar a interrupção dos projetos de vida das pessoas com LM e suas famílias. As áreas de cuidado à pessoa com LM em fase aguda, enquadram-se nas competências específicas do enfermeiro de reabilitação.
Referências
World Health Organization, Bickenbach Jerome, International Spinal Cord Society. International perspectives on spinal cord injury. 2013.
Spinal Injuries Association. Spinal Cord Injury – in the early days. 2010. Available from: https://www.spinal.co.uk/wp-content/uploads/2015/07/Early-Days-proofs-for-reprint.pdf.
Ordem dos Enfermeiros, Comissão de Especialidade de Enfermagem de Reabilitação. Guia de Boa Prática de Cuidados de Enfermagem à Pessoa com Traumatismo Vértebro?Medular 2009.
Poole D, Robertson P. Spinal Cord Injury. Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care: Wiley Blackwell; 2014. p. 251-64.
Emerich L, Parsons K, Stein A. Competent Care for persons with spinal cord injury and dysfunction in acute inpatient rehabilitation. Top Spinal Cord Inj Rehabil. 2012;18(2):149-66.
Ordem Dos Enfermeiros. Regulamento das Competências Específicas do Enfermeiro Especialista em Enfermagem de Reabilitação. Lisboa: Diário da República; 2011.
Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis. 2020;18(10):2119-26.
Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141-6.
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73.
Sousa L, Firmino C, Marques-Vieira C, Severino S, Pestana H. Revisões da literatura científica: tipos, métodos e aplicações em enfermagem. Revista Portuguesa de Enfermagem de Reabilitação. 2018;1:46-55.
Gundogdu I, Ozturk EA, Umay E, Karaahmet OZ, Unlu E, Cakci A. Implementation of a respiratory rehabilitation protocol: weaning from the ventilator and tracheostomy in difficult-to-wean patients with spinal cord injury. Disabil Rehabil. 2017;39(12):1162-70.
Krause E, Ferro- Chartrand L. A Breath of Fresh Air: Diaphragmatic Pacing for Quadriplegic Patients. Canadian Journal of Critical Care Nursing. 2017;28(2):36-7.
Alavinia SM, Omidvar M, Farahani F, Bayley M, Zee J, Craven BC. Enhancing quality practice for prevention and diagnosis of urinary tract infection during inpatient spinal cord rehabilitation. Journal of Spinal Cord Medicine. 2017;40(6):803-12.
Böthig R, Geng V, Kurze I. Management and implementation of intermittent catheterization in neurogenic lower urinary tract dysfunction. International Journal of Urological Nursing. 2017;11(3):173-81.
Evardone M, Wilson CS, Weinel D, Soble JR, Kang Y. Does attendance in SCI education courses impact health outcomes in acute rehabilitation? J Spinal Cord Med. 2018;41(1):17-27.
Mazzo A, Souza-Junior VD, Jorge BM, Nassif A, Biaziolo CF, Cassini MF, et al. Intermittent urethral catheterization-descriptive study at a Brazilian service. Appl Nurs Res. 2014;27(3):170-4.
Nade ES, Andriessen MVE, Rimoy F, Maendeleo M, Saria V, Moshi HI, et al. Intermittent catheterisation for individuals with disability related to spinal cord injury in Tanzania. Spinal Cord Ser Cases. 2020;6(1):66.
New PW, Dillon L. Neurogenic Bladder and Urodynamic Outcomes in Patients with Spinal Cord Myelopathy. Top Spinal Cord Inj Rehabil. 2015;21(3):250-6.
Tang F, Cheng Z, Wen X, Guan J. Effect of continuous care intervention on the quality of life in patients with neurogenic bladder dysfunction. J Int Med Res. 2019;47(5):2011-7.
Boucher M, Dukes S, Bryan S, Branagan G. Early Colostomy Formation Can Improve Independence Following Spinal Cord Injury and Increase Acceptability of Bowel Management. Top Spinal Cord Inj Rehabil. 2019;25(1):23-30.
Mazor Y, Jones M, Andrews A, Kellow JE, Malcolm A. Anorectal biofeedback for neurogenic bowel dysfunction in incomplete spinal cord injury. Spinal Cord. 2016;54(12):1132-8.
Yin Q, Wang C, Yu J, Zhang Q. Quantitative assessment-based nursing intervention improves bowel function in patients with neurogenic bowel dysfunction after spinal cord injury: Study protocol for a randomized controlled study. Medicine. 2020;99(51):e23354-e.
Zhang Y, Xia X, Zhuang X. Effect of quantitative assessment-based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. J Clin Nurs. 2018;27(5-6):e1146-e51.
Dimbwadyo-Terrer I, Gil-Agudo A, Segura-Fragoso A, de los Reyes-Guzmán A, Trincado-Alonso F, Piazza S, et al. Effectiveness of the Virtual Reality System Toyra on Upper Limb Function in People with Tetraplegia: A Pilot Randomized Clinical Trial. Biomed Res Int. 2016;2016:6397828.
Dimbwadyo-Terrer I, Trincado-Alonso F, de Los Reyes-Guzmán A, Aznar MA, Alcubilla C, Pérez-Nombela S, et al. Upper limb rehabilitation after spinal cord injury: a treatment based on a data glove and an immersive virtual reality environment. Disabil Rehabil Assist Technol. 2016;11(6):462-7.
Jannings W, Pryor J. The experiences and needs of persons with spinal cord injury who can walk. Disability and Rehabilitation: An International, Multidisciplinary Journal. 2012;34(21):1820-6.
Panisset MG, El-Ansary D, Dunlop SA, Marshall R, Clark J, Churilov L, et al. Factors influencing thigh muscle volume change with cycling exercises in acute spinal cord injury - a secondary analysis of a randomized controlled trial. J Spinal Cord Med. 2020:1-12.
Pinto D, Garnier M, Barbas J, Chang SH, Charlifue S, Field-Fote E, et al. Budget impact analysis of robotic exoskeleton use for locomotor training following spinal cord injury in four SCI Model Systems. J Neuroeng Rehabil. 2020;17(1):4.
Powell-Cope G, Moore DH, Weaver FM, Thomason S. Perceptions of practice guidelines for people with spinal cord injury. Rehabil Nurs. 2015;40(2):100-10.
Thomassen GK, Jørgensen V, Normann B. "Back at the same level as everyone else"-user perspectives on walking with an exoskeleton, a qualitative study. Spinal Cord Ser Cases. 2019;5:103.
Forrest G, Huss S, Patel V, Jeffries J, Myers D, Barber C, et al. Falls on an inpatient rehabilitation unit: Risk assessment and prevention. Rehabilitation Nursing. 2012;37(2):56-61.
Boyd H. The Integrative Therapy Nurse: A Valuable Player in Symptom Management. Am J Nurs. 2018;118(11):64-9.
Chase T, Jha A, Brooks CA, Allshouse A. A pilot feasibility study of massage to reduce pain in people with spinal cord injury during acute rehabilitation. Spinal Cord. 2013;51(11):847-51.
Urton MS, Rohlik E, Farrell M, Ng W, Woodard EK. Decreasing Opioid Utilization in Rehabilitation Patients Using a Clinical Nurse Specialist Pain Consultant Program. Arch Phys Med Rehabil. 2017;98(12):2491-7.
Brose SW, Wali E. Multidisciplinary approach to converting power chair into motorized prone cart. J Rehabil Res Dev. 2014;51(9):1377-82.
Cobb JE, Bélanger LM, Park SE, Shen T, Rivers CS, Dvorak MF, et al. Evaluation of a pilot Pressure Ulcer Prevention Initiative (PUPI) for patients with traumatic spinal cord injury. J Wound Care. 2014;23(5):211-2, 4, 6-8 passim.
Diaz D, Lafontant A, Neidrauer M, Weingarten MS, DiMaria-Ghalili RA, Scruggs E, et al. Pressure injury prediction using diffusely scattered light. J Biomed Opt. 2017;22(2):25003.
Gabison S, McGillivray C, Hitzig SL, Nussbaum E. A study of the utility and equivalency of 2 methods of wound measurement: digitized tracing versus digital photography. Adv Skin Wound Care. 2015;28(6):252-8.
Kim JY, Cho E. Evaluation of a self-efficacy enhancement program to prevent pressure ulcers in patients with a spinal cord injury. Jpn J Nurs Sci. 2017;14(1):76-86.
Liu X, Meng Q, Song H, Zhao T. A traditional Chinese herbal formula improves pressure ulcers in paraplegic patients: A randomized, parallel-group, retrospective trial. Exp Ther Med. 2013;5(6):1693-6.
Thomason SS, Graves BA, Madaris L. A pilot study to evaluate the role of the Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) in clinical decisions for pressure ulcer treatment. Ostomy Wound Manage. 2014;60(12):28-36.
Thomason SS, Powell-Cope G, Peterson MJ, Guihan M, Wallen ES, Olney CM, et al. A Multisite Quality Improvement Project to Standardize the Assessment of Pressure Ulcer Healing in Veterans with Spinal Cord Injuries/Disorders. Adv Skin Wound Care. 2016;29(6):269-76.
Wolfe DL, Hsieh JTC, Kras-Dupuis A, Riopelle RJ, Walia S, Guy S, et al. An inclusive, online Delphi process for setting targets for best practice implementation for spinal cord injury. J Eval Clin Pract. 2019;25(2):290-9.
Wong S, Derry F, Grimble G, Forbes A. How do spinal cord injury centres manage malnutrition? A cross-sectional survey of 12 regional centres in the United Kingdom and Ireland. Spinal Cord. 2012;50(2):132-5.
Wong S, Graham A, Hirani SP, Charlton D, Coalwood S, McKeown E, et al. Review of dietetic service provision and activity in spinal cord injury centres: a multicentre survey in the UK and Republic of Ireland. Spinal Cord. 2015;53(12):855-9.
Ates E, Ok E, Ayaz Ö. The relationship between hopelessness and sexual problems in spinal cord injury. Sexuality and Disability. 2020.
Brundage JA, Williams RD, Powell K, Raab J, Engler C, Rosin N, et al. An Interdisciplinary Sexual Health Rehabilitation Program for Veterans with Spinal Cord Injury: Case Reports. Sexuality and Disability. 2020;38(2):343-53.
Aktürk S, Aktürk Ü. Determining the spiritual well-being of patients with spinal cord injury. J Spinal Cord Med. 2020;43(1):69-76.
Angel S, Kroll T. Placing rehabilitation and recovery after spinal cord injury into a biographical context: a U.S. versus Danish case comparison. J Neurosci Nurs. 2012;44(6):298-306.
Bender AA, Burgess EO. Constructing Recovery Narratives: Experiences and Expectations Following Spinal Cord Injury. Rehabil Nurs. 2020;45(5):254-62.
Fuseini A-G, Aniteye P, Kofi-Helegbe G. Barriers and facilitators related to the health care system in spinal cord injury. Nursing Practice Today. 2018;5(3):335-46.
Garrino L, Curto N, Decorte R, Felisi N, Matta E, Gregorino S, et al. Towards personalized care for persons with spinal cord injury: a study on patients' perceptions. Journal of Spinal Cord Medicine. 2011;34(1):67-75.
Li Y, Bressington D, Chien W-T. Pilot evaluation of a coping-oriented supportive program for people with spinal cord injury during inpatient rehabilitation. Disability and Rehabilitation: An International, Multidisciplinary Journal. 2019;41(2):182-90.
Li Y, Chien WT, Bressington D. Effects of a coping-oriented supportive programme for people with spinal cord injury during inpatient rehabilitation: a quasi-experimental study. Spinal Cord. 2020;58(1):58-69.
Li Y, Chien WT, Zhu B, He H, Bressington D. Predictors of Self-Efficacy Among People With Spinal Cord Injury During Inpatient Rehabilitation: A Cross-Sectional Study. J Nurs Scholarsh. 2021;53(2):218-26.
Warnock C, Tod A. A descriptive exploration of the experiences of patients with significant functional impairment following a recent diagnosis of metastatic spinal cord compression. Journal of Advanced Nursing. 2014;70(3):564-74.
Lusilla-Palacios P, Castellano-Tejedor C, Lucrecia Ramírez G, Navarro-Sanchís JA, Rodríguez-Urrutia A, Parramon-Puig G, et al. Training professionals' communication and motivation skills to improve spinal cord injury patients' satisfaction and clinical outcomes: Study protocol of the ESPELMA trial. J Health Psychol. 2015;20(10):1357-68.
Molina B, Segura A, Serrano JP, Alonso FJ, Molina L, Pérez-Borrego YA, et al. Cognitive performance of people with traumatic spinal cord injury: a cross-sectional study comparing people with subacute and chronic injuries. Spinal Cord. 2018;56(8):796-805.
Molina-Gallego B, Gómez-Cantarino S, Ugarte-Gurrutxaga MI, Molina-Gallego L, Mordillo-Mateos L. Neuropsychological Study in Patients with Spinal Cord Injuries. Healthcare (Basel). 2021;9(3).
Rundquist J, Gassaway J, Bailey J, Lingefelt P, Reyes IA, Thomas J. Nursing bedside education and care management time during inpatient spinal cord injury rehabilitation. Journal of Spinal Cord Medicine. 2011;34(2):205-15.
Liu S, Wang L, Cao C, Zhang J. The factor structure of posttraumatic stress disorder symptoms in patients with traumatic spinal cord injuries. Arch Psychiatr Nurs. 2014;28(5):301-4.
Evans ME, Kralovic SM, Simbartl LA, Obrosky DS, Hammond MC, Goldstein B, et al. Prevention of methicillin-resistant Staphylococcus aureus infections in spinal cord injury units. American Journal of Infection Control. 2013;41(5):422-6.
Eberhard B, Knüppel Lauener S, Mahrer Imhof R. Perspectives From Family Caregivers of Persons With Spinal Cord Injury in Hospital Versus Rehabilitation: A Pilot Study. Rehabil Nurs. 2019;44(6):311-8.
Juguera Rodríguez L, Pardo Ríos M, Castillo Hermoso M, Pérez Alonso N, Leal Costa C, Díaz Agea JL. Impact of simulation-based learning on family caregivers during the rehabilitation period of individuals with spinal cord injury. Spinal Cord. 2020;58(1):95-105.
Castellano-Tejedor C, Lusilla-Palacios P. A study of burden of care and its correlates among family members supporting relatives and loved ones with traumatic spinal cord injuries. Clin Rehabil. 2017;31(7):948-56.
Conti A, Garrino L, Montanari P, Dimonte V. Informal caregivers' needs on discharge from the spinal cord unit: Analysis of perceptions and lived experiences. Disability and Rehabilitation: An International, Multidisciplinary Journal. 2016;38(2):159-67.
Adogwa O, Elsamadicy AA, Sergesketter A, Vuong VD, Moreno J, Cheng J, et al. Independent Association Between Preoperative Cognitive Status and Discharge Location After Surgery: A Strategy to Reduce Resource Use After Surgery for Deformity. World Neurosurg. 2018;110:e67-e72.
Cheng CL, Plashkes T, Shen T, Fallah N, Humphreys S, O'Connell C, et al. Does specialized inpatient rehabilitation affect whether or not people with traumatic spinal cord injury return home? Journal of Neurotrauma. 2017;34(20):2867-76.
Gulati A, Yeo CJ, Cooney AD, McLean AN, Fraser MH, Allan DB. Functional outcome and discharge destination in elderly patients with spinal cord injuries. Spinal Cord. 2011;49(2):215-8.
New PW, Scivoletto G, Smith É, Townson A, Gupta A, Reeves RK, et al. International survey of perceived barriers to admission and discharge from spinal cord injury rehabilitation units. Spinal Cord. 2013;51(12):893-7.
Cazares Miranda V, Solís Flores L, Granados Rangel MG, Méndoza Hernández F, López Alvarenga JC. Benefits of personalised nurse counselling in neurological patients. Rev Cient Soc Esp Enferm Neurol. 2017;46:18-25.
Delparte JJ, Chau BA, Mills S, Burns AS. Spinal Cord Essentials: the development of an individualized, handout-based patient and family education initiative for people with spinal cord injury. Spinal Cord. 2014;52(5):400-6.
Ljungberg I, Kroll T, Libin A, Gordon S. Using peer mentoring for people with spinal cord injury to enhance self?efficacy beliefs and prevent medical complications. Journal of Clinical Nursing. 2011;20(3-4):351-8.
Roth K, Mueller G, Wyss A. Experiences of peer counselling during inpatient rehabilitation of patients with spinal cord injuries. Spinal Cord Ser Cases. 2019;5:1.
Holm NJ, Møller T, Adamsen L, Dalsgaard LT, Biering-Sorensen F, Schou LH. Health promotion and cardiovascular risk reduction in people with spinal cord injury: physical activity, healthy diet and maintenance after discharge- protocol for a prospective national cohort study and a preintervention- postintervention study. BMJ Open. 2019;9(12):e030310.
Bailey J, Dijkers MP, Gassaway J, Thomas J, Lingefelt P, Kreider SE, et al. Relationship of nursing education and care management inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project. J Spinal Cord Med. 2012;35(6):593-610.
Gassaway J, Jones ML, Sweatman WM, Young T. Peer-led, transformative learning approaches increase classroom engagement in care self-management classes during inpatient rehabilitation of individuals with spinal cord injury. Journal of Spinal Cord Medicine. 2019;42(3):338-46.
Etingen B, Martinez RN, Vallette MA, Dendinger R, Bidassie B, Miskevics S, et al. Patient perceptions of environmental control units: Experiences of Veterans with spinal cord injuries and disorders receiving inpatient VA healthcare. Disability and Rehabilitation: Assistive Technology. 2018;13(4):325-32.
Martinez RN, Etingen B, French DD, Vallette MA, Bidassie B, Cozart HT, et al. An ecological perspective on implementing environmental control units for veterans with spinal cord injuries and disorders. Disability & Rehabilitation: Assistive Technology. 2020;15(1):67-75.
Nas K, Yazmalar L, ?ah V, Ayd?n A, Öne? K. Rehabilitation of spinal cord injuries. World J Orthop. 2015;6(1):8-16.
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
Direitos de Autor (c) 2021 Revista Portuguesa de Enfermagem de Reabilitação
Downloads
| Acessos ao Resumo | 2480 |
|---|
| 1718 |
|---|