Keywords
Gait
Nursing Care
Self Care
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Abstract
Introduction: Hospitalisation is associated with low levels of mobility, with an impact on the ability to walk, especially in older populations. This study aims to identify the relationship between nursing interventions in the gait domain in the hospital and the self-care walking.
Methodology: Quantitative, retrospective, descriptive and correlational study with data from the clinical records of nurses at a university hospital related to inpatient with nursing diagnoses and interventions related to selfcare walking.
Results: The sample refers to a predominantly elderly population (mean age 65,99 years (Standard Deviation 16,73)) and dependent on walking (69,7%). Of 6546 participants, 1142 (17,4%) had musculoskeletal pathologies as their admission diagnosis, 916 (14%) external cause injuries and 903 (13.8%) diseases of the circulatory system. Nursing interventions in the field of gait were carried out in Internal Medicine (22,9%), Orthopedics (17,9%) and Neurosurgery (13,1%) department. While in hospital, each participant received an average of 24 nursing interventions (SD 50.37), with “assisting with walk” being the most frequent (47%). Under nursing interventions in the gait domain, 92,15% of participants maintained or improved their ability to walk (p<0,001). Specialized programs for gait training were applied to 6,5% of the participants, of which 7,9% acquired this ability while still in the hospital. The acquisition of competence to walk with a walking aid was verified in 28% of the participants who needed the adaptive equipment (p<0,001). 88,8% participants were discharged home. Gait independency participants at discharge were hospitalized for less than 1,44 days (p=0,006).
Conclusion: In this study, nursing interventions in the gait domain were associated with maintaining and recovering levels of functionality during hospitalisation, although it was not possible to isolate the effect of other variables.
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