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Authors
Advisor(s)
Abstract(s)
Enquadramento: A amputação do membro inferior é uma cirurgia que ocorre
frequentemente no nosso país. Assim emerge a necessidade de compreender a eficácia da
implementação precoce de programas de reabilitação adequados, a fim de melhorar o sucesso
na protetização, já que esta pode ser influenciada por diversos fatores.
Objetivo: Avaliar a eficácia da implementação precoce de um programa de reabilitação
nos utentes submetidos a amputação do membro inferior no sucesso da protetização.
Metodologia: Realizou-se uma revisão sistemática da literatura, com recurso aos
motores de busca: PubMed; SciELO; PEDro e MEDLINE, EBSCO e Repositórios Institucionais
Nacionais e Internacionais. Utilizaram-se diferentes combinações com os descritores
“reabilitação”, “amputação”, “amputados”, “extremidade inferior”, “membros artificiais” e
“enfermagem” nos idiomas portugueses e inglês. A pesquisa decorreu entre Setembro 2016 e
Março de 2017, seguindo os princípios propostos pelo Cochrane Handbook e a análise crítica
realizada por dois investigadores.
Resultados: Identificou-se um total de 518 artigos, sendo apenas selecionados quatro
estudos observacionais, que demonstram benefícios da reabilitação precoce e especializada,
junto dos utentes submetidos à amputação do membro inferior, aumentando a mobilidade e a
reinserção domiciliária.
Conclusões: Os resultados destes quatro estudos permitem concluir que a
implementação precoce de programas de reabilitação especializados juntos dos utentes
submetidos à amputação do membro inferior promovem a melhoria da função física, com maior
probabilidade de prescrição de uma prótese, de alta para o domicilio, e uma maior taxa de
sobrevivência um ano após a cirurgia.
Palavras-chave: “amputado”; “amputação”; “membro inferior”; “sucesso”; “prótese”;
“reabilitação precoce”.
Abstract Background: The lower limb amputation is a frequent surgery in our country with consequent prosthesis. Therefore, there is an emerging need to understand the effectiveness in early implementation of adequate rehabilitation programs, with the view to increase the prosthesis success, since it can be influenced by several factors. Objective: To evaluate the efficacy of an early rehabilitation program implementation in the prosthesis success, on patients undergoing lower limb amputation. Methods: A systematic review of relevant literature was conducted mainly by using data bases PubMed; SciELO; PEDro; MEDLINE; EBSCO and National and International Institutional Repositories. Different combinations of the keywords “rehabilitation”, “amputees”, “amputation”, “lower extremity”, “artificial limbs” and “nursing” were used, both in the Portuguese and English languages. The research was conducted from September 2016 to March 2017, following the principles proposed by Cochrane Handbook and the critical analysis made by two researchers. Results: From a total of 518 articles, only four observational studies were selected wich demonstrated the benefits of an early and specialized rehabilitation among patients undergoing lower limb amputation, contributing to the accomplishment of home reintegration and mobility. Conclusions: The conjunct analysis of the four studies allows to establish that the implementation of early specialized rehabilitation programs among patients undergoing lower limb amputation, promotes the improvement of the physical function, with a higher probability of prosthesis prescription, home discharge and a higher survival rate one year after surgery. Key-words: “amputee”; “amputation”; “; success”; prosthesis; “early rehabilitation”.
Abstract Background: The lower limb amputation is a frequent surgery in our country with consequent prosthesis. Therefore, there is an emerging need to understand the effectiveness in early implementation of adequate rehabilitation programs, with the view to increase the prosthesis success, since it can be influenced by several factors. Objective: To evaluate the efficacy of an early rehabilitation program implementation in the prosthesis success, on patients undergoing lower limb amputation. Methods: A systematic review of relevant literature was conducted mainly by using data bases PubMed; SciELO; PEDro; MEDLINE; EBSCO and National and International Institutional Repositories. Different combinations of the keywords “rehabilitation”, “amputees”, “amputation”, “lower extremity”, “artificial limbs” and “nursing” were used, both in the Portuguese and English languages. The research was conducted from September 2016 to March 2017, following the principles proposed by Cochrane Handbook and the critical analysis made by two researchers. Results: From a total of 518 articles, only four observational studies were selected wich demonstrated the benefits of an early and specialized rehabilitation among patients undergoing lower limb amputation, contributing to the accomplishment of home reintegration and mobility. Conclusions: The conjunct analysis of the four studies allows to establish that the implementation of early specialized rehabilitation programs among patients undergoing lower limb amputation, promotes the improvement of the physical function, with a higher probability of prosthesis prescription, home discharge and a higher survival rate one year after surgery. Key-words: “amputee”; “amputation”; “; success”; prosthesis; “early rehabilitation”.
Description
Keywords
Amputação Membro inferior Membros artificiais Reabilitação Recuperação da função Resultado de tratamento Revisão Amputation Artificial limbs Lower extremity Recovery of function Rehabilitation Review Treatment outcome