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Abstract(s)
Enquadramento: A Rede Nacional de Cuidados Continuados Integrados tem por MissĂŁo prestar os cuidados adequados, de saĂșde e apoio social, a todas as pessoas que, independentemente da idade, se encontrem em situação de dependĂȘncia. Desta forma, tora-se emergente a identificação precoce desses nĂveis de dependĂȘncia. Consequentemente, pelas competĂȘncias inerentes ao Enfermeiro Especialista de Reabilitação torna-se fundamental a sua integração nestas equipas multidisciplinares de forma a alcançar os objetivos preconizados pela rede.
Objectivos: Avaliar o impacto do internamento em RNCCI, na melhoria dos nĂveis de dependĂȘncia dos utentes internados e analisar a sua relação com as variĂĄveis sĂłcio demogrĂĄficas, clĂnicas e de contexto familiar.
MĂ©todos: Trata-se de um estudo nĂŁo experimental, transversal, descritivo-correlacional e de carĂĄcter quantitativo. Foi realizado numa amostra nĂŁo probabilĂstica por conveniĂȘncia, constituĂda por 40 pessoas internadas na UMDR da Santa Casa da MisericĂłrdia de Seia. Para a mensuração das variĂĄveis utilizou-se um instrumento de colheita de dados que integra uma secção de caracterização sĂłcio demogrĂĄfica, clĂnica, de contexto familiar e o Ăndice de Barthel.
Resultados: Constatou-se que apĂłs o internamento na UMDR 7,5% dos inquiridos apresenta uma incapacidade ligeira, 30% uma incapacidade moderada e 52,5% uma incapacidade grave, sendo que 10% apresentam-se independentes. VerificĂĄmos que, o gĂ©nero (p=0,041), o estado civil (p=0,034), as habilitaçÔes literĂĄrias (p= 0,002/p=0,005) e o rendimento familiar (p=0,015/p=0,005) se correlacionam significativamente com a capacidade funcional dos utentes. Paralelamente, os internamentos anteriores (p=0,028), o nĂșmero de horas de reabilitação (p=0,007/p=0,004), a alteração da integridade cutĂąnea (p=0,029), interferem igualmente nessa capacidade.
ConclusĂŁo: O internamento na RNCCI tem impacto positivo na funcionalidade dos Utentes, dada a melhoria significativa dos nĂveis de dependĂȘncia no momento da alta, comparativamente com o momento da admissĂŁo. SĂŁo os enfermeiros de reabilitação, pelas suas competĂȘncias, que se encontram aptos a integrar todas as vertentes dos cuidados necessĂĄrios Ă pessoa com incapacidade no desempenho do autocuidado, tendo em conta as necessidades e os objetivos terapĂȘuticos delineados para cada pessoa, estimulando a autonomia e promovendo a independĂȘncia.
Palavras-chave: RNCCI, dependĂȘncia, (in)capacidade funcional, Enfermeiro Especialista de Reabilitação, impacto do internamento.
Abstract Background: The Integrated National Continuing Care Networkâs (RNCCI) mission is to provide the suitable healthcare and social support to all people, regardless of age, in a situation of dependence. Thus, the early identification of these levels of dependence is of the utmost importance. Consequently, due to the inherent competencies of the Rehabilitation Nurse Specialist (EER), it becomes fundamental to integrate them into multidisciplinary teams, in order to achieve the goals proposed by the network. Goals: To evaluate the impact of hospitalization in the RNCCI on improving the hospitalized patientsâ dependence levels; and to analyze this relationship with social-demographic, clinical and family context variables. Methods: This is a non-experimental descriptive and quantitative study, with cross-sectional and correlational nature. It was performed in a non-probabilistic sample for convenience, composed by 40 people hospitalized at the Medium Duration Unit and Rehabilitation (UMDR) of Santa Casa da MisericĂłrdia de Seia. For the measurement of the variables, it was used a data collection instrument that integrates a socio-demographic, clinical, family context characterization sections and Barthel Index. Results: It was found that after admission to the UMDR, 7.5% of the respondents had a mild disability, 30% had a moderate disability and 52.5% had a severe disability, and 10% were completely independent. We found that gender (p=0.041), marital status (p=0.034), literacy (p=0.002 / p=0.005) and family income (p=0.015 / p=0.005) correlated significantly with the functional capacity of patients. At the same time, the previous hospitalizations (p=0.028), the number of hours of rehabilitation (p=0.007 / p=0.004) and altered skin integrity (p=0.029) also interfered with this capacity. Conclusion: The hospitalization in the RNCCI has a positive impact on the functionality of the patients, given the significant improvement in the dependence levels at discharge, when compared to the moment of admission. It is the rehabilitation nurses who, through their competences, are able to integrate all aspects of the necessary care of the person with incapacity in the performance of self-care, taking into account the needs and the therapeutic objectives outlined for each person, stimulating autonomy and promoting independence. Key words: Integrated National Continuing Care Network (RNCCI), Dependence, Functional (In)capacity, Rehabilitation Nurse Specialist (EER).
Abstract Background: The Integrated National Continuing Care Networkâs (RNCCI) mission is to provide the suitable healthcare and social support to all people, regardless of age, in a situation of dependence. Thus, the early identification of these levels of dependence is of the utmost importance. Consequently, due to the inherent competencies of the Rehabilitation Nurse Specialist (EER), it becomes fundamental to integrate them into multidisciplinary teams, in order to achieve the goals proposed by the network. Goals: To evaluate the impact of hospitalization in the RNCCI on improving the hospitalized patientsâ dependence levels; and to analyze this relationship with social-demographic, clinical and family context variables. Methods: This is a non-experimental descriptive and quantitative study, with cross-sectional and correlational nature. It was performed in a non-probabilistic sample for convenience, composed by 40 people hospitalized at the Medium Duration Unit and Rehabilitation (UMDR) of Santa Casa da MisericĂłrdia de Seia. For the measurement of the variables, it was used a data collection instrument that integrates a socio-demographic, clinical, family context characterization sections and Barthel Index. Results: It was found that after admission to the UMDR, 7.5% of the respondents had a mild disability, 30% had a moderate disability and 52.5% had a severe disability, and 10% were completely independent. We found that gender (p=0.041), marital status (p=0.034), literacy (p=0.002 / p=0.005) and family income (p=0.015 / p=0.005) correlated significantly with the functional capacity of patients. At the same time, the previous hospitalizations (p=0.028), the number of hours of rehabilitation (p=0.007 / p=0.004) and altered skin integrity (p=0.029) also interfered with this capacity. Conclusion: The hospitalization in the RNCCI has a positive impact on the functionality of the patients, given the significant improvement in the dependence levels at discharge, when compared to the moment of admission. It is the rehabilitation nurses who, through their competences, are able to integrate all aspects of the necessary care of the person with incapacity in the performance of self-care, taking into account the needs and the therapeutic objectives outlined for each person, stimulating autonomy and promoting independence. Key words: Integrated National Continuing Care Network (RNCCI), Dependence, Functional (In)capacity, Rehabilitation Nurse Specialist (EER).
Description
Keywords
Continuidade de cuidados ao doente Enfermagem de reabilitação Hospitalização Recuperação da função Continuity of patient care Hospitalization Recovery of function Rehabilitation nursing