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Advisor(s)
Abstract(s)
Os sobreviventes de Acidente Vascular Cerebral (AVC) sofrem muitos tipos
de consequências a longo prazo. A perturbação do equilíbrio postural é um dos défices residuais
bem reconhecidos e está frequentemente associada ao isolamento social e à mobilidade limitada,
resultando num declínio da qualidade de vida.
Objetivo: Identificar na literatura cientifica as intervenções do enfermeiro na reabilitação do
equilíbrio postural da pessoa após AVC.
Métodos: Revisão sistemática da literatura que seguiu o método proposto pelo Joanna Briggs
Institute e foi redigida de acordo com o Preferred Reporting Items for Systematic Reviews and
Meta-Analysis (PRISMA). Teve como critérios de inclusão: sobreviventes de AVC; adultos ≥ 18
anos, estudos que explorassem intervenções de enfermagem não invasivas que promovam o
equilíbrio, realizados em contexto de reabilitação (do equilíbrio postural) e com friso temporal de
2013-2024 de artigos indexados nas bases de dados PubMed e EBSCOhost (CINAHL complete,
Medline Complete, Nursing & Allied Health Collection: Comprehensive). Após a seleção dos
estudos, foram incluídos nove que revelaram elegibilidade e deram resposta à questão de pesquisa.
Resultados: As evidências mostram as seguintes intervenções do enfermeiro na reabilitação do
equilíbrio postural da pessoa após AVC: treino de estimulação auditiva rítmica; intervenções de
reabilitação baseadas na tecnologia; exercícios convencionais de reabilitação de AVC; terapia por
vibração; intervenções de reabilitação baseadas na tecnologia/realidade virtual; exercícios de
equilíbrio com terapia de espelho; Prevalência da avaliação das pessoas com AVC através da
Escala de Equilíbrio de Berg (BBS), Escala de Incapacidade do Tronco (TIS), e o Índice de
Barthel Modificado.
Conclusão: A reabilitação após um AVC é essencial para que os doentes recuperem as suas
capacidades motoras, sensoriais e cognitivas, sendo primordial que o Enfermeiro Especialista em
Enfermagem de Reabilitação (EEER) implemente programas adequados a cada caso,
atempadamente, garantindo, assim, a maximização da qualidade de vida destas pessoas.
Stroke survivors suffer many kinds of long-term consequences. Postural balance disorder is one of the well-recognized residual deficits and is often associated with social isolation and limited mobility, resulting in a decline in quality of life. Objective: To identify in the scientific literature the interventions of nurses in the rehabilitation of postural balance of people after stroke. Methods: Systematic literature review that followed the method proposed by the Joanna Briggs Institute and was written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). The inclusion criteria were: stroke survivors; adults ≥ 18 years, studies exploring non-invasive nursing interventions that promote balance, carried out in a rehabilitation context postural balance rehabilitation and with a time frame of 2023-2024 of articles indexed in the PubMed and EBSCOhost databases (CINAHL complete, Medline Complete, Nursing & Allied Health Collection: Comprehensive). After selecting the studies, nine were included which were eligible and answered the research question. Results: The evidence shows the following nurse interventions in postural balance rehabilitation of the person after stroke: rhythmic auditory stimulation training; technology-based rehabilitation interventions; conventional stroke rehabilitation exercises; vibration therapy; technology/virtual reality-based rehabilitation interventions; balance exercises with mirror therapy; use of physical exercise modules in gait and balance of stroke patients. Prevalence of assessment of people with stroke using the Berg Balance Scale (BBS), the Trunk Inability Scale (TIS),) and the Modified Barthel Index. Conclusion: Rehabilitation after a stroke is essential for patients to regain their motor, sensory and cognitive abilities, and it is essential that the Rehabilitation Nurse implements appropriate programs for each case in good time, thus ensuring that the quality of life of these people is maximized.
Stroke survivors suffer many kinds of long-term consequences. Postural balance disorder is one of the well-recognized residual deficits and is often associated with social isolation and limited mobility, resulting in a decline in quality of life. Objective: To identify in the scientific literature the interventions of nurses in the rehabilitation of postural balance of people after stroke. Methods: Systematic literature review that followed the method proposed by the Joanna Briggs Institute and was written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). The inclusion criteria were: stroke survivors; adults ≥ 18 years, studies exploring non-invasive nursing interventions that promote balance, carried out in a rehabilitation context postural balance rehabilitation and with a time frame of 2023-2024 of articles indexed in the PubMed and EBSCOhost databases (CINAHL complete, Medline Complete, Nursing & Allied Health Collection: Comprehensive). After selecting the studies, nine were included which were eligible and answered the research question. Results: The evidence shows the following nurse interventions in postural balance rehabilitation of the person after stroke: rhythmic auditory stimulation training; technology-based rehabilitation interventions; conventional stroke rehabilitation exercises; vibration therapy; technology/virtual reality-based rehabilitation interventions; balance exercises with mirror therapy; use of physical exercise modules in gait and balance of stroke patients. Prevalence of assessment of people with stroke using the Berg Balance Scale (BBS), the Trunk Inability Scale (TIS),) and the Modified Barthel Index. Conclusion: Rehabilitation after a stroke is essential for patients to regain their motor, sensory and cognitive abilities, and it is essential that the Rehabilitation Nurse implements appropriate programs for each case in good time, thus ensuring that the quality of life of these people is maximized.
Description
Keywords
Acidente vascular cerebral Equilíbrio postural Enfermagem em reabilitação