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Advisor(s)
Abstract(s)
Introdução: O envelhecimento associado ao sedentarismo, potencia alterações
morfológicas, bioquímicas, psicológicas e funcionais do organismo, que acabam por
conduzir à instabilidade postural do indivíduo. A redução do equilíbrio postural pode
interferir na mobilidade funcional, levando a uma maior predisposição para quedas,
fraturas e medo de voltar a cair. O exercício físico (EF) como componente de planos de
reabilitação, assume um caráter preventivo e de manutenção da capacidade funcional do
idoso.
Objetivo: Avaliar e comparar o desempenho de idosos institucionalizados para as
tarefas da Escala de Equilíbrio de Berg (EEB), antes e depois da implementação de uma
intervenção de Enfermagem de Reabilitação.
Metodologia: A amostra foi constituída por 12 idosos com idades compreendidas entre
os 75 e os 92 anos, pertencentes a uma Estrutura Residencial para Idosos (ERPI) da
Região do Nordeste Trasmontano. Da intervenção de Enfermagem de Reabilitação fez
parte um programa de EF, aplicado duas vezes por semana, com duração de uma hora
por sessão, durante oito semanas. Para a caracterização sociodemográfica da amostra
utilizou-se um formulário e para a avaliação do equilíbrio funcional dos participantes
aplicou-se a EEB.
Resultados: Os resultados obtidos sugerem que após dois meses de intervenção, o
grupo obteve melhores pontuações no desempenho de todas as tarefas da EEB,
indicando melhoria estatisticamente significativa no equilíbrio corporal e no risco de
queda estimado (p = 0,002).
Conclusão: A intervenção efetuada mostrou-se adequada na diminuição do risco de
quedas e melhoria do equilíbrio. No entanto, não foi suficiente para que a pontuação
média da EEB do grupo passasse do nível de “Risco de queda médio/equilíbrio médio”
para o nível “Risco de queda baixo/equilíbrio bom”.
Introduction: Sedentary lifestyle associated with aging enhances morphological, biochemical, psychological and functional changes in the body, namely postural instability. The reduction of body balance can interfere with functional mobility, leading to a greater predisposition to falls, fractures and fear of falling again, especially in institutionalized elderly. Physical exercise (PE) as a component of rehabilitation programs takes on a preventive character and maintains the functional capacity of the elderly. Objective: To evaluate and compare the performance of institutionalized elderly people for the tasks of the Berg Balance Scale (BSE), before and after the implementation of a Rehabilitation Nursing program. Methodology: The sample consisted of 12 elderly people aged between 75 and 92 years, belonging to a Residential Structure for the Elderly in the Northeast Region of Portugal. The intervention included a physical exercise program, carried out with the frequency of two sessions per week, lasting one hour for each session, and for eight weeks. The evaluation of the elderly participants was carried out by means of a form, for the sociodemographic characterization, and by the application of BSE to assess the functional balance. Results: There was a significant improvement in the performance of BSE functional tasks after the rehabilitation nursing intervention (p = 0.002). Conclusion: The intervention performed proved to be adequate in decreasing the risk of falls and improving balance, however, it was not enough for the average score of the group of participants for BSE to pass the level of Risk of average fall / medium balance to the Low risk of falling / good balance level.
Introduction: Sedentary lifestyle associated with aging enhances morphological, biochemical, psychological and functional changes in the body, namely postural instability. The reduction of body balance can interfere with functional mobility, leading to a greater predisposition to falls, fractures and fear of falling again, especially in institutionalized elderly. Physical exercise (PE) as a component of rehabilitation programs takes on a preventive character and maintains the functional capacity of the elderly. Objective: To evaluate and compare the performance of institutionalized elderly people for the tasks of the Berg Balance Scale (BSE), before and after the implementation of a Rehabilitation Nursing program. Methodology: The sample consisted of 12 elderly people aged between 75 and 92 years, belonging to a Residential Structure for the Elderly in the Northeast Region of Portugal. The intervention included a physical exercise program, carried out with the frequency of two sessions per week, lasting one hour for each session, and for eight weeks. The evaluation of the elderly participants was carried out by means of a form, for the sociodemographic characterization, and by the application of BSE to assess the functional balance. Results: There was a significant improvement in the performance of BSE functional tasks after the rehabilitation nursing intervention (p = 0.002). Conclusion: The intervention performed proved to be adequate in decreasing the risk of falls and improving balance, however, it was not enough for the average score of the group of participants for BSE to pass the level of Risk of average fall / medium balance to the Low risk of falling / good balance level.
Description
Keywords
Envelhecimento Risco de queda Institucionalização Equilíbrio postural Exercício físico