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Authors
Advisor(s)
Abstract(s)
Aproximadamente um terço de todos os doentes com Acidente
Vascular Cerebral (AVC) desenvolve negligência visuo-espacial, um sintoma
debilitante associado a um mau resultado funcional. A natureza heterogénea e
multissensorial dos sintomas torna-o difícil de diagnosticar e tratar. Por isso, métodos
eficazes de rastreio e intervenção ao nível da Enfermagem de Reabilitação são cruciais.
Objetivo: Mapear evidências científicas que permitam identificar as intervenções de
enfermagem no impacto da negligência visuo-espacial nas atividades da vida
diária/autocuidados da pessoa após AVC.
Métodos: Esta scoping review seguiu a estratégia PCC (Participantes: Pessoa após AVC
com negligência visuo-espacial; Conceito: Intervenções de enfermagem nas atividades
da vida diária/autocuidados; Contexto: hospitalar. Seguiu também as recomendações
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) para
Scoping Review (PRISMA-ScR) do JBI, com pesquisa em bases de dados PubMed,
CHINAL Complete, Repositório Científico de Acesso Aberto de Portugal (RCAAP) e
Web of Science, sem limite temporal.
Resultados: As principais abordagens de intervenção são o treino funcional, a
estimulação sensorial, o treino de estratégias e repetição de tarefas.
Conclusões: Os resultados encontrados indicam a importância da elaboração de planos
de intervenção que promovam a reabilitação da negligência visuo-espacial dos
sobreviventes de AVC, potenciando a sua independência na realização das atividades da
vida diária/autocuidados. As pessoas sobreviventes de AVC apresentam, por norma,
negligência visuo-espacial com limitações severas e duradouras na sua independência
funcional. A reabilitação destas pessoas deve centrar-se em aprender uma estratégia de
ativação do membro superior contralateral à lesão e tarefas de reabilitação percetiva
(tarefas de papel e caneta, leitura e cópia). Existem novas abordagens e métodos
terapêuticos, como os métodos de realidade virtual. Portanto, a abordagem de
reabilitação implica, preferencialmente, programas multidisciplinares, com destaque
para o Enfermeiro Especialista de Reabilitação.
Approximately one third of all stroke patients develop visuospatial neglect, a debilitating symptom associated with a poor outcome. The heterogeneous and multisensory nature of the symptoms makes it difficult to diagnose and treat. Therefore, effective screening and intervention methods at the Rehabilitation Nursing level are crucial. Objective: To map scientific evidence that allows us to identify nursing interventions for the impact of visuo-spatial neglect on the activities of daily living/self-care of people after stroke. Methods: This scoping review followed the PCC strategy (Participants: Person after stroke with visuospatial neglect; Concept: Nursing interventions in activities of daily living/self-care; Context: hospital. It also followed the JBI Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for Scoping Review (PRISMA- ScR) recommendations, with a search in PubMed, CHINAL Complete, Repositório Científico de Acesso Aberto de Portugal (RCAAP) and Web of Science databases, with no time limit. Results: The main intervention approaches are functional training, sensory stimulation, strategy training and task repetition. Conclusions: The results indicate the importance of drawing up intervention plans that promote the rehabilitation of visuo-spatial neglect in stroke survivors, boosting their independence in carrying out activities of daily living/self-care. As a rule, stroke survivors have visuo-spatial neglect with severe and lasting limitations in their functional independence. The rehabilitation of these people should focus on learning a strategy for activating the contralesional arm and perceptual rehabilitation tasks (pen and paper tasks, reading and copying). There are new therapeutic approaches and methods, such as virtual reality methods. Therefore, the rehabilitation approach preferably involves multidisciplinary programs, with emphasis on the Rehabilitation Nurse Specialist.
Approximately one third of all stroke patients develop visuospatial neglect, a debilitating symptom associated with a poor outcome. The heterogeneous and multisensory nature of the symptoms makes it difficult to diagnose and treat. Therefore, effective screening and intervention methods at the Rehabilitation Nursing level are crucial. Objective: To map scientific evidence that allows us to identify nursing interventions for the impact of visuo-spatial neglect on the activities of daily living/self-care of people after stroke. Methods: This scoping review followed the PCC strategy (Participants: Person after stroke with visuospatial neglect; Concept: Nursing interventions in activities of daily living/self-care; Context: hospital. It also followed the JBI Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for Scoping Review (PRISMA- ScR) recommendations, with a search in PubMed, CHINAL Complete, Repositório Científico de Acesso Aberto de Portugal (RCAAP) and Web of Science databases, with no time limit. Results: The main intervention approaches are functional training, sensory stimulation, strategy training and task repetition. Conclusions: The results indicate the importance of drawing up intervention plans that promote the rehabilitation of visuo-spatial neglect in stroke survivors, boosting their independence in carrying out activities of daily living/self-care. As a rule, stroke survivors have visuo-spatial neglect with severe and lasting limitations in their functional independence. The rehabilitation of these people should focus on learning a strategy for activating the contralesional arm and perceptual rehabilitation tasks (pen and paper tasks, reading and copying). There are new therapeutic approaches and methods, such as virtual reality methods. Therefore, the rehabilitation approach preferably involves multidisciplinary programs, with emphasis on the Rehabilitation Nurse Specialist.
Description
Keywords
Acidente Vascular Cerebral Negligência visuo-espacial Autocuidado Cuidados de enfermagem