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Advisor(s)
Abstract(s)
A afasia é uma alteração cognitiva, caraterizada por alterações da
linguagem. Cerca de um 1/3 das pessoas com AVC apresentam afasia, o que resulta na
dificuldade na comunicação, exclusão social e diminuição da participação em programas
de reabilitação. A avaliação do utente com afasia é o primeiro passo para a intervenção
eficaz do Enfermeiro Especialista em Enfermagem de Reabilitação.
OBJETIVOS: Caraterizar a população de acordo com as variáveis sociodemográficas e
clínicas; Caraterizar a gravidade da afasia na amostra em estudo; Contribuir para a
definição de um plano de intervenção do Enfermeiro Especialista em Enfermagem de
Reabilitação na pessoa com afasia após AVC.
MÉTODOS: Estudo de coorte retrospetivo utilizando uma base de dados hospitalar que
inclui informação relativa a variáveis sociodemográficas e clínicas de todos os utentes
admitidos numa unidade de AVC em meio hospitalar do norte de Portugal entre os meses
de janeiro e março de 2023. Para a avaliação da gravidade da afasia nestes utentes foi
aplicada a escala Aphasia Rapid Test.
RESULTADOS: Nos 75 utentes incluídos para este estudo, 34 (45,33%) são do género
masculino, sendo que 36 (48%) têm idade superior a 73 anos. A afasia foi avaliada em 41
utentes (57,77%) sem história de AVC prévio, representando a nossa amostra. Entre os
utentes com afasia, 22 (56,66%) são do género feminino, a média de idades é de 74,34
anos, sendo que 23 dos utentes (56,10%) apresenta idade acima de 73 anos e o diagnóstico
de AVC Isquémico foi verificado em 35 (85,37%) dos utentes. Em relação aos dados da
escala Aphasia Rapid Test, observou-se que a fluência verbal semântica foi o subteste
mais afetado, em 39 (94,12%) dos utentes, seguida da execução de ordens complexas em
27 (65,85%) dos utentes. A disartria foi observada em 24 (58,54%) dos utentes.
CONCLUSÃO: A avaliação da gravidade da afasia na pessoa após AVC no momento
da admissão fornece um prognóstico sobre a evolução da afasia no utente. O contributo
do Enfermeiro Especialista em Enfermagem de Reabilitação na pessoa com afasia após
AVC é de extrema importância para estabelecer o diagnóstico e iniciar o mais
precocemente um plano de cuidados de enfermagem de reabilitação.
Aphasia is a cognitive alteration characterized by language altera- tions. Approximately one-third of stroke survivors experience aphasia, which leads to difficulties in communication, social exclusion, and decreased participation in rehabilita- tion programs. The assessment of individuals with aphasia is the first step towards effec- tive intervention by the Specialist Nurse in Rehabilitation Nursing. OBJECTIVES: Characterize the population according to sociodemographic and clinical variables; Characterize the severity of aphasia in the study sample; To contribute for the development of a intervention plan by the Specialist Nurse in Rehabilitation Nursing for the individuals with aphasia after stroke. METHODS: A retrospective cohort study using a hospital database which includes so- ciodemographic and clinical information of all patients admitted to a stroke unit in a hos- pital in Northern Portugal between January and March 2023. The Aphasia Rapid Test scale was used to assess the severity of aphasia in these patients. RESULTS: Among the 75 patients included in this study, 34 (45.33%) were male, and 36 (48%) were over 73 years old. Aphasia was evaluated in 41 patients (57.77%) without a previous history of stroke, representing our sample. Among patients with aphasia, 22 (56.66%) were female, with a average age of 74,34 years, and 23 patients (56.10%) were over 73 years old. Ischemic stroke was diagnosed in 35 patients (85.37%). Regarding the Aphasia Rapid Test data, semantic verbal fluency was the most affected subtest in 39 patients (94.12%), followed by the execution of complex commands in 27 patients (65.85%). Dysarthria was observed in 24 patients (58.54%). CONCLUSION: The assessment of aphasia severity in individuals after stroke at the time of admission provides a prognosis regarding the progression of aphasia in the patient. The contribution of the Specialist Nurse in Rehabilitation Nursing for individuals with aphasia after stroke i tis extremely important in establishing the diagnosis and initiating an early rehabilitation nursing care plan.
Aphasia is a cognitive alteration characterized by language altera- tions. Approximately one-third of stroke survivors experience aphasia, which leads to difficulties in communication, social exclusion, and decreased participation in rehabilita- tion programs. The assessment of individuals with aphasia is the first step towards effec- tive intervention by the Specialist Nurse in Rehabilitation Nursing. OBJECTIVES: Characterize the population according to sociodemographic and clinical variables; Characterize the severity of aphasia in the study sample; To contribute for the development of a intervention plan by the Specialist Nurse in Rehabilitation Nursing for the individuals with aphasia after stroke. METHODS: A retrospective cohort study using a hospital database which includes so- ciodemographic and clinical information of all patients admitted to a stroke unit in a hos- pital in Northern Portugal between January and March 2023. The Aphasia Rapid Test scale was used to assess the severity of aphasia in these patients. RESULTS: Among the 75 patients included in this study, 34 (45.33%) were male, and 36 (48%) were over 73 years old. Aphasia was evaluated in 41 patients (57.77%) without a previous history of stroke, representing our sample. Among patients with aphasia, 22 (56.66%) were female, with a average age of 74,34 years, and 23 patients (56.10%) were over 73 years old. Ischemic stroke was diagnosed in 35 patients (85.37%). Regarding the Aphasia Rapid Test data, semantic verbal fluency was the most affected subtest in 39 patients (94.12%), followed by the execution of complex commands in 27 patients (65.85%). Dysarthria was observed in 24 patients (58.54%). CONCLUSION: The assessment of aphasia severity in individuals after stroke at the time of admission provides a prognosis regarding the progression of aphasia in the patient. The contribution of the Specialist Nurse in Rehabilitation Nursing for individuals with aphasia after stroke i tis extremely important in establishing the diagnosis and initiating an early rehabilitation nursing care plan.
Description
Keywords
Afasia Acidente vascular cerebral Reabilitação Enfermagem