Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

Background: A person with stroke may have a loss of control of trunk mobility, which may lead to impaired balance and body posture and, consequently, impaired motor skills for gait recovery and recovery of functional independence. Objective: To identify sensitive gains in rehabilitation nursing care with a program of activities and therapeutic exercises in the recovery of postural balance in stroke patients. Method: Qualitative approach study, case study type. We present the case of an elderly person with altered balance, admitted to the neurology department. The ethical principles in research have been fulfilled. Results: Gains in muscle strength, postural balance and functionality were evidenced after 10 sessions of therapeutic exercises and balance training. Conclusions: The systematization of rehabilitation nursing care has been shown to improve body balance recovery in people with ischemic stroke, maximizing its functionality.

Objectives: to map the evidence in relation to the maximum backpack weight recommended for children in school context. Methodology: suggested by the Joanna Briggs Institute. The relevance analysis of the articles, the extraction and synthesis of the data was carried out by two independent reviewers. Starting question: what is the maximum backpack weight recommended for children, from 6 to 12 years old, in school context Data sources: primary studies published in scientific databases, international guidelines and gray literature. Summary of the data: 353 publications were identified, of which 28 were included. The recommended weight percentage is divided into two categories: with recommendation (ranging from 5% -20%) and without recommendation. Conclusions: This scoping review allowed to map the evidence in relation to the maximum weight of the backpack recommended for children in school, where the value of 10% was the one that obtained the greatest consensus.

Objective: to analyse the differences in the profile of attitudes towards death between specialist nurses in rehabilitation nursing and specialist nurses in other areas. Method: comparative, quantitative, cross-sectional study, with the participation of 223 specialist nurses from a hospital in northern Portugal. A questionnaire was applied as a data collection instrument. For data analysis, descriptive and analytical statistics were used. Results: as for attitudes towards death, in nurses who specialize in rehabilitation, those of approach, neutrality, fear, avoidance and escape predominated. In nurses with expertise in other areas, attitudes of approach, fear, neutrality, avoidance and escape prevailed. Conclusion: although the positive attitudes towards death, of nurses specializing in rehabilitation, acquired a higher percentage value, the difference was not significant. In addition, negative attitudes signal the need to rethink training strategies in the academic, but also in the professional context.

Objective: To identify the perception of the person with spinal cord injury from the accident on trauma, rescue and urgent and emergency care. Methods: exploratory study, with a qualitative approach carried out with ten people with traumatic spinal cord injury between September and November 2014, residing in Chapecó-SC. For data collection, semi-structured interviews were used, and the data were submitted to Thematic Content Analysis. Results: Eight men and two women aged between 18 and 35 years were interviewed. Among the empirical categories that emerged from the process of apprehending the data are: the beginning of functional disability: trauma; and the rescue and urgent care (Emergency Room and Intensive Care Unit). Conclusion: The rehabilitation process of the person with spinal cord injury should be started as early as possible, which highlights the importance of pre-hospital care. It is up to the pre-hospital care team to intensify this care in order to assist in the conduct of functional independence.

Objective: To identify the Nurse Specialist in Rehabilitation interventions that prevent the occurrence of falls in the elderly. Methodology: Two independent reviewers developed a scoping review protocol using the methodology proposed by the Joanna Briggs Institute, using the CINAHL and MEDLINE databases, from the EBSCOhost Integrated Search platform. Results: The rehabilitation interventions that prevent the fall of the elderly are the multifactorial risk assessment, environmental change, exercises to develop muscle strength, body balance and the ability to walk, as well as the ability to perform basic and instrumental activities of daily living. Conclusion: The Nurse Specialist in Rehabilitation should carry out a global assessment of the elderly at risk of falling. According to the identified risk factors, rehabilitation interventions must be implemented that eliminate or reduce their influence.

Objective: To discuss the contribution of Rehabilitation Nursing to the Empowerment and Training of the person in health-disease transition processes. Method: Reflective practice with discussion guided by the Afaf Ibrahim Meleis Theory of Transitions and by the International Classification for Nursing Practice diagnoses and the skills prescribed for the rehabilitation nurse. Results: The qualification process of rehabilitation nurses’ privileges knowledge and learning skills, allowing the development of interventions that contribute to specific indicators of the health-disease transition processes. These results are based on concepts that support good practices that aim to standardize the language and terminology of rehabilitation nurses. Conclusion: The intervention of the rehabilitation nurse in the focus of knowledge and learning of person's abilities allows empowerment, decision making and transition to action. It also enables the person to develop skills and feel empowered to deal with the daily challenges that arise from transition processes.

Introduction: Coronavirus can be responsible for severe dyspnea. Rehabilitation nurses have the knowledge and specialized interventions to control and reduce dyspnea. Objective: To identify health outcomes from rehabilitation nursing care in the control and reduction of dyspnea by optimizing the ventilatory function of a patient with COVID-19. Method: Descriptive study of a case study prepared according to guidelines of CAse REport. It is presented a case of a patient with COVID-19 characterized by the presence of dyspnea and greater confinement to the bed due to isolation’s measure. The study highlights the nursing process using the “Padrão Documental dos Cuidados da Especialidade de Enfermagem de Reabilitação” adjusted to the recommendation of respiratory rehabilitation in the coronavirus by the Chinese Society of Rehabilitation Medicine. Results: After implementing 3 rehabilitation sessions, there were improvements in the reduction of dyspnea, increase in peripheral oxygen oximetry levels, decrease in muscle tension and improvement of respiratory rhythm, culminating in hospital discharges awaiting cure criteria. Conclusion: With the implementation of an individualized rehabilitation nursing care plan, it is possible to act in the control and reduction of dyspnea in patients with COVID-19.

Introduction: Cerebral vascular accident (CVA) has a huge impact on a person´s life and his family. Frequently, the person with stroke presents motor alterations, which need the essential intervention of the specialistized rehabilitation nurse (SRN) in order to implement a rehabilitation program, integrated in an interdisciplinary team, to ensure a safe return home. Objective: To identify the SRN interventions that empower the person with motor disability after CVA and his family/caregiver, in the preparation for the return home. Method: Systematic literature review in the Pub Med, EBSCO and ProQuest databases, with application of inclusion and exclusion criteria, over a 5-year time horizon (2014-2019). Results: The 3 articles included reinforced the need for the application of rehabilitation programs that integrate the person`s physical, psychological and cognitive dimensions, as well as the family caregivers in the management of the disability and daily life activities (DLA) in the person with CVA. Conclusion: The SRN intervention must be integrated into a motor rehabilitation program, using the strategies: health education, identification and training of the caregiver, DLA teaching and training and referral to community resources in order to promote training and supervision, ensuring rehabilitation process continuity.

Introduction: According to data from the Portuguese Society of Nephrology, in Portugal on December 31 of 2018, 12,227 patients underwent hemodialysis treatment (HD). Patients with chronic kidney disease (CKD) on dialysis present physical and psychological limitations that induce to a sedentary life stile. They have a higher risk of mortality due to reduced functional capacity and loss of muscle strength when compared to individuals of the same age. Scientific evidence points to the implementation of regular exercise programs as supporting treatment for these individuals. Objectives: Gather and characterize the existing scientific evidence of the benefits of intradialitic physical exercise (IFE), which supports the future implementation of an IFE program in a hemodialysis center. Method: The research was carried out in the EBSCOhost databases, in April and May 2020, having initially obtained a total of 2,602 scientific productions. Were selected for final analysis 19 studies, 2 quasi-experimental studies and 17 randomized controlled studies, which met the inclusion criteria. Results: The analysis of the scientific evidence guides to 3 intradialitic intervention categories: aerobic physical exercise, resistance physical exercise and combined physical exercise (aerobic and resistance). All exercise programs have benefits in one or more parameters: hemodialysis effectiveness; functional physical capacity; depression; quality of life; muscle strength; cardiovascular changes; daily physical activity; sleep; balance and restless legs syndrome. Conclusion: The literature founded, allows us to conclude that IFE programs are simple and inexpensive to implement, have several benefits for hemodialysis patients without prejudice to the dialysis efficacy.

The architectural barriers on public highway cause inaccessibility, contributing to the limitation of functionality and creation of disability. Objectives: to analyze the conditions of accessibility on public highways in view of the needs of disabled people;To understand how external environments contribute to the social inclusion of people with disabilities; Methodology: Quantitative, observational, descriptive, cross-sectional study from a non-probabilistic sample by rational choice - 31 streets (62 pedestrian paths), using an ad hoc evaluation grid (Decree-Law 163/2006) (1). Results: 75.8% of the pedestrian paths evaluated allow access and permanence of a person in a wheelchair, as well as the frontal and lateral reach to objects placed on the road, however 22.6% of the paths are not accessible. Conclusion: although the current legislation and accessibility policies, there are still architectural barriers on public highways that rehabilitation nurse directly influence the independence of disabled people, which suggests that should develop effective work with municipalities.