Abstract
Background: The increase in the elderly population and life expectancy brings new challenges to RNs. The promotion and empowerment of these people for self-care is an added value in the search for well-being and quality of life, where the RN can intervene effectively.
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Objective: Identify which RN interventions for empowering the elderly person with mobility impairment and self-care deficit.
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Methodology: SLR by searching RCTs using the EBSCO Host - Research Databases platform, including the following databases: Academic Search CompIete; Business Source CompIete; CINAHL Plus with Full Text; Cochrane; ERIC; Library, Information Science & Technology Abstracts; MedicLatina; MEDLINE with Full Text; Nursing & Allied Health Collection: Comprehensive; PsychoIogy and Behavioral Sciences CoIIection; RegionaI Business News; SPORTDiscus with Full Text; Teacher Reference Center in the period between 2016 and 2022.
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Results: A total of 12 studies were found that demonstrate functional gains in the elderly with mobility impairment as a result of rehabilitation interventions or caregiver involvement in the rehabilitation process.
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Conclusion: The implementation of a functional re-education plan can be effective in promoting functionality and empowering the elderly for self-care. RN interventions comprise conventional therapeutic exercise training, the application of functional electrical stimulation and neuromuscular bands, and the implementation of new technologies in rehabilitation. The caregiver can incorporate the re-education plan without endangering the person.
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References
Organização Mundial da Saúde: Relatório Mundial sobre Envelhecimento e Saúde - Resumo (2015)
Marques-Vieira, C., Amaral, T., Pontífice-Sousa, P.: Contributos para um En-velhecimento Ativo. Em: Marques-Vieira, C. e Sousa, L. (eds.) Cuidados de Enfermagem de Reabilitação à Pessoa ao Longo da Vida, pp. 525–534. Lusodi-dacta, Loures (2017)
Organização Mundial da Saúde: Decade of Healthy Ageing Baseline Report Summary (2021)
Organização Mundial de Saúde: Active Ageing: A Policy Framework. Organização Mundial da Saúde (2002)
Instituto Nacional de Estatística: Estatísticas Demográficas - 2019. Lisboa (2020)
Instituto Nacional de Estatística: População residente (N.o) por Local de residên-cia (à data dos Censos 2021), Sexo e Grupo etário. https://tabulador.ine.pt/in-dicador/?id=0011609
Comissão Europeia: Estado da Saúde na UE. Portugal. Perfil de saúde do país 2021. (2021)
Instituto Nacional de Estatística: Esperança de vida de 80,72 anos à nascença e de 19,35 anos aos 65 anos - 2019–2021. https://www.ine.pt/xpor-tal/xmain?xpid=INE&xpgid=ine_destaques&DESTAQUESdest_boui=540806507&DESTAQUESmodo=2
Fonseca, C.: Modelo de Autocuidado Para Pessoas com 65 e Mais Anos de Idade, Necessidades de Cuidados de Enfermagem. Tese de Doutoramento (2014)
DGS. Direção de Serviços de Informação e Análise: A Saúde dos Portugueses 2016. Direção Geral da Saúde (2017)
Tomey, A.M., Alligood, M.R.: Teóricas de Enfermagem e a sua Obra (Modelos e Teorias de Enfermagem). Lusociência, Loures (2004)
Eurostat: Dificuldades em atividades de cuidados pessoais ou atividades do-mésticas por sexo, idade e nível de escolaridade. https://ec.europa.eu/euro-stat/data-browser/view/HLTH_EHIS_TAE/default/table?lang=en&category=hlth.hlth_state.hlth_fal
Regulamento n.o 392/2019: Regulamento das Competências Específicas do Enfermeiro Especialista em Enfermagem de Reabilitação (2019)
Aromataris, E., Munn, Z.: JBI Manual for Evidence Synthesis. JBI (2020)
Page, M.J., et al.: The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. n71 (2021). https://doi.org/10.1136/bmj.n71
Tufanaru, C., Munn, Z., Aromataris, E., Campbell, J., Hopp, L.: Chapter 3: systematic reviews of effectiveness. In: Em: Aromataris, E. e Munn, Z. (eds.) JBI Manual for Evidence Synthesis, pp. 71–133. JBI (2020)
Joanna Briggs Institute: Ovid Database Guide. https://ospguides.ovid.com/OSPguides/jbidb.htm
Said, C.M., et al.: Factors associated with improved walking in older people during hospital rehabilitation: secondary analysis of a randomized controlled trial. BMC Geriatr. 21, 90 (2021). https://doi.org/10.1186/s12877-021-02016-0
Turunen, K., et al.: A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial. BMC Musculoskelet. Disord. 18, 477 (2017). https://doi.org/10.1186/s12891-017-1825-5
Martínez-Velilla, N., Cadore, E.L., Casas-Herrero, Á., Idoate-Saralegui, F., Izquierdo, M.: Physical activity and early rehabilitation in hospitalized elderly medical patients: systematic review of randomized clinical trials. J. Nutr. Health Aging 20(7), 738–751 (2016). https://doi.org/10.1007/s12603-016-0683-4
Lopes, M.J., Silva, C., Nunes, I., Pimenta, E., Seromenho, V.: Sensitive Indicators for Rehabilitation Nursing Care in Older Persons with Mobility Impairment Through a Rehabilitation Program: A Systematic Literature Review. Em: García-Alonso, J., e Fonseca, C., (eds.) Gerontechnology IV, pp. 158–170. Springer (2022)
Garlet, A.B., Plentz, R.D.M., Blauth, A.H.E.G., Righi, T.T., Righi, N.C., Schar-dong, J.: Reabilitação Robótica em Pacientes com AVC: Protocolo de Ensaio Clínico Randomizado. Fisioter. e Pesqui. 28, 483–490 (2021). https://doi.org/10.1590/1809-2950/21020028042021
Lee, J., Jeon, J., Lee, D., Hong, J., Yu, J., Kim, J.: Effect of trunk stabilization exercise on abdominal muscle thickness, balance and gait abilities of patients with hemiplegic stroke: a randomized controlled trial. NeuroRehabilitation 47, 435–442 (2020). https://doi.org/10.3233/NRE-203133
Karthikbabu, S., et al.: Comparison of physio ball and plinth trunk exercises regimens on trunk control and functional balance in patients with acute stroke: a pilot randomized controlled trial. Clin. Rehabil. 25, 709–719 (2011). https://doi.org/10.1177/0269215510397393
Mew, R.: Comparison of changes in abdominal muscle thickness between standing and crook lying during active abdominal hollowing using ultra-sound imaging. Man. Ther. 14, 690–695 (2009). https://doi.org/10.1016/j.math.2009.05.003
Suehiro, T., Mizutani, M., Watanabe, S., Ishida, H., Kobara, K., Osaka, H.: Comparison of spine motion and trunk muscle activity between abdominal hollowing and abdominal bracing maneuvers during prone hip extension. J. Bodyw. Mov. Ther. 18, 482–488 (2014). https://doi.org/10.1016/j.jbmt.2014.04.012
Teyhen, D.S., et al.: The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. J. Orthop. Sport. Phys. Ther. 35, 346–355 (2005). https://doi.org/10.2519/jospt.2005.35.6.346
Sharif, F., Ghulam, S., Malik, A.N., Saeed, Q.: Effectiveness of functional electrical stimulation (FES) versus conventional electrical stimulation in gait re-habilitation of patients with stroke. J. Coll. Phys. Surg. Pak. 27, 703–706 (2017)
Tan, Z.M., Jiang, W.W., Yan, T.B., Wu, W., Song, R.: Effects of functional electrical stimulation based on normal gait pattern on walking function in subjects with recovery of stroke. Zhonghua Yi Xue Za Zhi 96, 2342–2346 (2016). https://doi.org/10.3760/cma.j.issn.0376-2491.2016.29.012
Stein, C., Fritsch, C.G., Robinson, C., Sbruzzi, G., Plentz, R.D.M.: Effects of electrical stimulation in spastic muscles after stroke. Stroke 46, 2197–2205 (2015). https://doi.org/10.1161/STROKEAHA.115.009633
Fossat, G., et al.: Effect of in-bed leg cycling and electrical stimulation of the quadriceps on global muscle strength in critically III adults. JAMA 320, 368 (2018). https://doi.org/10.1001/jama.2018.9592
Gazineo, D., et al.: Assisted walking program on walking ability in in-hospital geriatric patients: a randomized trial. J. Am. Geriatr. Soc. 69, 637–643 (2021). https://doi.org/10.1111/jgs.16922
Dong, Y., et al.: Does feedback on daily activity level from a smart watch during inpatient stroke rehabilitation increase physical activity levels? study protocol for a randomized controlled trial. Trials 19, 177 (2018). https://doi.org/10.1186/s13063-018-2476-z
Peel, N.M., Paul, S.K., Cameron, I.D., Crotty, M., Kurrle, S.E., Gray, L.C.: Promoting activity in geriatric rehabilitation: a randomized controlled trial of accelerometry. PLoS ONE 11, e0160906 (2016). https://doi.org/10.1371/jour-nal.pone.0160906
Atkins, A., Cannell, J., Barr, C.: Pedometers alone do not increase mobility in inpatient rehabilitation: a randomized controlled trial. Clin. Rehabil. 33, 1382–1390 (2019). https://doi.org/10.1177/0269215519838312
Raymond, M.J.M., Jeffs, K.J., Winter, A., Soh, S.-E., Hunter, P., Holland, A.E.: The effects of a high-intensity functional exercise group on clinical outcomes in hospitalised older adults: an assessor-blinded. Randomised-Controlled Trial. Age Ageing. 46, 208–213 (2017). https://doi.org/10.1093/ageing/afw215
Sunde, S., et al.: Effects of a multicomponent high intensity exercise program on physical function and health-related quality of life in older adults with or at risk of mobility disability after discharge from hospital: a randomised controlled trial. BMC Geriatr. 20, 464 (2020). https://doi.org/10.1186/s12877-020-01829-9
Donec, V., Kubilius, R.: The effectiveness of kinesio taping ® for mobility and functioning improvement in knee osteoarthritis: a randomized, double-blind. Controlled Trial. Clin. Rehabil. 34, 877–889 (2020). https://doi.org/10.1177/0269215520916859
Wageck, B., Nunes, G.S., Bohlen, N.B., Santos, G.M., de Noronha, M.: Kinesio taping does not improve the symptoms or function of older people with knee osteoarthritis: a randomised trial. J. Physiother. 62, 153–158 (2016). https://doi.org/10.1016/j.jphys.2016.05.012
Kaya Mutlu, E., Mustafaoglu, R., Birinci, T., Razak Ozdincler, A.: Does Kinesio taping of the knee improve pain and functionality in patients with knee oste-oarthritis? Am. J. Phys. Med. Rehabil. 96, 25–33 (2017). https://doi.org/10.1097/PHM.0000000000000520
Kocyigit, F., et al.: Kinesio taping or sham taping in knee osteoarthritis? a randomized, double-blind. Sham-controlled Trial. Complement. Ther. Clin. Pract. 21, 262–267 (2015). https://doi.org/10.1016/j.ctcp.2015.10.001
Donec, V., Kriščiūnas, A.: The effectiveness of Kinesio taping after total knee replacement in early postoperative rehabilitation period. a randomized controlled trial. Eur. J. Phys. Rehabil. Med. 50, 363–371 (2014)
Wang, M., Pei, Z., Xiong, B., Meng, X., Chen, X., Liao, W.: Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: a systematic review and meta-analysis. Complement. Ther. Clin. Pract. 35, 22–32 (2019). https://doi.org/10.1016/j.ctcp.2019.01.008
van den Berg, M., et al.: Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial. J. Physiother. 62, 20–28 (2016). https://doi.org/10.1016/j.jphys.2015.11.005
Cannell, J., et al.: The efficacy of interactive, motion capture-based rehabilitation on functional outcomes in an inpatient stroke population: a randomized controlled trial. Clin. Rehabil. 32, 191–200 (2018)
Li, I., Bui, T., Phan, H.T., Llado, A., King, C., Scrivener, K.: App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial. Clin. Rehabil. 34, 1083–1093 (2020). https://doi.org/10.1177/0269215520928119
Hassett, L., et al.: Digitally enabled aged care and neurological rehabilitation to enhance outcomes with activity and mobility using technology (AMOUNT) in Australia: a randomised controlled trial. PLOS Med. 17, e1003029 (2020). https://doi.org/10.1371/jour-nal.pmed.1003029
Piau, A., Krams, T., Voisin, T., Lepage, B., Nourhashemi, F.: Use of a robotic walking aid in rehabilitation to reduce fear of falling is feasible and acceptable from the end user’s perspective: a randomised comparative study. Maturitas 120, 40–46 (2019). https://doi.org/10.1016/j.maturitas.2018.11.008
Crotty, M., van den Berg, M., Hayes, A., Chen, C., Lange, K., George, S.: Hemianopia after stroke: a randomized controlled trial of the effectiveness of a standardised versus an individualized rehabilitation program, on scanning ability whilst walking. NeuroRehabilitation 43, 201–209 (2018). https://doi.org/10.3233/NRE-172377
Sand, K.M., Midelfart, A., Thomassen, L., Melms, A., Wilhelm, H., Hoff, J.M.: Visual impairment in stroke patients - a review. Acta Neurol. Scand. 127, 52–56 (2013). https://doi.org/10.1111/ane.12050
Nordin, N.A.M., Aziz, N.A., Sulong, S., Aljunid, S.M.: Effectiveness of home-based carer-assisted in comparison to hospital-based therapist-delivered therapy for people with stroke: a randomised controlled trial. NeuroRehabilitation 45, 87–97 (2019). https://doi.org/10.3233/NRE-192758
Fonseca, C., de Pinho, L.G., Lopes, M.J., Marques, M.D.C., Garcia-Alonso, J.: The elderly nursing core set and the cognition of Portuguese older adults: a cross-sectional study. BMC Nurs. 20(1), 1–8 (2021). https://doi.org/10.1186/s12912-021-00623-1
Zhou, B., et al.: Caregiver-delivered stroke rehabilitation in rural China. Stroke 50, 1825–1830 (2019). https://doi.org/10.1161/STROKEAHA.118.021558
Chu, K., et al.: Feasibility of a nurse-trained, family member-delivered rehabilitation model for disabled stroke patients in rural chongqing. China. J. Stroke Cerebrovasc. Dis. 29, 105382 (2020). https://doi.org/10.1016/j.jstrokecerebro-vasdis.2020.105382
Jarbandhan, A., Toelsie, J., Veeger, D., Bipat, R., Vanhees, L., Buys, R.: Feasibility of a home-based physiotherapy intervention to promote post-stroke mobility: a randomized controlled pilot study. PLoS ONE 17, e0256455 (2022). https://doi.org/10.1371/journal.pone.0256455
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Costa, T., Lopes, M., Bia, F. (2023). The Rehabilitation Nurse and the Empowerment of Older Adults with Mobility Impairment and Self-care Deficits: A Systematic Literature Review. In: Moguel, E., de Pinho, L.G., Fonseca, C. (eds) Gerontechnology V. IWoG 2022. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-031-29067-1_32
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