DEPENDENT PERSON IN SELF-CARE WITH COMORBIDITY, RESULTS SENSITIVE TO REHABILITATION NURSING CARE: SYSTEMATIC REVIEW OF THE LITERATURE

Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the response to the installation of new paradigms of chronic illness and dependence, induced by demographic aging and the advent of a large number of associated comorbidities. Health indicators sensitive to Rehabilitation Nursing care reflect how these nurses contribute to the health of the population in order to achieve health gains.Methods: A systematic review of the literature was carried out. Articles published between 2012 and 2017 were selected by searching the MEDLINE, CINAHL and MedicLatina database, using PI [C] OS methodology, resulting in the selection of 11 articles.Objective: To determine the indicators sensitive to Rehabilitation Nursing care in relation to the dependent people in self-care with comorbidity.Results: We identified 30 indicators sensitive to of Rehabilitation Nursing care in relation to the dependent person in self-care with comorbidity. From the qualitative synthesis of the indicators, improvements were observed in the variables: Readaptation and Functional Reeducation; Wellness and Self Care; Symptom Control; Prevention of Complications; Psychological Support; Customer Satisfaction; Use of Health Services; Quality of Life; Promotion of Social Inclusion; Self-management of Disease and Health Promotion.Conclusions: This systematic review of the literature, which falls within the scope of the development of the discipline of Rehabilitation Nursing, aims to provide valid contributions to the corpus of knowledge on which its practice is based. The recognition of indicators sensitive to rehabilitation nursing care is an opportunity for reflection on praxis and a means of conducting to excellence in car

Ganhos sensíveis aos cuidados de enfermagem de reabilitação, à pessoa dependente no autocuidado com comorbilidade

Enquadramento: A Enfermagem de Reabilitação assume um papel fundamental na sociedade contemporânea, na resposta à instalação de novos paradigmas de doença crónica e dependência, induzidos pelo envelhecimento demográfico e o advento de grande número de comorbilidades associadas. Objetivo: Desenvolver a aquisição de competências de Enfermagem de Reabilitação e de Mestre. Métodos: Implementou-se uma estratégia de intervenção profissional com vista à avaliação dos ganhos sensíveis aos cuidados de Enfermagem de Reabilitação em pessoas dependentes com comorbilidade. Resultados: Através da análise estatística efetuada demonstrou-se que as intervenções em ambos os contextos práticos foram estatisticamente significativas, levando a uma melhoria dos scores gerais de funcionalidade, proporcionando ganhos em saúde. Conclusão: Consideram-se globalmente adquiridas as competências de Enfermagem de Reabilitação e de Mestre, propostas inicialmente. A estratégia implementada promove a excelência profissional e entende-se com um contributo válido para o desenvolvimento da disciplina de Enfermagem de Reabilitação; ABSTRACT: Gains sensitive to rehabilitation nursing care in dependent person in self-care with comorbidity Background: Rehabilitation Nursing assumes a fundamental role in contemporary society in the response to the installation of new paradigms of chronic illness and dependence, induced by demographic aging and the advent of a large number of associated comorbidities Objective: To develop acquisition of Rehabilitation Nursing competences and master is competences. Methods: A professional intervention strategy was implemented with the purpose of evaluating the sensible gains to the Rehabilitation Nursing care in dependent people with comorbidity. Results: Through statistical analysis, it was demonstrated that the interventions in both practical contexts were statistically significant, leading to an improvement in the general scores of functionality, providing health gains. Conclusions: The Rehabilitation Nursing competences and master’s competences, initially proposed, are considered to be acquired globally. The strategy implemented promotes professional excellence and is understood as a valid contribution to the theoretical development of Rehabilitation Nursing