A autonomia é um conceito largamente utilizado pelos profissionais de saúde, no entanto, denota-se alguma incoerência na sua utilização. Objetivo: Mapear e analisar o conceito de autonomia na evidência existente de acordo com a sua aplicação nas diversas áreas do conhecimento. Método de revisão: Scoping review com base nos princípios preconizados pelo Joanna Briggs Institute e pelo método de análise conceptual de Walker e Avant. Dois revisores independentes avaliaram a relevância dos artigos, a extração e síntese dos dados. Apresentação e interpretação dos resultados: Foram incluídos 191 artigos na revisão. São atributos do conceito de autonomia -estado cognitivo, inteligência emocional, situação social, condição intelectual e condição física. Conclusão: A autonomia é um conceito multifacetado. A enfermagem necessita de desenvolver intervenções que promovam claramente a autonomia da pessoa.Palavras-chave: assistência ao paciente; autonomia pessoal; formação de conceito; educação em enfermagem; enfermagem; enfermagem em reabilitação

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Influência dos cuidados de enfermagem de reabilitação na recuperação da independência funcional do paciente Influence of rehabilitation nursing care on the recovery of functional independence of the patient Influencia de los cuidados de rehabilitación em enfermeira em la independencia funcional del paciente

Objective: To describe the meaning attributed by specialist nurses to the promotion of the elderly’s autonomy. Method: This is a phenomenological study, according to Giorgi’s method, which uses semi-structured interviews. Eighteen specialist nurses participated, recruited using convenience sampling, in two hospitals in the northern region of Portugal, between March and December 2018. Results: Five themes emerged: use of instruments; use of theoretical framework; nursing diagnoses; prescription of interventions; nursing records. Conclusion: Specialist nurses use instruments that essentially promote the elderly’s physical capacity, within the scope of autonomy. The information systems used to record the diagnoses and prescriptions for interventions do not reflect the intervention for the person’s autonomy. Autonomy in a multidimensional way is not very well developed, despite the recognition of its importance for the elderly’s quality of life and dignity.

Exergames, which combine digital games and physical exercise, have become a popular alternative to traditional exercise programs and are increasingly used in the health domains. This study aimed to provide a systematic review to synthesize existing studies on the use of exergames for the mental wellbeing of healthy older adults, aggregating the collected data to identify effect size. We performed a Systematic Review and Grading of Recommendations, Assessment, Development, and Assessment (GRADE) evidence synthesis. We performed the search in the following databases: MEDLINE Ò , CINAHL Ò , SPORTDiscus, SCOPUS, SciELO, Psychology and Behavioral Sciences Collection, and Cochrane Ò Central Register of Controlled Trials from the first record until October 2021. Randomized controlled trials using exergames as an intervention were included. A total of 10 articles published between 2009 and 2021 were selected. Most studies used the Nintendo Wii Ò as the exergame in the intervention program. Interventions ranged from 6 to 12 weeks, with 8-week programs being most frequent. It was possible to observe a positive effect on mood, the reduction of apathy, anxiety and depression, self-esteem, and affection.