Diagnóstico de enfermagem: mobilidade física prejudicada em pacientes acometidos por acidente vascular encefálico

Abstract

The study aimed to investigate the occurrence of Nursing Diagnosis Impaired Physical Mobility in patients with stroke. This exploratory study was developed at rehabilitation units from November 2007 to march 2008, through an interview and physical examination. Nursing diagnoses were made using NANDA Taxonomy II. A total 121 patients were evaluated. Subjects' average age was 62.1 years, 52.3% were males with an average 1.5 stroke events in 3.4 years. The diagnosis was present in 90%, with an average of 5.8 defining characteristic. Difficulty turning was the most present characteristic and there were 3.4 related factors per patient, and most reported decreased strength and endurance besides neuromuscular impairment (100%). There should be a closer look towards this diagnosis when planning interventions after a stroke with aiming at health promotion for these patients.

Calf circumference: clinical validation for evaluation of muscle mass in the elderly

“…Studies in different global settings show that sarcopenia has a high prevalence (4)(5) and increases the occurrence of disability (6) . In the context of nursing practice in the care of the elderly, the evaluation of muscle mass and sarcopenia is poorly described (7)(8) , although several nursing diagnoses are related to the event of muscle weakness and muscular alterations, either in the taxonomy of NANDA-International (9) , or in the terminology of CIPE® (10) . In the NANDA-I taxonomy (9) , the term decreased muscle mass is only mentioned in the Impaired Physical Mobility Diagnosis.…”

Efeitos da Mobilização Precoce nas Complicações Clínicas Pós-AVC: Revisão da Literatura

“…Após leitura criteriosa desses trabalhos, 39 foram excluídos, 20 eram revisão de literatura, 18 por não estarem diretamente relacionados ao tema e 01 por abordar acidente vascular cerebral crônico. Dos dez artigos incluídos, um estudo descritivo 7 , um estudo analítico prospectivo 16 , um ensaio clínico duplo cego multicêntrico 17 , um transversal quantitativo 18 , uma série de casos 19 , um estudo multicêntrico randomizado 20 , um ensaio clinico randomizado 21 , dois duplo-cego randomizado controlado 22,23 , um ensaio clínico duplo-cego multicêntrico aleatório 24 (Tabela 1).…”

“…Relataram em seu estudo que os pacientes recrutados eram maiores de 18 anos, porém não apresentaram média de idade 17 . Encontraram resultados positivos em relação ao sexo, apontaram maior prevalência no sexo masculino, média de (52%) 7,16,18 . Apenas no estudo descritivo, o sexo feminino foi mais acometido por esta patologia 19 .…”

“…Estudos multicên-tricos 18,20 demonstraram que após o evento, a mobilização precoce tem significância maior em relação ao tratamento padrão, reduz o risco de agravamento funcional e melhora as atividades de vida diária. No entanto, é evidente que a mobilização realizada precocemente oferta uma melhora na função motora, cognitiva e evita o risco de depressão.…”

Impaired Physical Mobility in Chronic Kidney Disease: Nursing Diagnosis

“…6 Impaired mobility in a functional perspective is seen as the individual's inability to move freely, this occurs in a varied way for each individual, or even in the same individual, this incapacity may be present in different degrees with periods when the symptoms are mild and also periods when physical limitations are more severe. 8 A Brazilian study that used the SF-36 Generic Quality of Life Questionnaire to evaluate the quality of life of 28 chronic renal patients having hemodialysis, found that from the eight domains observed by the instrument, the Limitation by physical aspects presented a score with a mean of 12.5%, (where 0 represents the worst score and 100 the best health status score). Greater difficulty of activities was related to vigorous activities, such as running, lifting heavy objects and taking part in strenuous sports.…”