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Nonpharmacological Clinical Effective Interventions in Constipation: A Systemat...

Carvalho Pinto, Cristina; Oliveira, Palmira; Fernandes, Olga; Padilha, José Miguel Santos Castro; Machado, Paulo Alexandre Puga; Ribeiro, Ana

Purpose: To identify nonpharmacological clinically effective interventions for constipation in adults. Methods: A systematic review of experimental studies of nonpharmacological interventions addressing participants’ management of constipation using samples of adults over 18 years of age was conducted. In evaluating the methodological quality of the eligible studies, we used the assumptions of the Cochrane Coll...


Avaliação da dependência no autocuidado: estudo exploratório do fenómeno em con...

Pereira, Soraia; Martins, Teresa; Machado, Paulo Alexandre Puga

The assessment of the dependent person’s self-care ability, through measurement instruments, and the assessment of the level and kind of dependency, may provide nurses a more assertive method for understand the nature of the problems that affect dependency and for establish an action plan tailored to the development of new practices centered on the dependent person, looking forward to promote autonomy. Within t...


O treino de exercício em pessoas com doença respiratória crónica estabilizada :...

Gaspar, Luís; Ferreira, Dulce; Vieira, Francisco; Machado, Paulo Alexandre Puga; Padilha, José Miguel Santos Castro

Introdução: A Reabilitação Respiratória (RR) integra a componente não farmacológica das principais guidelines clínicas para o controlo e tratamento das doenças respiratórias crónicas. O Enfermeiro de Reabilitação (ER), integrado numa equipa multidisciplinar, concebe, implementa e monitoriza programas de RR onde se inclui o treino do exercício. Sendo o conhecimento disciplinar de enfermagem um dos pilares da dec...


Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial

Padilha, José Miguel Santos Castro; Machado, Paulo Alexandre Puga; Ribeiro, Ana; Ramos, José; Costa, Patrício

In the field of health care, knowledge and clinical reasoning are key with regard to quality and confidence in decision making. The development of knowledge and clinical reasoning is influenced not only by students' intrinsic factors but also by extrinsic factors such as satisfaction with taught content, pedagogic resources and pedagogic methods, and the nature of the objectives and challenges proposed. Nowaday...


Functional capacity and self‐care profiles of older people in senior care homes

Imaginário, Cristina; Rocha, Magda; Machado, Paulo Alexandre Puga; Antunes, Cristina; Martins, Teresa

The reduction of the functional capacity in older people is the result of physical, psychological and functional changes related to the ageing process, compromising the performance of daily life activities. Assessing their functional capacity and their self-care profile can facilitate the planning of targeted strategies related to stimulation, as well as cognitive and motor rehabilitation. This study aims to ev...


El cuidado de familiares adultos: ¿Cómo afecta a la salud y al bienestar del cu...

Araújo, F.; Peixoto, Maria José; Martins, Teresa; Lumini Landeiro, Maria José; Pinto Martins Salazar Almeida, Berta Maria; Machado, Paulo Alexandre Puga

Introducción. El cuidado de un miembrode la familia con dependencia para los cuidados personales es un procesocomplejo que afecta a la salud y al bienestar del cuidador familiar. Objetivos. Sistematizar la producción científica nacional sobre las implicacionesen la salud y bienestar de los que tienen a su cargo cuidar familiares com dependencia en el autocuidado. Método. Se llevó a cabo una revisión integradora...


The link between cognitive state and general self-esteem among institutionalize...

Imaginário, Cristina; Rocha, Magda; Machado, Paulo Alexandre Puga; Antunes, Cristina; Martins, Teresa

Objetivo: testar se a condição de saúde da pessoa idosa é mediadora na associação entre o estado cognitivo e a autoestima global de idosos institucionalizados. Método: estudo de natureza quantitativa, transversal do tipo correlacional, recorreu à análise de caminhos. Na recolha de dados utilizaram-se as versões portuguesas dos seguintes instrumentos: Mini-Mental State Examination, Tinetti Performance Oriented M...


Self-care profiles of the elderly institutionalized in Elderly Care Centres

Imaginário, Cristina; Rocha, Magda; Machado, Paulo Alexandre Puga; Antunes, Cristina; Martins, Teresa

The concept of self-care in the elderly has been frequently associated with autonomy, independence and personal accountability. Self-care practices are a result of individual lifestyles and paths adapted to the circumstances and expectations of the elderly. Based on the model by Backman and Hentinen (1999), the present study attempts to categorically describe the types of self-care of the elderly. This is an ex...


Pressure ulcer (risk) assessment: Recommendations to improve nursing practice

Garcez Sardo, Pedro Miguel; Guedes, Jenifer Adriana; Machado, Paulo Alexandre Puga; Melo, Elsa Maria

Pressure ulcer (risk) assessment is complex and multifactorial. National and international guidelines give orientations about pressure ulcer (PU) management and provide important recommendations. However, it’s necessary to know our reality in order to improve Evidence-Based Nursing. The main aim of this study was to provide some recommendations to improve clinical practice, clinical research, clinical managemen...


Pressure ulcer incidence and Braden subscales: Retrospective cohort analysis in...

Sardo, Pedro Miguel Garcez; Guedes, Jenifer Adriana Domingues; Alvarelhão, José Joaquim Marques; Machado, Paulo Alexandre Puga

Aim: To study the influence of Braden subscales scores (at the first pressure ulcer risk assessment) on pressure ulcer incidence using a univariate and a multivariate time to event analysis. Materials and methods: Retrospective cohort analysis of electronic health record database from adult patients admitted without pressure ulcer(s) to medical and surgical wards of a Portuguese hospital during 2012. The hazard...


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