Percorrer por autor "Henriques, Maria Adriana"
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- Análise Interobservadores das práticas e comportamentos de segurança adotados pelos idosos institucionalizados para prevenir quedasPublication . Baixinho, Cristina; Dixe, Maria dos Anjos; Madeira, Carla; Alves, Silvia; Henriques, Maria AdrianaObjetivo: determinar as propriedades psicométricas da dimensão das práticas e dos comportamentos de segurança da Escala de Práticas e Comportamentos dos Idosos Institucionalizados para Prevenir Quedas numa amostra de idosos com declínio cognitivo
- Evaluation of the effectiveness of an intervention in a health team to prevent falls in hospitalized elderly peoplePublication . Cunha, Luís Filipe Correia da; Baixinho, Cristina Lavareda; Henriques, Maria Adriana; Sousa, Luís Manuel Mota; Dixe, Maria dos AnjosTo evaluate the effectiveness of an intervention program in practices and behaviors of a health team to prevent falls in hos pitalized elderly people. Method: This was an action, mixed-methods, and longitudinal study that applied an intervention based on TeamSTEPPS® , and organized into five domains: team training, communication, leadership, monitoring, and mutual support. The population was nurses and nursing aides who worked at the medical service of a Portuguese hospital center. Data were obtained by consulting process records and interviews, and by applying the Scale of Practices and Behaviors of Teams for Fall Prevention. Results: There was improvement in all indicators of the scale, with evident progress in discussion of risk factors and preventive measures to be implemented. Conclusion: This intervention promoted decision-making regarding the preventive measures to be applied to each elderly person and improved communication and the interest in identifying the causes of falls to prevent their recurrence.
- Falls and Preventive Practices among Institutionalized Older PeoplePublication . Baixinho, Cristina Lavareda; Madeira, Carla; Alves, Silvia; Henriques, Maria Adriana; Dixe, Maria dos AnjosThe present study about falls among the older adult population essentially explores biophysiological factors. In light of the complexity of the factors that cause these accidents, it is important to identify the safety and self-care practices of institutionalized older adults and their relationship with falls in order to introduce prevention measures and personalized cognitive–behavioral strategies. The objective of this study was to: (a) determine the frequency of falls and their recurrence among institutionalized older adults, and (b) to associate the occurrence of falls among institutionalized adults with or without cognitive impairment to communication and safety practices. This was a quantitative, correlational, and longitudinal study with 204 institutionalized older adults living in two long-term care facilities in Portugal. The Scale of Practices and Behaviors for Institutionalized Elderly to Prevent Falls was administered to the sample. The prevalence of falls at a 12-month follow-up was 41.6%, of which 38.3% were recurring episodes. Older adults with cognitive decline showed lower mean scores for safety practices. Further research with larger samples should explore the relationships between communication and safety practices and falls, their recurrence, and fear of new falls.
- Falls efficacy scale – Formal caregivers: Adaptation and validation in Portuguese nursing homesPublication . Lavareda Baixinho, Cristina; Marques-Vieira, Cristina; Sousa, Luís; Abrantes, António; Conceição, Nuno; Martins, Amaro; Henriques, Maria Adriana; Dixe, Maria dos AnjosThe literature review shows that the fear of falling is present in older persons’, but also in their careers and influences the performance of activities of daily living. The objective of this methodological study was to adapt and validate the Falls Efficacy Scale – Formal Caregivers. The development of the examined scale was based on the Falls Efficacy Scale – International, which was adapted for assessing the fear of falling in formal caregivers. The instrument was filled out by 319 formal caregivers of older people living in 11 Portuguese nursing homes for older people. Their average age was 46.8 ± 10.7 years, they had been working in this role for 13.4 ± 8.2 years, and 67.7 % of them attended vocational training in the workplace after being employed at the nursing home. Falls Efficacy Scale – Formal Caregivers, which contains 16 items, showed good internal consistency (α = 0.848). These items were organized into 3 factors after exploratory and confirmatory factor analysis (lesser physical effort activities; intermediate physical effort activities, carried out in safe conditions; and intermediate physical effort activities, carried out in less safe conditions), with adequate convergent validity.
- Falls in institutionalized elderly with and without cognitive decline A study of some factorsPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Madeira, Carla; Alves, Sílvia; Henriques, Maria AdrianaFalls in long-stay institutions for elderly people have a high prevalence, contributing to the physical and mental deterioration of institutionalized elderly.
- Flebite e infiltração: traumas vasculares associados ao cateter venoso periféricoPublication . Braga, Luciene Muniz; Parreira, Pedro Miguel; Oliveira, Anabela de Sousa Salgueiro; Mónico, Lisete dos Santos Mendes; Arreguy-Sena, Cristina; Henriques, Maria AdrianaObjetivo: determinar a taxa de incidência e os fatores de risco para os indicadores sensíveis aos cuidados de Enfermagem, flebite e infiltração, em pacientes portadores de cateteres venosos periféricos (CVPs). Método: estudo de coorte com 110 pacientes. Utilizou-se escalas para avaliar e documentar flebite e infiltração. Recolheram-se variáveis sociodemográficas, clínicas, relativas ao CVP, à medicação e à internação, bem como efetuou-se análise descritiva e inferencial, e modelação logística multivariada. Resultados: a taxa de incidência de flebite e infiltração foi de 43,2 e 59,7 por mil cateteres-dia, respectivamente. A maioria dos CVPs foi removida nas primeiras 24h devido a esses traumas vasculares. Foram fatores de risco para flebite o tempo de internação (p=0,042) e o número de cateteres inseridos (p<0,001), sendo para infiltração a piperacilina/tazobactan (p=0,024) e o número de cateteres inseridos (p<0,001). Conclusão: a investigação documentou a incidência de indicadores sensíveis aos cuidados de Enfermagem (flebite e infiltração) e evidenciou novos fatores de risco relacionados à infiltração. Possibilitou, também, uma reflexão sobre os cuidados de Enfermagem para prevenir esses traumas vasculares, as indicações e as contraindicações do CVP, tendo subsidiada a implementação do PICC nas práticas de Enfermagem como alternativa ao CVP.
- Gait Ability and Muscle Strength in Institutionalized Older Persons with and without Cognitive Decline and Association with FallsPublication . Dixe, Maria dos Anjos; Madeira, Carla; Alves, Silvia; Henriques, Maria Adriana; Baixinho, Cristina LavaredaFalls are a complex problem, given their multifactorial nature, the comorbidities involved, and due to the dependency of older persons living in nursing homes. Risk, fear of falling, falls themselves, and their recurrence are the main factors behind fragility fractures, lack of independence, and increases in pain prevalence, and other comorbidities in older populations. The objectives of the present quantitative and longitudinal study were: (a) to characterize the cognitive state and fall frequency of older persons living in nursing homes; (b) to analyze the relationship between cognitive status and some fall risk factors; and (c) to associate cognitive decline, gait ability, and muscle strength of the examined institutionalized older persons with fall occurrence and recurrence over 12 months. The participants were 204 older persons who lived in Portuguese nursing homes, and data were collected from January 2019 to February 2020 by consulting medical records and applying the following instruments: the Mini-Mental State Examination, Timed Up and Go Test, and Medical Research Council Manual Muscle Testing Scale. Fall prevalence, assessed in two periods, 12 months apart, was similar in both samples (with and without cognitive decline) and close to 42%, and the annual recurrence rate was 38.3%. Older persons with no cognitive decline showed an association between gait speed and occurrence of first fall and recurrent fall (p < 0.05). Muscle strength and use of gait aid devices were not related to falls and their recurrence, regardless of mental state.
- Gestionar el ambiente para prevenir la caída en los ancianos institucionalizados: validación de protocoloPublication . Baixinho, Cristina Lavareda; Dixe, Maria dos Anjos; Henriques, Maria AdrianaObjetivo: validar el contenido de un protocolo con las intervenciones de enfermería para la gestión del riesgo de caída asociado al ambiente en Residencias de Larga Perma nencia para Ancianos. Método: estudio metodológico, de abordaje cuantitativo, que usa la técnica de Delphi para obtener consenso. La revisión de la literatura y la observación en contextos de práctica clínica hizo posible la construcción de un instrumento con 40 indicadores, el cual fue enviado por vía electrónica a un grupo de expertos (14), quienes respetaban los criterios de inclusión definidos y quienes aceptaron participar libremente en el estudio. Les fue garantizada la confidencialidad de los datos. Resultados: los indi cadores del protocolo están organizados en tres dimensiones: 1) Gestionar la seguridad del anciano (IRA=,8); 2) Gestionar el espacio físico (IRA=,1); y 3) Monitorizar y comu nicar cambios (IRA=,88) con un CVI=,96. Estas dimensiones representan en el protoco lo las intervenciones de enfermería para el control de los factores ambientales de riesgo de caída. Conclusiones: los resultados de la prueba de fiabilidad (>0,8) garantizan que las intervenciones de enfermería planteadas para la gestión del ambiente son válidas y deben ser implementadas en las residencias de larga permanencia para ancianos con el fin de prevenir la caída de ancianos institucionalizados.
- Nurses' perspective on transitional care for older person with hip fracture: a qualitative studyPublication . Rocha, Paula; Lavareda Baixinho, Cristina; Albuquerque, Carlos; Batista, Susana; Henriques, Maria AdrianaBackground The aging process, being associated with a decrease in physical functionality, determines an increased risk of falling and, consequently, a greater risk of associated fractures. Among them, hip fracture often causes functional decline and difficulty returning to the state before the fracture. Objective To analyze nurses' perceptions of the transition process of the older person with hip fractures on returning home. Methods A descriptive, exploratory study of a qualitative nature was developed, based on two focus groups (FGs) with semi-structured interviews with nurses providing care to patients with hip fractures undergoing surgical treatment, whose activity takes place in a hospital context and care primary healthcare units, belonging to a Hospital in the central region of Portugal. Systematic data analysis and respective inductive work were carried out, with support from software Meetpulp®. Results The analysis of the two FGs, with 10 participants, outlines the contours of the problem that influences the personal, organizational and political spheres. Professionals recommend solutions to mitigate obstacles to the transition of care, such as: early involvement and better preparation of family members before discharge, offering greater support to caregivers, improving communication between professionals, creating a telephone support line, highlighting the importance networking and streamlining processes. Conclusion Nurses perceive important problems inherent to the transition process of older person with hip fractures, and the resulting impact on family caregivers and health services. The analysis of these aspects can constitute a basis for the reorganization of health services, in search of the best response to these needs.
- Preventing falls in hospitalized elderly: design and validation of a team interventionPublication . Cunha, Luís Filipe Correia da; Baixinho, Cristina Lavareda; Henriques, Maria AdrianaThe objective of the present study was the design and validation, by a panel of experts, of a team intervention to manage the risk of falls in the hospitalized elderly.