Escola Superior de Saúde
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Browsing Escola Superior de Saúde by Sustainable Development Goals (SDG) "03:Saúde de Qualidade"
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- CLC-CPC Creating learning communities for compassionate palliative care cultures - Train-the-trainer-course CurriculumPublication . Schuchter, Patrick; Buchegger, Marianne; Jurka, Johannes; Fupun, Claudia; Adascalitei, Irina; Dreglea , Ina; Gaicu, Elena; Lazar, Alina; Dixe, Maria dos Anjos; Querido, Ana; Laranjeira, CarlosiCare - an International Integrated perspective in palliative CARE for dignity and proper support in ageing and approaching end of life" is an interprofessional and participatory project led by Organizatia Umanitaria Concordia, Romania, in cooperation with the Kardinal König Haus, Vienna and the Polytechnic University of Leiria, Portugal. The European Union financially supports this initiative under the Erasmus+ program (Grant No. 2023-1-RO01-KA220-VET-000166902). The Train-the-Trainers (TOT) course curriculum in Palliative care is focused on Death Literacy and Creating Learning Communities from the Plublic Health Palliative Care perspective. The document presents TOT conceptual foundations, adult learning Philosophy, learning fields and objectives, learning outcomes per content, and evaluation.
- Developing Portuguese Nurses’ Skills in Inter-Hospital Transportation of Critically Ill Patients: Quality Improvement ProjectPublication . Duarte, Mariana; Costeira, CristinaSelf-awareness among nurses involved in inter-hospital transport is crucial, as recognizing their limitations helps them improve their skills and make better use of tools that support inter-hospital transport, ultimately resulting in more efficient care. Objectives: To evaluate nurses’ self-perceived competences in an emergency department in Portugal regarding the inter-hospital transport of critically ill patients, implement interventions to facilitate the development of nurses’ competences, and evaluate the interventions carried out. Methods: A quality improvement project was conducted in three phases. The first phase involved a diagnostic study, the second phase focused on implementing interventions to improve nurses’ performance, and the third phase consisted of a descriptive study to evaluate the interventions implemented. Results: A total of 40 nurses participated in the study, with an average age of 39 (39.10 ± 11.83) years old, an average of 16 (16.09 ± 11.06) years of professional nursing experience, and an average of 11 (10.94 ± 10.91) years of experience in inter-hospital transport of critically ill patients. The nursing records during inter-hospital transport received the lowest self-perception rating, prompting the implementation of an intervention in the form of a nursing records checklist. Conclusions: The interventions implemented led to a change in self-perceptions of competence. Nurses’ self-awareness of their competences and limitations is crucial to deliver safe and quality nursing care. Providing opportunities for reflection on skills is therefore crucial to improving care delivery and encouraging the development of professional skills, attitudes, and behaviors.
- Duchenne muscular dystrophy: Symptoms, management and prognosisPublication . HONÓRIO, SAMUELA child with Duchenne Muscular Dystrophy (DMD) faces a childhood and adolescence with a disability that develops gradually. This book intends to expose the problems of children with DMD. The authors discuss situations related to the disease in an attempt to provide some quality and improvement of life for those affected since DMD is a degenerative disease which affects muscle. This book offers a historical study of muscular dystrophy. It also shows some profiles of excellent clinicians and scientists that have contributed to this book with a description of muscular dystrophy from the clinical picture, to the latest techniques in genetics. Also included in the chapters are resolutions of several approaches to DMD, like scales, in order to anticipate how to manage the disease. This book relates some techniques of moderate exercise, like Yoga and water exercises, that are compliable with some advantages in mobility. The book concludes with some current trends and what can be done in the future. This book can be a good read to everyone that is interested in DMD, and also for the ones who know or provide care for those with this terrible disease.
- O efeito do jogo na promoção do equilíbrio e na prevenção do risco de quedas em pessoas idosasPublication . Neves Rosa, Marlene Cristina; Brites, Cátia; Tarrafa, Inês; Viamonte, Miguel; Oliveira, Patrícia; Silva, CândidaIntrodução: O jogo analógico dirigido a pessoas idosas com alterações de equilíbrio e risco de queda demonstrou alguns potenciais resultados, contudo os estudos são escassos. Objetivo: O presente estudo pretendeu testar o potencial de um jogo analógico na melhoria do equilíbrio e diminuição do risco de quedas, bem como caracterizar o desempenho dos participantes no jogo e a sua relação com as variáveis de equilíbrio e risco de queda. Metodologia: Foram analisados dados recolhidos em três momentos: inicial (T0); após 6 semanas de intervenção com jogo (T1) e final (T2), após 6 semanas sem intervenção com jogo. Foram calculadas correlações entre o desempenho no jogo nas diferentes grelhas (S, M e L) e os indicadores de equilíbrio (Teste de Levantar e Ir (TUG) e teste Tinetti); estes testes foram comparados entre os períodos com e sem o jogo. Resultados: Dez pessoas idosas (87,60±7,25 anos; 8 mulheres) participaram no estudo, melhorando significativamente os valores de TUG apenas entre T0-T1 (p=0,002). Os valores do teste de Tinetti melhoraram significativamente nos dois períodos de intervenção (p=0,001; p=0,006). O desempenho na grelha L demonstrou correlação com o teste Tinetti (T0 - ρ = -0,664; p = 0,036) e com o TUG apenas na 2ª tentativa (T0; r = 0,680; p = 0,030*). Conclusão: Existe potencial benefício do jogo analógico na melhoria do risco de queda (TUG) na pessoa idosa institucionalizada. O jogo implementado, no seu nível mais exigente (grelha L), parece adequar-se ao contexto de reabilitação, promovendo aprendizagem ao longo do tempo.
- Efficacy and safety of pharmacological treatments in inclusion body myositis: a systematic reviewPublication . Santos, Eduardo José Ferreira; Farisogullari, Bayram; Yapp, Nicholas; Townsley, Hermaleigh; Sousa, Pedro; Machado, Pedro; Combe, BernardObjective: To identify the best evidence on the efficacy of treatment interventions for inclusion body myositis (IBM) and to describe their safety. Methods: Systematic review of randomised controlled trials (RCTs) of pharmacological treatments of adults with IBM, conducted according to the Cochrane Handbook, updating a previous Cochrane review. The search strategy was run on Cochrane Neuromuscular Disease Group Specialized Register, CENTRAL, MEDLINE and EMBASE, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform. Assessment of risk of bias, data extraction and synthesis were performed independently by two reviewers. Data pooled in statistical meta-analyses, if possible. Results: From a total of 487 records, 48 were selected for full-text review, 14 fulfilled the inclusion criteria, but only 2 RCTs were included in meta-analyses due to clinical heterogeneity (different drug interventions or dosages). Treatments included various immunosuppressive and immunomodulatory agents, alongside interventions modulating muscle growth and protein homoeostasis. Efficacy was assessed across multiple outcomes, namely muscle strength, physical function, mobility and muscle trophicity. Trials of methotrexate (MTX), intravenous immunoglobulin, interferon beta-1a and MTX, MTX and anti-T-lymphocyte immunoglobulin, oxandrolone, MTX and azathioprine, bimagrumab, arimoclomol, and sirolimus provided low-quality to high-quality evidence of having no effect on the progression of IBM. Conclusions: Drug interventions for IBM were not effective for most of the outcomes of interest. We observed inconsistency of outcome measures across trials. More RCTs are needed, of adequate size and duration, and using a standardised set of outcome measures.
- How Health Literacy impacts Polytechnic of Leiria Students?Publication . Teixeira Ascenso, Rita Margarida; Luis, Luis; Dias, Sara; Gonçalves, DulceIn 2021, aHealth Literacy(HL) evaluation among university students revealed notable limitations in HL. To assess the general HL of populations comprehensively, the European HLSurvey Questionnaire (HLS-EU-Q) was developed, encompassing 12 subdomains to provide a broad perspective on public health. In 2014, the questionnaire was adapted for use in Portugal, resulting in the HLS-EU-PT version, validated through a 16-question survey (HLS-EU-PT-Q16).Global HL andthreedomains’ indexes and levelswere determined, namely Healthcare (HC), Disease prevention (DP), and Health Promotion (HP). The HLSEU-Q16-PT assessment demonstrated satisfactory internal consistency, with 0.8834Cronbach's alpha coefficient.In this study, an online survey distributedbetween 2020-2021among Polytechnic of Leiria academia allowed data collection from various stakeholders, including 251 students, 109 professors, 15 researchers, and 55 other staff. From the430 responses,75 questions were analysed. The saved data wasthefocus of this work, regarding a thesis of the first edition of the master’s in data science to analysethe 251 surveyed studentsand their HL. The results revealed that thesestudents have lower HL index, and, in this case study,health areadegreeor school impactsHL.
- Intervenção alimentar e nutricional na prevenção de deficiências intelectuais e cognitivas em crianças com fenilcetonúriaPublication . Figueiredo, Ana; Jorge, RuiA fenilcetonúria é uma doença que resulta de um erro congénito autossómico recessivo do metabolismo da fenilalanina. Este distúrbio provoca elevações nas concentrações plasmáticas deste aminoácido acarretando graves problemas ao nível do sistema nervoso. De acordo com a evidência encontrada, a introdução do recém-nascido em programas de rastreio neonatais específicos, parece melhorar e proporcionar nestas crianças uma vida relativamente normal. A necessidade de melhores opções de tratamento levou ao desenvolvimento de novas estratégias terapêuticas capazes de promover uma melhor qualidade de vida aos portadores desta doença. Este artigo de revisão demonstra como a implementação nutricional e alimentar precoce é um fator determinante na gestão desta patologia, onde o intuito é avaliar a influência que a alimentação tem no desenvolvimento cognitivo em crianças com fenilcetonúria.
- Lived Experiences of Physiotherapists in Caring for People with Advanced Amyotrophic Lateral Sclerosis in Portugal: A Phenomenological StudyPublication . Monteiro, Andreia; Ali, Amira Mohammed; Laranjeira, CarlosAmyotrophic lateral sclerosis (ALS) is a disease that has a multidimensional impact on a person’s life, with symptoms associated with a significant loss of autonomy. Specialized palliative care (PC) should be provided early and throughout the course of the disease. Indeed, physiotherapists should be understood as integral members of the multidisciplinary team in PC, in the care and improvement of the quality of life of these people. This study aimed to describe the lived experience of physiotherapists in the context of intervention in people with advanced ALS and their families. Descriptive phenomenology was employed as a framework for conducting semi-structured interviews to reveal experiences. Sixteen physiotherapists who performed interventions on at least one person with advanced ALS in the last 2 years were included in the study. The study involved conducting semi-structured individual interviews, through the Zoom® videoconferencing platform (version 6.4.3). Data were analyzed according to Giorgi’s five-stage approach and managed using webQDA software (Version 3.0, University of Aveiro, Aveiro, Portugal). The COREQ checklist was applied in the study. Participants were mostly female (n = 12) and aged between 26 and 55 years (M = 36.81; SD = 6.75). Four constituents were identified: (1) undulating course of a complex disease; (2) barriers to person-centered care; (3) enablers of person-centered care; (4) transition between curative and palliative care. The findings illustrate the multidimensional impact of the disease trajectory on the person and their family. This study highlights the need to invest in specialized training for physiotherapists, contributing to a person-centered PC practice with an impact on promoting comfort and quality of life.
- Multidrug resistance assessment of indoor air in Portuguese long-term and acute healthcare settingsPublication . Santos-Marques, C.; Teixeira, C.; Pinheiro, R.; Brück, W. M.; Pereira, Sónia Gonçalves; dos Santos Marques, Catarina; Silva Teixeira, Camila; Pinheiro, Rafael; Gonçalves Pereira, SóniaBackground: Knowledge about air as a pool of pathogens and multidrug resistance (MDR) in healthcare units apart from hospitals is scarce. Aim: To investigate these features in a Portuguese long-term healthcare unit (LTHU) and a central hospital (CH). Methods: Air samples were collected and their microbial load (bacteria and fungi) determined. Bacterial isolates were randomly selected for further characterization, particularly identification by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry, antimicrobial susceptibility testing, and polymerase chain reaction screening of extended-spectrum b-lactamases, carbapenemase genes and mecA gene, with RAPD profile assessment of positive results of the latter. Findings: A total of 192 samples were collected (LTHU: 86; CH: 106). LTHU showed a statistically significantly higher bacterial load. CH bacteria and fungi loads in inpatient sites were statistically significantly lower than in outpatients or non-patient sites. A total of 164 bacterial isolates were identified (MALDI-TOF: 78; presumptively: 86), the majority belonging to Staphylococcus genus (LTHU: 42; CH: 57). The highest antimicrobial resistance rate was to erythromycin and vancomycin the least, in both settings. Eighteen isolates (11%) were classified as MDR (LTHU: 9; CH: 9), with 7 MDR Staphylococcus isolates (LTHU: 4; CH: 3) presenting mecA. Nine non-MDR Staphylococcus (LTHU: 5; CH: 4) also presented mecA. Conclusion: The current study highlights that healthcare unit indoor air can be an important pool of MDR pathogens and antimicrobial resistance genes. Also, LTHUs appear to have poorer air quality than hospitals, as well as supportive areas compared to curative care areas. This may suggest possible yet unknown routes of infection that need to be explored.
- Observatório para a Saúde dos Estudantes do Instituto Politécnico de Leiria - Relatório Técnico 2024Publication . Graça Henriques, Carolina Miguel; de Matos Gonçalves, Pedro Jorge; Matos, Rui; MENDES, SUSANA; Toneca, Cláudia Andreia Cunha Belém; Oliveira Diz, Susana Cristina; Ferreira, BárbaraO Instituto Politécnico de Leiria está comprometido com a promoção de estilos de vida saudável e ativa na comunidade académica, em alinhamento com a definição de Saúde da Organização Mundial de Saúde (OMS). No âmbito do programa Healthy Campus, a saúde, o bem-estar e os estilos de vida saudáveis são preocupações cada vez mais presentes na nossa Instituição, pelo que solicitámos a colaboração de todos os estudantes para o preenchimento de um questionário, devidamente aprovado pela Comissão de Ética do Instituto Politécnico de Leiria - Parecer N.º CE/IPLEIRIA/53/2023, que se realiza no âmbito do Observatório da Saúde dos Estudantes do Politécnico de Leiria, cujos resultados aqui são apresentados e que nos permitem desenhar intervenções que vão ao encontro das necessidades dos nossos estudantes em matéria de saúde, bem-estar e estilos de vida saudáveis.