Introdução: É indispensável entender a saúde mental por meio das relações históricas e socioculturais que o indivíduo mantém com o outro, com a comunidade e com o meio em que trabalha. Percebe-se que os aspectos referentes às conceituações de saúde não estão em consonância com a realidade dos profissionais de saúde no Brasil. Como forma de promover o autocuidado, as Práticas Integrativas e Complementares apresentam-se como uma estratégia de promoção da saúde mental dos trabalhadores da saúde. Objetivo: Descrever as experiências de realização de ações de promoção da saúde mental dos trabalhadores da saúde em um hospital geral do interior do Rio Grande do Norte. Metodologia: Trata-se de um estudo do tipo relato de experiência, desenvolvido a partir da realização de ações de promoção à saúde mental dos trabalhadores no contexto do “Setembro Amarelo” e “Janeiro Branco”, desenvolvidas pela equipe de Residência Multiprofissional em Saúde Materno-Infantil da Universidade Federal do Rio Grande do Norte. Resultados e Discussão: Os profissionais foram instigados a refletir sobre a temática e relacionar com as suas vivências, discutindo estratégias de autocuidado no ambiente de trabalho. Observou-se a predominância dos profissionais de enfermagem em relação às demais categorias profissionais. Estes relataram que os momentos foram prazerosos e o sentiram como uma oportunidade de relaxamento no ambiente de trabalho, desejando que estes pudessem ocorrer com mais frequência. Conclusões: As ações desenvolvidas e descritas se mostraram como estratégias importantes para a discussão e sensibilização sobre a temática, bem como a relevância de estratégias de promoção à saúde mental nos espaços ocupacionais do SUS.
Background: This study aimed to describe the effects of a 90-minute group-based constraint-induced movement therapy protocol (CIMT) on upper extremity (UE) rehabilitation in poststroke patients. Method: The study was a case series clinical study with 6 patients with chronic stroke admitted to the institutional integrated clinic. Ten 90-minute CIMT sessions were administered, based on the principles of the original therapy. On completion of the protocol, participants underwent group care once a week, for 1 hour a day. For comparison purposes, the Wolf Motor Function Test (WMFT), Motor Activity Log (MAL), and Canadian Occupational Performance Measure (COPM) were applied on admission, shortly after completing the protocol, and 3 months after completion. In addition, the MAL and shaping tasks were applied daily. Results: There was a statistically significant difference only in the MAL Amount of Use Scale applied daily between the 2nd (3.56) and 9th (3.31) and 2nd and 10th days (4.49) (P = .004), with a moderate effect size (d’ = 0.46), and in the average value of shaping repetitions between the 1st (16.10) and 2nd (6.00) and 1st and 10th tasks (7.00) (P = .014), with a moderate effect size (d’ = 0.35). Conclusion: The 90-minute CIMT protocol resulted in significant improvements in use of the more affected arm in activities of daily living during the 2-week protocol. Additional research with a larger sample and a control group is needed to confirm its effectiveness.
Background: Motor and functional recovery in post-stroke individuals is a process of interference from non-motor aspects such as pain and fatigue.The prevalence of these symptoms and their impact on the rehabilitation process need to bebetter understood and studied, mainly in the strategies for the construction of therapeutic approaches. Objectives: To analyze the prevalence of pain and fatigue in individual’s post-stroke. Design and setting: Cross-sectional study that followed the STROBE recommendations. An outpatient clinic at UFRN / FACISA in Santa Cruz-RN institution. Approved by the Research Ethics Committee (Opinion No. 2,622,853). Methods: One sample perconvenience, had 29 post-stroke individuals. The individuals were evaluated using the following clinical instruments: the Mini Mental State Examination (MMSE),Functional Independence (FI), Fulg-Meyer Scale (FMS), Sensory Assessment of Nottingham (SAN), McGill Pain Question (MOQ) and the Severity of Fatigue (SSF). The data were analyzed descriptively. Results: Participants presented the following characteristics clinical: MMSE, 19 (median), (0(1ºQ)/24 (3ºQ)); FI, 80 (0/121); FMS, 36 (36/88); SAN, 108 (0/108); SSF, 9 (0/27). Thus, the prevalence of pain was 28% (8) and the fatigue was present in 76% (22) of the individuals. Conclusions: We found a high prevalence of fatigue in patients with chronic stroke, however we did not find relationship with pain. Further studies are needed to understand these conditions and identify which factors contribute to the prevalence of such symptoms.
INTRODUÇÃO: A realização de duas tarefas de forma simultânea exige a capacidade de concentrar atenção e executar duas tarefas ao mesmo tempo. Em indivíduos com Doença de Parkinson as interferências podem ser ainda maiores, visto que esses indivíduos necessitam de um grau maior de atenção apenas para executar uma tarefa única, como no caso, a marcha. OBJETIVO: Analisar a interferência da dupla tarefa na marcha de pacientes com DP. MATERIAIS E MÉTODOS: Estudo observacional de caráter transversal, de natureza quantitativa. Cinco indivíduos com Doença de Parkinson, de ambos os sexos, participaram do grupo experimental; e cinco indivíduos saudáveis fizeram parte do grupo controle. Os participantes tiveram a marcha avaliada com e sem interferência cognitiva, utilizando: Escala de Equilíbrio de Berg; Índice Dinâmico da Marcha; teste de mobilidade funcional (Time Up and Go Test), Esteira Ergométrica e o Stroop Test adaptado para analfabetos. RESULTADOS: Quando comparados Grupo Experimental e Grupo Controle foram encontradas diferenças estatisticamente significantes nas condições de marcha com interferência de dupla tarefa (Dupla Tarefa Número e Dupla Tarefa Cor) nas variáveis de quantidade de acertos e amplitude de movimento. CONCLUSÃO: A dupla tarefa em pacientes com DP, interfere principalmente na função cognitiva, enquanto a função motora da marcha permanece parcialmente preservada.
Background: One of the main symptom present in post-stroke subjects is chronic pain. Chronic pain and physical dependence can decrease the level of social participation of these population. Objective: characterize the correlation between pain and the social participation of post-stroke individuals living in the region of Trairi Potiguar. This is a cross-sectional and observational study, approved by the institution’s research ethics committee (#2.622.853). Methods: Thirty-four participants were assessed by McGill Pain Questionnaire (MPQ), LIFE-H 3.1, Functional Independence Measure (FIM), Mini-Mental State Examination (MMSE), Fugl-Meyer Scale (FMS) and Nottingham Sensory Assessment (NSA). Spearman correlation test were performed in the statistical analyse. Results: The following scores were reported in median (1ºQ/3ºQ): FIM (65: 0/116), MMSE (18: 0/23.75), FMS (21: 0/88), NSA (45,5: 0/238), LIFE-H total (338: 0/757) and MPQ (0: 0/0.75). A moderate positive correlation between the sensory domain of the MPQ (pain) with the subdomains of nutrition (rs=0.5913, p=0.0002) and mobility (rs=0.5083, p=0.0021) of LIFE -H were founded. Conclusions: There are presence of pain in this population, but no correlation was found between pain and social participation in post-stroke individuals.
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