This study evaluated the scientific knowledge produced and published in journals indexed in major international databases, covering the area of Occupational Therapy (OT) in hospitals. To this end, an integrative literature review was carried out with 17 selected articles published between 2004 and 2009, indexed in the following databases: LILACS, SciELO and MEDLINE. Studies show that the performance of an occupational therapist with hospitalized patients provides improvements in the hospitalization condition, higher levels of independence, function and quality of life, and facilitates the resumption of everyday life and social participation of individuals. The recent scientific production in Occupational Therapy regarding hospital contexts seems to be more directed to the report of experiences than to the evidence for effectiveness of actions developed through planned and controlled clinical and/or experimental studies. This type of production certainly contributes not only to a better dissemination and development of successful and effective therapeutic practices, but also to greater recognition of the need and importance of the occupational therapist in the composition of health teams in hospitals. However, productions with greater scientific consistency within internationally accepted standards are necessary. Ocupacional relacionada a contextos hospitalares parece estar voltada mais aos relatos de experiências, do que para a comprovação da efetividade das ações desenvolvidas através de estudos clínicos e/ou experimentais planejados e controlados. Esse tipo de produção contribui para a divulgação de práticas terapêutico-ocupacionais exitosas e eficazes, como também para um maior o desenvolvimento e reconhecimento da importância do terapeuta ocupacional na composição de equipes de saúde hospitalares, mas identifica-se a necessidade de produções com maior rigor e evidências científicas, dentro de padrões internacionalmente aceitos. Palavras
Estudo retrospectivo, descritivo, com abordagem qualitativa, baseado em análise documental, para revisão dos dados sociodemográficos e clínicos e dados referentes aos atendimentos de Terapia Ocupacional. O objetivo é identificar e categorizar as intervenções do terapeuta ocupacional com mulheres com câncer de mama atendidas pelo serviço de Cuidados Paliativos de um hospital público, universitário, de alta complexidade, localizado no interior do Estado de São Paulo. O projeto foi aprovado pelo Comitê de Ética em Pesquisa (Processo nº 12559/2013). A casuística inicial foi composta por 49 mulheres com diagnóstico de câncer ginecológico, dentre as quais foram identificadas 27 com câncer de mama; 23 delas haviam sido atendidas pela terapeuta ocupacional e compuseram a amostra final deste estudo. Os dados e os procedimentos realizados foram analisados por estatística descritiva. intervenções abrangeram tanto o paciente como sua família; envolveram diferentes procedimentos, como acolhimento e suporte familiar, orientações sobre estratégias de enfrentamento, conservação de energia, estímulo à independência e autonomia para as AVDs e AIVDs e atividades significativas. A Terapia Ocupacional possibilita a construção de espaços saudáveis de vida e de potência, criação e singularidade nos Cuidados Paliativos.
Objective: to identify and evaluate the evidence found in the international scientific literature on the application of the Palliative Outcome Scale (POS) in clinical practice and research in Palliative Care (PC).Method: integrative literature review, through the search of publications in journals indexed in PubMed / MEDLINE, LILACS, SciELO and CINAHL databases, between the years 1999 and 2014. Results: the final sample consisted of 11 articles. In the data analysis, the articles were classified into 2 units of analysis (studies using the POS as a resource in research and studies using the POS in clinical practice), in which the information was presented in the form of sub-themes related to publications of the selected studies, highlighting the synthesis of the results. Conclusion: POS emerged as an important tool for measuring outcomes to assess the quality of life of patients and families, of the quality of care provided and the PC service organization. The international scientific literature on the application of POS proved to be relevant to the advancement and consolidation of the field of knowledge related to PC.
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