Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context

Detalhes bibliográficos
Autor(a) principal: Pinto,Emília da Conceição Marinho
Data de Publicação: 2022
Outros Autores: Martins,Maria Manuela Ferreira Pereira da Silva, Ribeiro,Olga Maria Pimenta Lopes, Novo,André Filipe Morais Pinto
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-30232022000100020
Resumo: ABSTRACT Objectives: Analyze whether the positioning is performed in an antispastic pattern in persons following a cerebrovascular accident (Stroke), which positions are most used and whether these decisions are influenced by the characteristics of patients or of the nurses. Methodology: Quantitative and cross-sectional study carried out in a hospital located in Northern of Portugal. The sample consists of the pattern positioning performed by nurses in persons following cerebrovascular accident, admitted to a neurology ward service. The sampling technique is a non-probability and was selected by convenience. Data collection took place between February and May 2019 using a form and observation of positions in an antispastic pattern. Results: Of the 376 positions, the most frequent was the supine (dorsal decubitus) position (n=152) and the least frequent the sitting position (n=28). The lateral decubitus position for the affected side obtained a higher average. The percentage of positioning with maximum classification, that is, with all body segments positioned in an antispastic pattern, was residual. Regarding the patients, the affected hemibody, spasticity and joint amplitude were significantly related to the classifications attributed to the positions. Regarding professional training, rehabilitation nurses positioned better in antispastic pattern in the supine position and in the lateral position to the unaffected side. Conclusion: During hospitalization, nurses do not systematically position persons following a stroke, in an anti-spastic pattern and the gaps identified in the positioning of various body segments require (re)thinking practices.
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spelling Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital contextMuscle SpasticityPatient PositioningNursingRehabilitation NursingStrokeABSTRACT Objectives: Analyze whether the positioning is performed in an antispastic pattern in persons following a cerebrovascular accident (Stroke), which positions are most used and whether these decisions are influenced by the characteristics of patients or of the nurses. Methodology: Quantitative and cross-sectional study carried out in a hospital located in Northern of Portugal. The sample consists of the pattern positioning performed by nurses in persons following cerebrovascular accident, admitted to a neurology ward service. The sampling technique is a non-probability and was selected by convenience. Data collection took place between February and May 2019 using a form and observation of positions in an antispastic pattern. Results: Of the 376 positions, the most frequent was the supine (dorsal decubitus) position (n=152) and the least frequent the sitting position (n=28). The lateral decubitus position for the affected side obtained a higher average. The percentage of positioning with maximum classification, that is, with all body segments positioned in an antispastic pattern, was residual. Regarding the patients, the affected hemibody, spasticity and joint amplitude were significantly related to the classifications attributed to the positions. Regarding professional training, rehabilitation nurses positioned better in antispastic pattern in the supine position and in the lateral position to the unaffected side. Conclusion: During hospitalization, nurses do not systematically position persons following a stroke, in an anti-spastic pattern and the gaps identified in the positioning of various body segments require (re)thinking practices.Associação Portuguesa de Enfermagem de Reabilitação2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-30232022000100020Revista Portuguesa de Enfermagem de Reabilitação v.5 n.1 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-30232022000100020Pinto,Emília da Conceição MarinhoMartins,Maria Manuela Ferreira Pereira da SilvaRibeiro,Olga Maria Pimenta LopesNovo,André Filipe Morais Pintoinfo:eu-repo/semantics/openAccess2024-02-06T17:32:51Zoai:scielo:S2184-30232022000100020Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:24.766524Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
title Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
spellingShingle Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
Pinto,Emília da Conceição Marinho
Muscle Spasticity
Patient Positioning
Nursing
Rehabilitation Nursing
Stroke
title_short Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
title_full Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
title_fullStr Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
title_full_unstemmed Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
title_sort Anti-spastic pattern positioning: A glimpse of nursing practice in the hospital context
author Pinto,Emília da Conceição Marinho
author_facet Pinto,Emília da Conceição Marinho
Martins,Maria Manuela Ferreira Pereira da Silva
Ribeiro,Olga Maria Pimenta Lopes
Novo,André Filipe Morais Pinto
author_role author
author2 Martins,Maria Manuela Ferreira Pereira da Silva
Ribeiro,Olga Maria Pimenta Lopes
Novo,André Filipe Morais Pinto
author2_role author
author
author
dc.contributor.author.fl_str_mv Pinto,Emília da Conceição Marinho
Martins,Maria Manuela Ferreira Pereira da Silva
Ribeiro,Olga Maria Pimenta Lopes
Novo,André Filipe Morais Pinto
dc.subject.por.fl_str_mv Muscle Spasticity
Patient Positioning
Nursing
Rehabilitation Nursing
Stroke
topic Muscle Spasticity
Patient Positioning
Nursing
Rehabilitation Nursing
Stroke
description ABSTRACT Objectives: Analyze whether the positioning is performed in an antispastic pattern in persons following a cerebrovascular accident (Stroke), which positions are most used and whether these decisions are influenced by the characteristics of patients or of the nurses. Methodology: Quantitative and cross-sectional study carried out in a hospital located in Northern of Portugal. The sample consists of the pattern positioning performed by nurses in persons following cerebrovascular accident, admitted to a neurology ward service. The sampling technique is a non-probability and was selected by convenience. Data collection took place between February and May 2019 using a form and observation of positions in an antispastic pattern. Results: Of the 376 positions, the most frequent was the supine (dorsal decubitus) position (n=152) and the least frequent the sitting position (n=28). The lateral decubitus position for the affected side obtained a higher average. The percentage of positioning with maximum classification, that is, with all body segments positioned in an antispastic pattern, was residual. Regarding the patients, the affected hemibody, spasticity and joint amplitude were significantly related to the classifications attributed to the positions. Regarding professional training, rehabilitation nurses positioned better in antispastic pattern in the supine position and in the lateral position to the unaffected side. Conclusion: During hospitalization, nurses do not systematically position persons following a stroke, in an anti-spastic pattern and the gaps identified in the positioning of various body segments require (re)thinking practices.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-01
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dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-30232022000100020
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Associação Portuguesa de Enfermagem de Reabilitação
publisher.none.fl_str_mv Associação Portuguesa de Enfermagem de Reabilitação
dc.source.none.fl_str_mv Revista Portuguesa de Enfermagem de Reabilitação v.5 n.1 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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