Proposição de um modelo de avaliação de rastreio para pacientes pós-acidente vascular em reabilitação: um estudo baseado na vinculação de instrumentos com a classificação internacional de funcionalidade, incapacidade e saúde
Introduction: Stroke has a major impact on survivors functioning. Therefore, the rehabilitation process must consider the multiple factors that define health. The International Classification of Functioning, Disability, and Health (ICF) is based on a model of health and functioning that results f...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/57282 |
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| Resumo: | Introduction: Stroke has a major impact on survivors functioning. Therefore, the rehabilitation
process must consider the multiple factors that define health. The International Classification
of Functioning, Disability, and Health (ICF) is based on a model of health and functioning that
results from the interaction of personal and environmental factors, activity and participation,
and bodily structures and functions. Therefore, considering the needs of post-stroke patients
and what the ICF recommends, the assessment of these patients must be carried out using
assessment instruments that measure functioning based on the interaction of biopsychosocial
factors. Objectives: To propose an assessment model for screening post-stroke patients
undergoing rehabilitation, based on linking the instruments most used for this purpose with the
ICF. Methods: The study will take place in three stages: 1) Update of the Scope Review
“Instruments Used in the Assessment of Post-Stroke Patients in Rehabilitation: a Scope Review
focusing on the International Classification of Functioning, Disability, and Health Model”, 2)
Linking the instruments with the ICF categories, and 3) Proposing the screening assessment
model. Results: 23 instruments were selected, 19 had linked categories. The majority of
instrument categories corresponded to Activity and Participation (74%) and Body Functions
(29%). Environmental Factors were less evaluated (1%). The body Structure domain was not
included in any instrument. When evaluating the instruments regarding the number of ICF items
and categories, the following screening assessment model was arrived at NIHSS - neurological
deficits; MIF – functional performance; mRS – post-stroke global outcomes, SF-36 – quality
of life; MoCA – cognitive screening. Conclusions: It was possible to structure an assessment
model for screening, allowing professionals to more objectively identify the main points to
direct their assessment according to their client's needs. |
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