Intervenções de reabilitação em enfermagem: ganhos em funcionalidade no autocuidado da pessoa com alterações neurológicas: Uma Revisão Sistemática de Literatura

Maria Albertina  António; António Lista; Cláudia  Moura; Florbela  Bia; Alexandre  Teófilo; Ana Lúcia  João

doi:10.33194/rper.2025.35999

Authors

Maria Albertina António Unidade Local de Saúde Médio Tejo, Hospital de Torres Novas, 2350-704 Torres Novas, Portugal https://orcid.org/0009-0005-8070-081X
António Lista Universidade de Évora https://orcid.org/0000-0001-5767-7694
Cláudia Moura Unidade Local de Saúde Arrábida, Hospital de São Bernardo, 2910-446 Setúbal, Portugal https://orcid.org/0009-0004-8911-9311
Florbela Bia Departamento de Enfermagem, Universidade de Évora, 7004-516 Évora, Portugal & Center for Interdisciplinary Health Reseach (CIIS), Universidade Católica Portuguesa, 1649-023 Lisboa, Portugal https://orcid.org/0000-0001-5822-6537
Alexandre Teófilo Unidade Local de Saúde Arrábida, Hospital de São Bernardo, 2910-446 Setúbal, Portugal https://orcid.org/0009-0006-3827-0526
Ana Lúcia João Departamento de Enfermagem, Universidade de Évora, Évora, Portugal https://orcid.org/0000-0002-8600-6790

DOI:

https://doi.org/10.33194/rper.2025.35999

Keywords:

Rehabilitation Nursing, Health Gains, Stroke, Literature Review, Nursing Care

Abstract

Introduction: Mortality from stroke has decreased, but morbidity remains a challenge, making integrated approaches essential for the readaptation and reintegration of individuals. Rehabilitation nurses play a central role in empowering the person and their family to maximise functionality.

Objective: To identify the rehabilitation nursing interventions that result in gains in self-care functionality for people with neurological alterations resulting from stroke.

Methodology: A systematic literature review was carried out, namely a rapid review, following the Joanna Briggs Institute guidelines and the PICO mnemonic, with a search on Ebsco in the CINAHL, MEDLINE, MedicLatina and Psychology and Behavioural Sciences Collection databases, covering articles published between January 2019 and August 2024, since 2019 marked significant changes in the field of rehabilitation due to the COVID-19 pandemic.

Results: 5 quantitative studies were included: 2 prospective observational studies and 3 experimental studies, carried out in European countries and south Americans. All had methodological quality in line with the Joanna Briggs Institute guidelines. Effective rehabilitation nursing interventions were identified in three main areas: motor, respiratory and cognitive rehabilitation. These interventions demonstrated significant improvements in the health of patients with neurological alterations resulting from a stroke. In motor rehabilitation, there were advances in mobility, muscle strength, joint range, posture and balance. In cognitive rehabilitation, gains were evident in functionality and the quality of movements of the upper extremities.

Discussion: Rehabilitation is essential in stroke, with most recovery occurring in the first 12 weeks after the event. Neurological interventions increase functional independence and physical quality of life. Daily training can strengthen the lower limbs, while restorative and compensatory approaches improve neuropsychological function for upper limb apraxia.

Conclusions: Functional improvements in the self-care of people with stroke-related neurological disorders were found as a result of physical and cognitive rehabilitation nursing interventions in line with professional guidelines.

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