A reabilitação de pacientes com Insuficiência Cardíaca em domicílio é tão eficiente quanto em centros especializados? – Uma revisão de escopo
DOI:
https://doi.org/10.34119/bjhrv6n2-280Keywords:
reabilitação cardíaca, centros de reabilitação, idoso, Insuficiência Cardíaca, fisioterapia, pacientes domiciliaresAbstract
Objetivo: Verificar se há evidências que suportem a reabilitação de idosos com insuficiência cardíaca em programas domiciliares. Métodos: Realizou-se uma revisão de escopo a partir de uma pesquisa na base de dados PUBMED com os seguintes descritores associados ao operador booleano AND, organizados da seguinte forma: home-based cardiac rehabilitation AND Heart Failure AND Elderly. Foram incluídos artigos do tipo ensaio clínico, meta-análise e ensaio controlado randomizado, publicados entre 2017 e 2022. Foram excluídos artigos que não versavam sobre o tema proposto pelo objetivo, estudos retrospectivos e os que não incluíram idosos (pessoas com 60 anos ou mais) na amostra. Foram examinadas as referências dos artigos selecionados e aquelas que preenchiam os critérios de inclusão foram analisadas e adicionadas nos resultados e discussão. Resultados: Ao final a busca retornou cinco artigos que confirmam a eficiência e aplicabilidade de reabilitação cardíaca domiciliar. CONSIDERAÇÕES FINAIS: A reabilitação cardíaca em domicílio para idosos precisa ser mais estudada, mas as evidências disponíveis indicam que é eficaz e factível quanto a sua aplicabilidade, desde que premissas de segurança sejam seguidas. Além da melhora clínica os resultados indicam melhora da autopercepção de saúde.
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