Efeitos da fisioterapia intradialítica nas atividades de vida diária (AVD's) do paciente com doença renal crônica (DRC): revisão integrativa da literatura
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Data
2023-12
Tipo de documento
Monografia
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
SANTANA, Marcia Maria de
LUCENA, Mykaelen Ferreira
SILVA, Rute Gomes da
Orientador
Walquíria, Gomes
Coorientador
Walquíria, Gomes
Resumo
A Doença Renal Crônica (DRC) é uma grave doença caracterizada por perda progressiva da função dos rins e consequente perda da capacidade de filtração sanguínea e manter a homeostase do corpo. A hemodiálise (HD) substitui a função renal, que retira as substâncias tóxicas, água e sais minerais pelo auxílio de uma máquina. Porém, esse tipo de tratamento causa danos à diversos sistemas e reflete na perda de massa muscular a na capacidade funcional. A fisioterapia realizada durante as sessões de hemodiálise desempenha um importante papel no controle das disfunções musculoesqueléticas causadas por tal doença e pelo tratamento hemodialítico. O objetivo desse estudo é analisar na literatura o efeito da fisioterapia intradialítica na melhoria das Atividades de Vida Diária (AVD’s) do paciente com DRC. O estudo é do tipo revisão integrativa da literatura. Foram realizadas buscas de artigos nos bancos de dados digitais: PubMed; Biblioteca Virtual em Saúde (BVS); PEDro; e (SciELO), em português e inglês, do ano de 2013 à 2023. Teve-se como critérios de inclusão artigos que falem sobre a DRC e a intervenção da fisioterapia durante a diálise, e como critérios de exclusão artigos do tipo revisão de literatura e que não abordam um protocolo fisioterapêutico aplicado durante a HD. Foram selecionados 27 artigos potencialmente elegíveis para a revisão, após observar os critérios de exclusão foram incluídos 19 artigos na presente revisão. Os artigos estudados demonstraram que a fisioterapia tem desempenhado um importante papel nas melhorias clínicas e patológicas dos pacientes com DRC, e seus efeitos durante as sessões de HD tem contribuído para a melhora da diálise e dos distúrbios musculoesqueléticos. Conhecer o papel da fisioterapia intradialítica é imprescindível para a tratamento e reabilitação do doente renal, além disso, tem por intuito devolver a autonomia em realizar suas ADV’s e a melhoria da capacidade funcional.
Chronic Kidney Disease (CKD) is a serious disease characterized by progressive loss of kidney function and consequent loss of the ability to filter blood and maintain the body's homeostasis. Hemodialysis (HD) replaces kidney function, which removes toxic substances, water and mineral salts with the help of a machine. However, this type of treatment causes damage to several systems and results in loss of muscle mass and functional capacity. Physiotherapy carried out during hemodialysis sessions plays an important role in controlling musculoskeletal dysfunctions caused by this disease and hemodialysis treatment. The objective of this study is to review the literature on the effect of intradialytic physiotherapy on improving the Activities of Daily Living (ADL's) of patients with CKD. The study was an integrative literature review. Article searches were carried out in digital databases: PubMed; Virtual Health Library (VHL); Pedro; and (SciELO), in Portuguese and English, from 2013 to 2023. The inclusion criteria were articles that talk about CKD and the intervention of physiotherapy during dialysis, and the exclusion criteria were articles of the literature review type. and that do not address a physiotherapeutic protocol applied during HD. 27 potentially eligible articles were selected for the review. After observing the exclusion criteria, 19 articles were included in the present review. The articles studied demonstrated that physiotherapy has played an important role in the clinical and pathological improvements of patients with CKD, and its effects during HD sessions have contributed to the improvement of dialysis and musculoskeletal disorders. Knowing the role of intradialytic physiotherapy is essential for the treatment and rehabilitation of kidney patients, in addition, it aims to restore autonomy in carrying out ADVs and improving functional capacity.
Chronic Kidney Disease (CKD) is a serious disease characterized by progressive loss of kidney function and consequent loss of the ability to filter blood and maintain the body's homeostasis. Hemodialysis (HD) replaces kidney function, which removes toxic substances, water and mineral salts with the help of a machine. However, this type of treatment causes damage to several systems and results in loss of muscle mass and functional capacity. Physiotherapy carried out during hemodialysis sessions plays an important role in controlling musculoskeletal dysfunctions caused by this disease and hemodialysis treatment. The objective of this study is to review the literature on the effect of intradialytic physiotherapy on improving the Activities of Daily Living (ADL's) of patients with CKD. The study was an integrative literature review. Article searches were carried out in digital databases: PubMed; Virtual Health Library (VHL); Pedro; and (SciELO), in Portuguese and English, from 2013 to 2023. The inclusion criteria were articles that talk about CKD and the intervention of physiotherapy during dialysis, and the exclusion criteria were articles of the literature review type. and that do not address a physiotherapeutic protocol applied during HD. 27 potentially eligible articles were selected for the review. After observing the exclusion criteria, 19 articles were included in the present review. The articles studied demonstrated that physiotherapy has played an important role in the clinical and pathological improvements of patients with CKD, and its effects during HD sessions have contributed to the improvement of dialysis and musculoskeletal disorders. Knowing the role of intradialytic physiotherapy is essential for the treatment and rehabilitation of kidney patients, in addition, it aims to restore autonomy in carrying out ADVs and improving functional capacity.
Palavras-chave
doença renal crônica, hemodiálise, capacidade funcional, atividade de vida diária, fisioterapia