Estudio de alcance de terapia ocupacional y drogodependencias: reflexiones críticas de los contextos, prioridades y miradas en la investigación

Introducción: El consumo problemático de drogas representa uno de los problemas de salud más signi cativos a nivel mundial. La terapia ocupacional es uno de los actores sociales que promueve la participación en la comunidad, mediante la ocupación, contribuyendo a la justicia ocupacional. Sin embargo, se desconoce qué perspectivas y prioridades se están utilizando en la investigación de la terapia ocupacional, lo cual es clave para desarrollar una práctica re exiva y crítica. Objetivo: Actualizar, identi car y sintetizar las prioridades y perspectivas en la producción cientí ca existente relacionada al consumo de drogas y terapia ocupacional. Método: Se realizó una revisión de la literatura siguiendo el marco de referencia para “Scoping Review” desarrollado por Arksey y O’Malley. Se buscó en las siguientes bases de datos electrónicas: CINAHL, Cochrane Library Plus, Dialnet, EMBASE, ISI Web of Science, OTseeker y Scopus. Se empleó el método descriptivo-analítico y la triangulación de investigadores para realizar el análisis de los datos. Resultados: Del análisis de la literatura emergieron tres categorías: “Contextualización”, “Prioridades de investigación” –relación entre el desempeño ocupacional y la calidad de vida, instrumentos de evaluación e intervenciones de terapia ocupacional– y “Miradas teóricas en la investigación” (una mirada positivista: la neurociencia como sustento de la intervención; una mirada empoderadora: construyendo el camino hacia la inclusión, y una mirada sistémica: centrada en la familia como base de la intervención). Conclusión: Es preciso continuar investigando acerca de la problemática del consumo de drogas desde la terapia ocupacional, empleando una perspectiva crítica basada en la ciencia de la ocupación.

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Complicações renais decorrentes da infecção por SARS-CoV-2 em pessoas com COVID-19 hospitalizadas: scoping review

Research Society and Development ◽

10.33448/rsd-v11i1.25217 ◽

2022 ◽

Vol 11 (1) ◽

pp. e40811125217

Author(s):

Anyele Albuquerque Lima ◽

Alda Graciele Claudio dos Santo Almeida ◽

Izabelly Carollynny Maciel Nunes ◽

Patrícia de Albuquerque Sarmento ◽

Wanda Tenório Barros Passos Alves

Keyword(s):

Acute Kidney Injury ◽

Scoping Review ◽

Web Of Science ◽

Kidney Diseases ◽

Grey Literature ◽

Kidney Injury ◽

Glomerular Disease ◽

Google Scholar ◽

Cochrane Library

Objetivos: Identificar complicações/sequelas renais decorrentes da infecção por SARS-CoV-2 em pessoas com COVID-19; e descrever a característica de idade da população estudada. Metodologia: Scoping Review realizada nas bases de dados Web of Science, BVS, Cochrane Library, MEDLINE/PubMed, CINAHL, SCOPUS, Embase, LILACS. E nos sites online: ProQuest Dissertations and Theses, Grey Literature e Google Scholar. Os descritores utilizados foram (comorbidity OR sequel OR complications), (kidney diseases OR glomerular disease OR acute kidney injury OR nephropathy) AND (coronavirus OR SARS-CoV-2 OR COVID-19). Critérios de inclusão: artigos em português, inglês e espanhol, com abordagens metodológicas diversas, disponíveis na íntegra, online, publicados no período de 01 de janeiro de 2020 a 29 de setembro de 2021. E de exclusão: pessoas com diagnósticos prévios de patologias renais agudas e/ou crônicas; cartas ao editor; artigos de opinião; editoriais; e notas. Resultados: Selecionaram-se 10 artigos, que evidenciaram que o processo infeccioso causado pelo SARS-CoV-2 pode iniciar com uma leve proteinúria e hematúria, e evoluir para uma injúria renal aguda causada pela diminuição da capacidade de filtração glomerular, que favorece a retenção de algumas escórias nitrogenadas, causando o aumento dos níveis de creatinina e de ureia. Ademais, informaram que indivíduos entre 52-69 anos foram os mais acometidos. Considerações finais: As complicações/sequelas renais decorrentes da infecção por SARS-CoV-2 são: deposição de imunocomplexos nas células renais, proteinúria, hematúria, aumento da creatinina sérica, aumento da ureia nitrogenada no sangue, diminuição da TFG, e IRA estágio 1, 2 e 3. Tais complicações ocorreram principalmente em pessoas com idade ≥ 52 anos.

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Espiritualidade nos cuidados paliativos pediátricos: protocolo de scoping review

Research Society and Development ◽

10.33448/rsd-v10i16.23459 ◽

2021 ◽

Vol 10 (16) ◽

pp. e444101623459

Author(s):

Fabiana Helena da Conceição ◽

Viviani Aparecida Fraga ◽

Cristiane Aparecida Silveira Monteiro ◽

Melissa Santos Nassif ◽

Isabelle Cristinne Pinto Costa

Keyword(s):

Scoping Review ◽

Web Of Science ◽

Google Scholar ◽

Cochrane Library ◽

Scoping Reviews

Objetivo: Este estudo tem como objetivo descrever o protocolo e a metodologia usados para realizar uma revisão de escopo que irá mapear as evidências científicas sobre a espiritualidade no contexto dos cuidados paliativos pediátricos. Metodologia: Trata-se de uma revisão de escopo que será desenvolvida conforme as recomendações do Instituto Joanna Briggs (JBI). Para a redação do estudo, será utilizado o PRISMA Extension for Scoping Reviews (PRISMA-ScR). Uma pesquisa abrangente será realizada nas bases de dados Web of Science, Scopus, Cochrane Library, PubMed, CINAHL e EMBASE, além da busca de literatura cinzenta nas bases Google Scholar, ProQuest e OpenGrey, sem limitação quanto ao ano de publicação e idioma. Além disso, será realizada busca adicional de artigos por meio da leitura das referências dos estudos incluídos na revisão. Serão incluídos estudos primários e secundários que abordem a espiritualidade no contexto dos cuidados paliativos pediátricos, independentemente do tipo de delineamento. Serão excluídos documentos do tipo cartas, comentários, editoriais e artigos de opinião. A seleção dos estudos por meio da leitura dos títulos, resumos e texto completo será conduzida por dois revisores independentes. A extração de dados será realizada por meio de formulário construído pelos autores com base nas recomendações do JBI. Os dados serão organizados, resumidos e analisados quanto à extensão, natureza, distribuição e padrões recorrentes e os resultados serão comunicados narrativamente e por meio de mapas de rede. Considerações finais: Espera-se que os resultados provenientes da realização desta revisão de escopo possam contribuir para o fortalecimento da utilização do cuidado espiritual às crianças sob os cuidados paliativos, com o escopo de promover uma melhor qualidade de vida para ela e seus familiares. Adicionalmente, pretende-se por meio dessa pesquisa estimular os profissionais de saúde a atender essa dimensão durante o cuidado à crianças sob os cuidados paliativos, com vistas a proporcionar um cuidado humanizado e uma assistência espiritual de qualidade que possam ajudá-los na busca de um significado para a vida, no alívio de dores e que facilitem a lidar com a angústia e o medo que permeiam esse processo.

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Evaluación de la calidad de vida según el estado nutricional del paciente paliativo adulto: revisión sistemática

Hospital a Domicilio ◽

10.22585/hospdomic.v1i4.27 ◽

2017 ◽

Vol 1 (4) ◽

pp. 199 ◽

Cited By ~ 1

Author(s):

Ester Aracil-Lavado ◽

Carmina Wanden-Berghe ◽

Javier Sanz-Valero

Keyword(s):

Quality Of Life ◽

Clinical Trial ◽

Palliative Care ◽

Web Of Science ◽

Cochrane Library ◽

Calidad De Vida ◽

Revisión Sistemática ◽

Literatura Latinoamericana ◽

The Cochrane Library

Objetivo: Revisar la literatura científica relacionada con la calidad de vida según el estado nutricional del paciente paliativo adulto.Método: Análisis crítico de los trabajos recuperados mediante revisión sistemática. Los datos se obtuvieron de la consulta directa y acceso, vía Internet, a las siguientes bases de datos bibliográficas del ámbito de las ciencias de la salud: MEDLINE (vía PubMed), The Cochrane Library, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINHAL), Web of Science y la Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS). Se consideró adecuado el uso de los Descriptores “Quality of life”, “Nutritional Status” y “Palliative care”, utilizando los filtros: «Humans», «Adult» y «Comparative Study» o «Clinical Trial». Fecha de la búsqueda: noviembre de 2016.Resultados: Tras aplicar los criterios de inclusión y exclusión se aceptaron 4 estudios para su revisión y análisis crítico. Al evaluar la calidad de los artículos seleccionados para la revisión mediante el cuestionario CONSORT, las puntuaciones oscilaron entre 11 y 20 sobre una puntuación máxima de 25.Conclusiones: El seguimiento nutricional de los enfermos estaba relacionado directamente con la mejora del estado nutricional, y se correspondía con el incremento de la calidad de vida. Sería deseable utilizar cuestionarios específicos y validados para evaluar la calidad de vida según el estado nutricional que permitirán minimizar cualquier tipo de subjetividad del paciente. Serían necesarios futuros estudios, con una adecuada población, que aclaren la relación directa entre el estado nutricional y la calidad de vida en los enfermos paliativos.

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A scoping review of the Clinical Frailty Scale

BMC Geriatrics ◽

10.1186/s12877-020-01801-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Sophie Church ◽

Emily Rogers ◽

Kenneth Rockwood ◽

Olga Theou

Keyword(s):

Scoping Review ◽

Literature Search ◽

Research Evidence ◽

Web Of Science ◽

Cochrane Library ◽

Publication Date ◽

Clinical Frailty Scale ◽

And Function ◽

Comprehensive Literature Search ◽

Frailty Score

Abstract Background Frailty is increasingly recognized as an important construct which has health implications for older adults. The Clinical Frailty Scale (CFS) is a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). The aim of this scoping review is to identify and document the nature and extent of research evidence related to the CFS. Methods We performed a comprehensive literature search to identify original studies that used the Clinical Frailty Scale. Medline OVID, Scopus, Web of Science, CINAHL, PsycINFO, Cochrane Library and Embase were searched from January 2005 to March 2017. Articles were screened by two independent reviewers. Data extracted included publication date, setting, demographics, purpose of CFS assessment, and outcomes associated with CFS score. Results Our search yielded 1688 articles of which 183 studies were included. Overall, 62% of studies were conducted after 2015 and 63% of the studies measured the CFS in hospitalized patients. The association of the CFS with an outcome was examined 526 times; CFS was predictive in 74% of the cases. Mortality was the most common outcome examined with CFS being predictive 87% of the time. CFS was associated with comorbidity 73% of the time, complications 100%, length of stay 75%, falls 71%, cognition 94%, and function 91%. The CFS was associated with other frailty scores 94% of the time. Conclusions This scoping review revealed that the CFS has been widely used in multiple settings. The association of CFS score with clinical outcomes highlights its utility in the care of the aging population.

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Influencia de las actividades en la calidad de vida de los ancianos: revisión sistemática

Ciência & Saúde Coletiva ◽

10.1590/1413-81232018241.05452017 ◽

2019 ◽

Vol 24 (1) ◽

pp. 189-202

Author(s):

Abigail Gómez-Morales ◽

Jessica Maria Arouca de Miranda ◽

Aline Maino Pergola-Marconato ◽

Thalyta Cristina Mansano-Schlosser ◽

Felismina Rosa Parreira Mendes ◽

...

Keyword(s):

Quality Of Life ◽

Motor Activity ◽

Web Of Science ◽

Medical Subject Heading ◽

Isi Web Of Science ◽

Calidad De Vida ◽

Revisión Sistemática

Resumen El objetivo es identificar qué actividades o intervenciones ocasionan cambios en la calidad de vida de los ancianos. Revisión sistemática de la literatura en las bases de datos: Scopus, ISI Web of Science, Scielo, Lilacs, BDenf y PubMed. Cómo término principal Medical Subject Heading Terms (Mesh) se seleccionó “quality of life” en combianción con los términos de mayor interés:“elderly, motor activity, education“. Búsqueda realizada entre Julio y Agosto de 2015 en la cual se incluyen trabajos originales publicados entre 2010 y 2015 en ingles, portugués y español. Además se siguió la estragégia Cocharne para la elaboración de la revisión. Se estudiaron 27 artículos que comparaban la calidad de vida del anciano antes y después de realizar una intervención de tipo física, educativa o mixta. Cómo principal resultado se obtiene que la salud general, fución social, rol físico y satisfacción con la vida són los dominios más influenciados, así como las actividades físicas en grupo són las más realizadas. Se concluye que al realizar actividades de cualquier índole, preferiblemente adaptadas, se producen cambios de forma notable en la calidad de vida del anciano a nivel general, observándose especialmente una mejoría en aspectos funcionales, mentales y sociales.

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Global Evidence on the Rapid Adoption of Telemedicine in Primary Care During the First Year of the COVID-19 Pandemic: a Scoping Review Protocol.

10.21203/rs.3.rs-302879/v1 ◽

2021 ◽

Author(s):

Daniela Valdes ◽

Lama Alqazlan ◽

Rob Procter ◽

Jeremy Dale

Keyword(s):

Primary Care ◽

Scoping Review ◽

Web Of Science ◽

Grey Literature ◽

Scale Up ◽

Google Scholar ◽

Cochrane Library ◽

First Year ◽

Global Level ◽

Global Evidence

Abstract Background: Before the declaration of the COVID-19 pandemic in March 2020, primary care relied on face-to-face consultations, with relatively limited use of telemedicine. The rapid uptake that occurred following the onset of the pandemic in countries such as the United Kingdom, Canada and New Zealand prompts questions around the drivers and extent of this transformation in clinical practice at global level. The purpose of this scoping review is to explore the global evidence surrounding the rapid adoption of telemedicine in primary care settings during the first year of the COVID-19 pandemic. Methods: A draft protocol was tested through an initial search on Ovid Medline, Web of Science and Google Scholar with additional searches on the Cochrane Database. This informed the final selection of terms which will be use to search Ovid, Web of Science, Google Scholar, PROSPERO and Cochrane Library, filtering for studies from the pandemic declaration onwards. Additional grey literature reports will be sourced through simplified searches on appropriate search engines in widely spoken languages. Duplicates will be removed by screening titles. Abstracts and grey literature text extracts will be screened based on pre-set eligibility criteria by an automated tool and further screened by the lead researcher. Abstracts (and extracts in the case of grey literature) will be mapped against the domains of the Non-adoption, Abandonment, and challenges to Scale-up, Spread and Sustainability (NASSS) framework. Data will be presented in table format. Discussion: This review will map the current literature to identify current gaps in evidence related to the adoption of telemedicine after the declaration of the pandemic in March 2020. The use of simplified searches in the most spoken languages in the world is aimed at capturing more immediate non-academic reflections and experiences on this major service change at a global level.Systematic review registration: Study has been registered on Open Science Framework and can be accessed through the following URL: https://osf.io/4z5ut/

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Quality indicators of telemedical care offshore—a scoping review

BMC Health Services Research ◽

10.1186/s12913-021-07303-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Michael Hellfritz ◽

Alexander Waschkau ◽

Jost Steinhäuser

Keyword(s):

Quality Indicators ◽

Scoping Review ◽

Web Of Science ◽

Care Delivery ◽

Cochrane Library ◽

Structure Quality ◽

Offshore Installations ◽

Definition Of ◽

Telemedical Care

Abstract Background Offshore industries operate all around the world in diverse and remote environments. The use of telemedicine to ensure up-to-date medical care for thousands of people offshore has been common practice for decades. Thus, in this setting, extensive experiences with this type of health care delivery have already been gathered, while in other settings this is just beginning. However, the quality of telemedical care on offshore installations is rarely reported yet. The objective of this review was to explore published literature with regards to the following questions: Have any Quality Indicators (QIs) been published for measuring the quality of telemedical care on offshore installations or are there identifiable items that could be used as such QIs? Methods We conducted a comprehensive Scoping Review (PRISMA-ScR) of the published literature using the databases MEDLINE, Cochrane Library, Web of Science (Core Collection), and Google Scholar. Search results were read and QIs or findings from which QIs could be derived were classified according to the dimensions of quality established by Donabedian (structure, process, or outcome QIs). Results The search returned 10,236 non-recurring articles, 45 of which were full-text screened and 15 of which were included in this review. Types of publications were heterogenous. No QIs for the quality of telemedical care offshore have been published yet. Findings that could be the basis for QIs focused on structure quality (11 QIs) followed by process quality (11 QIs), while outcome quality was less common (1 QI). Conclusion Currently, although years of experience with telemedical care on offshore installations exist, there is a paucity of research on a solid data base regarding the quality of telemedical care offshore. The authors derived a list of 24 possible QIs from the findings of the publications for further validation. This could be the basis for implementation and definition of QIs in this and in similar remote settings.

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Loneliness in Pregnant and Postpartum People and Parents of Children Aged Five Years or Younger: a Scoping Review

10.21203/rs.3.rs-812280/v1 ◽

2021 ◽

Author(s):

Jacqueline Kent-Marvick ◽

Sara E. Simonsen ◽

Ryoko Pentecost ◽

Eliza Taylor ◽

Mary M. McFarland

Keyword(s):

Scoping Review ◽

Web Of Science ◽

Open Science ◽

Qualitative Inquiry ◽

Cochrane Library ◽

Psychosocial Needs ◽

Inclusion Criteria ◽

High Risk Populations ◽

Science Framework ◽

Study Participants

Abstract Background: Despite evidence that loneliness increases during times of transition, and that the incidence of loneliness is highest in young adults, loneliness during pregnancy and new parenthood has not been developed as a program of research. Because loneliness research has primarily focused on older adults and other high-risk populations, the concept of loneliness and its effects on this population are not well understood, leaving a gap in our understanding of the psychosocial needs and health risks of loneliness on pregnant people and new parents. A scoping review has been completed in order to map and synthesize the literature to date on loneliness experienced during pregnancy and the first five years of parenthood.Methods: To address the aim of this review, a wide net was cast in order to detect experiences of perinatal or parental loneliness, and/or instances where loneliness was measured in this population. Among the inclusion criteria were loneliness in people who were pregnant, who were parents in the postpartum period, or who had children aged five years or younger. A search for literature was conducted in December 2020 using nine databases: MEDLINE (Ovid), EMBASE (embase.com), SCOPUS (scopus.com), Cochrane Library including CENTRAL (Wiley), CINAHL (Ebscohost), PsycINFO (Ebscohost), Dissertations & Theses Global (ProQuest) and Sociological Abstracts (ProQuest) and the Web of Science Core Collection (Clarivate).Discussion: Perinatal and parental loneliness studies are limited and have rarely been targeted and developed through a program of research. Loneliness inquiry in this population has frequently been studied in relation to other concepts of interest (e.g., postpartum depression). Alternatively, the importance of loneliness has emerged from study participants as relevant to the research topic during qualitative inquiry. Across studies, the prevalence of loneliness ranged from 32% to 100%. Loneliness was commonly experienced alongside parenting difficulties, with parents feeling as though they were alone in their struggles. As loneliness has been called a sensitive indicator of wellbeing, we believe screening will help healthcare professionals identify common difficulties and early signs of depression experienced during pregnancy and parenthood.The protocol is available on Open Science Framework at DOI 10.17605/OSF.IO/BFVPZ.

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Adults diagnosed with vestibular schwannomas and treated with stereotactic radiosurgery: a scoping review protocol

10.37766/inplasy2021.12.0067 ◽

2021 ◽

Author(s):

Ibrahim Almufarrij ◽

◽

Cathal Hannan ◽

Simon Lloyd ◽

Kevin J Munro

Keyword(s):

Stereotactic Radiosurgery ◽

Outcome Measures ◽

Scoping Review ◽

Information Sources ◽

Web Of Science ◽

Cochrane Library ◽

Primary Research ◽

Review Protocol ◽

Review Question ◽

Study Designs

Review question / Objective: This review aims to catalogue and collate information on outcome measures, study designs, and dose-related changes in hearing following stereotactic radiosurgery for adults diagnosed with sporadic Vestibular Schwannoma. Study designs to be included: Any peer-reviewed primary research publications will be eligible for inclusion. Information sources: Electronic databases. The following databases will be systematically searched to identify relevant studies: PubMed, PsycINFO, EMBASE, EMCare, Web of Science and Cochrane Library.

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Lavender for Sleep Disorder Management in Menopausal Women with or without Hypertension: A Systematic and Meta-analysis

Tabari Biomedical Student Research Journal ◽

10.18502/tbsrj.v3i1.6175 ◽

2021 ◽

Author(s):

Mehdi Mameneh ◽

Ali Rokni ◽

Masumeh Ghazanfarpour ◽

Masoudeh Babakhanian

Keyword(s):

Sleep Disorders ◽

Web Of Science ◽

Sleep Problems ◽

Meta Analysis ◽

Cochrane Library ◽

Quality Of Sleep ◽

Isi Web Of Science ◽

Menopausal Women ◽

Post Menopausal

Introduction: Regarding the prevalence of sexual problems during menopause and the interest of women in the use of aromatherapy in attenuating the sleep disorders, and due to the lack of comprehensive meta-analysis on the effects of aromatherapy on the sleep disorders, the present study was conducted to determine the effect of lavender on the sleep disorders in postmenopausal women.Material and Methods: The following databases were selected to search systematically the effect of lavender on the quality of sleep in post-menopausal women, including PubMed, Cochrane Library, ISI Web of Science and Scopus, regardless time limit since inception to September 29, 2019. The quality of trials was investigated according to Jadad scale.Results: After combination of the result of four trials, our meta-analysis showed that treatment with lavender was more effective than placebo in respect with improvement of quality of sleep in menopausal women (Standardized Mean Difference=1.098; Confidence Interval 95%: 0.33-1.86; P= 0.005).Conclusion: Considering the effects of lavender essential oil on improving the quality of sleep in postmenopausal and middle-aged women, this medication can be prescribed in the clinics of sleep problems, obstetrics and gynecology.

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