Funcionalidade de Indivíduos com Doença Oncológica Internados em Unidades de Terapia Intensiva
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n2.4605Palavras-chave:
Estado Funcional, Neoplasias/complicações, Unidades de Terapia Intensiva, Deambulação Precoce, erviços de FisioterapiaResumo
Introdução: Indivíduos com câncer representam cerca de 20% de todas as admissões em unidades de terapia intensiva. A redução da
capacidade funcional é resultante do câncer e seus tratamentos e pode ser potencializada pela imobilização advinda neste setor. Objetivo: Analisar a funcionalidade de indivíduos com doença oncológica internados em unidades de terapia intensiva. Método: Estudo observacional de coorte prospectiva, no qual foram avaliados indivíduos com câncer, internados em unidades de terapia intensiva dentro de 24 horas da admissão e da alta quando esta ocorreu por meio da escala Perme. As condições sociodemográficas foram coletadas com a aplicação de um questionário e as informações clínicas obtidas do prontuário. Os dados foram analisados por estatística descritiva e inferencial. Foi aplicado o teste t para amostras pareadas e independentes. Para correlacionar as variáveis quantitativas, foi utilizado o teste de correlação de Pearson. Resultados: Foram incluídos 42 indivíduos com câncer em estado crítico, predominantemente homens e com média de idade de 62,86 anos. O principal tipo tumoral identificado foi no sistema gastrointestinal (40,5%). A ventilação mecânica foi indicativa de menor funcionalidade. Foram registradas associações significativas entre o tempo de internação e a funcionalidade na admissão e alta. O desfecho dos pacientes admitidos com menor funcionalidade foi o óbito. Ao comparar os resultados de admissão e alta, houve melhora significativa do estado funcional. Conclusão: Os indivíduos com câncer admitidos em unidades de terapia intensiva apresentaram melhora da funcionalidade durante a internação.
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