Effectiveness of a rehabilitation nursing program on response to effort and quality of life in the elderly

Authors

DOI:

https://doi.org/10.29352/mill0216e.37204

Keywords:

aged; physical exertion; dyspnea; quality of life; rehabilitation nursing

Abstract

Introduction: Implementing interventions that promote autonomy and health among older adults is essential in contemporary healthcare.

Objective: Evaluate the effectiveness of a nursing rehabilitation program (NRP) in response to effort and quality of life in institutionalized elderly.

Methods: A quantitative, descriptive-correlational, quasi-experimental single-group study with pre- and post-testing. A non-probabilistic convenience sample of 26 institutionalized older adults was selected. The RNP was implemented and assessed using a sociodemographic and clinical protocol, the Modified Medical Research Council Dyspnea Scale, the 6-Minute Walk Test, the Barthel Index, and the SF-36v2 Questionnaire.

Results: Following program implementation, significant improvements were observed in effort response (with reduced dyspnea) and health-related quality of life, particularly in physical, mental, and social dimensions.

Conclusion: The NRP proved to be effective in enhancing effort response and quality of life among older adults, supporting the need for regular and systematic implementation of such programs by rehabilitation nursing specialists.

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References

American College of Sports Medicine. (2021). ACSM's guidelines for exercise testing and prescription (11ª ed.). Wolters Kluwer. https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription

Almeida, L. (2022). Reabilitação vestibular no paciente com vertigem posicional paroxística benigna. Revista Interdisciplinar Pensamento Científico, 7(1). http://reinpec.cc/index.php/reinpec/article/view/774

Almeida, F., Martins, R., & Martins, C. (2022). Capacitação do cuidador informal: Estudo das dificuldades e das variáveis preditivas. Investigación en Enfermería: Imagen y Desarrollo, 24. https://doi.org/10.11144/Javeriana.ie24.ccie

Araújo, F., Pais-Ribeiro, J., Oliveira, A., & Pinto, C. (2007). Validação do Índice de Barthel numa amostra de idosos não institucionalizados. Revista Portuguesa de Saúde Pública, 25, 59-66. http://hdl.handle.net/10362/95522

Baraković, S., Baraković Husić, J., van Hoof, J., Krejcar, O., Maresova, P., Akhtar, Z., & Melero, F. J. (2020). Quality of life framework for personalised ageing: A systematic review of ICT solutions. International Journal of Environmental Research and Public Health, 17(8), 2940. https://doi.org/10.3390/ijerph17082940

Barker-Davies, R. M., O"Sullivan, O., Senaratne, K. P. P., Baker, P., Cranley, M., Dharm-Datta, S., Ellis, H., Goodall, D., Gough, M., Lewis, S., Norman, J., Papadopoulou, T., Roscoe, D., Sherwood, D., Turner, P., Walker, T., Mistlin, A., Phillip, R., Nicol, A. M., … Bahadur, S. (2020). The Stanford Hall consensus statement for post-COVID-19 rehabilitation. https://doi.org/10.1136/bjsports-2020-102596

Batista, S., Santos, H., Martins, R., Albuquerque, C., & Dinis, A. (2023). Programas de reabilitação motora na pessoa com doença de Huntington: Revisão sistemática de eficácia. In J. C. Cancino-Diaz (Ed.), Ciências Biológicas e da Saúde: Investigação e Prática II (pp. 48-65). Editora Artemis. https://doi.org/10.37572/Edart_2502237505

Burtin, C., & Wadell, K. (2021). The rationale for pulmonary rehabilitation. In A. E. Holland, S. D. Corso, & M. A. Spruit (Eds.), Pulmonary rehabilitation (p. 360). European Respiratory Society. https://doi.org/10.1183/2312508X.erm9321

Campbell, J., Robertson, C., & Tools, F. (2023). To implement the Otago exercise program: A program to reduce falls (2ª ed.). New Zealand.

Correia, N. M. C., Bernardes, R. A., Parola, V. S. O., & Neves, H. L. (2023). A formação em enfermagem de reabilitação em Portugal desde 2006. Revista de Enfermagem Referência, 6(2), 1-8. https://doi.org/10.12707/RV21141

Couto, G., Silva, R. P., do Mar, M. J., & Gomes, B. (2021). Processo de cuidados de enfermagem de reabilitação à pessoa adulta/idosa com compromisso do sistema cardiorrespiratório. In O. Ribeiro (Ed.), Enfermagem de Reabilitação - Conceções e Práticas. Lidel.

Chittrakul, J., Siviroj, P., Sungkarat, S., & Sapbamrer, R. (2020). Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults: A randomized controlled trial. International Journal of Environmental Research and Public Health, 17(9), 3102. https://doi.org/10.3390/ijerph17093102

Dello Iacono, A., Martone, D., & Hayes, L. (2020). Acute mechanical, physiological, and perceptual responses in older men to traditional-set or different cluster-set configuration resistance training protocols. European Journal of Applied Physiology, 120(10), 2311–2323. https://doi.org/10.1007/s00421-020-04453-y

Direção Geral da Saúde. (2013). Avaliação antropométrica no adulto – Orientação nº 017/2013 da Direção-Geral da Saúde. https://www.dgs.pt/directrizes-da-dgs/orientacoes-e-circulares-informativas/orientacao-n-0172013-de-05122013-pdf.aspx

Dodig, S., Čepelak, I., & Pavić, I. (2019). Hallmarks of senescence and aging. Biochemia Medica, 29(3), 030501. https://doi.org/10.11613/BM.2019.030501

Freire, I., & Seixas, A. (2024). Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility, and risk of falls in older people. Frontiers in Physiology, 15, 1309161. https://doi.org/10.3389/fphys.2024.1309161

Hill, K., & de Brandt, J. (2021). Exercise prescription for people with stable COPD. In A. E. Holland, S. D. Corso, & M. A. Spruit (Eds.), Pulmonary rehabilitation (p. 360). European Respiratory Society. https://doi.org/10.1183/2312508X.erm9321

Instituto Nacional de Estatística. (2023). Estatísticas demográficas 2023. Instituto Nacional de Estatística. https://www.ine.pt/xportal/xmain?xpid=INE&xpgid=ine_publicacoes&PUBLICACOESpub_boui=439488367&PUBLICACOESmodo=2

Kovelis, D., Segretti, N. O., Probst, V., Lareau, S., Brunetto, A., & Pitta, F. (2008). Validação do Modified Pulmonary Functional Status and Dyspnea Questionnaire e da escala do Medical Research Council para o uso em pacientes com doença pulmonar obstrutiva crônica no Brasil. Jornal Brasileiro de Pneumologia, 34(12), 1008–1018. https://doi.org/10.1590/S1806-37132008001200005

León, L. P., Mangin, J. P. L., & Ballesteros, S. (2020). Psychosocial determinants of quality of life and active aging: A structural equation model. International Journal of Environmental Research and Public Health, 17(17), 6023. https://doi.org/10.3390/ijerph17176023

Limão, R. P., & Martins, R. M. (2021). Efetividade de programas de enfermagem de reabilitação no equilíbrio, marcha e independência funcional em idosos hospitalizados. Revista de Enfermagem Referência, 5(8), e20205. https://doi.org/10.12707/RV20205

Loureiro, R., Martins, R., Bernardo, J., & Batista, S. (2021). Efficacy of rehabilitation on mobility, prevention, and reduction of the fall’s risk in Parkinson’s patients. New Trends in Qualitative Research, 8, 163–171. https://doi.org/10.36367/ntqr.8.2021.163-171

Lucena, A. F., Argenta, C., Luzia, M. F., Almeida, M. A., Barreto, L. N. M., & Swanson, E. (2020). Multidimensional model of successful aging and nursing terminologies: Similarities for use in clinical practice. Revista Gaúcha de Enfermagem, 41(spe), e20190148. https://doi.org/10.1590/1983-1447.2020.20190148

Martins, R., Carvalho, N., Batista, S., & Dinis, A. (2021). Promoção do envelhecimento ativo em idosos: Contributos do investimento na vida pessoal. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology, 1(2), 135–144. https://doi.org/10.17060/ijodaep.2021.n2.v1.2165

Neves, A. R., Antunes, L., & Ramalho Mostardinha, A. (2025). SQuI2: Resultados preliminares de um programa de reabilitação motora em idosos institucionalizados. Revista Portuguesa de Enfermagem de Reabilitação, 8(1), e36848. https://doi.org/10.33194/rper.2025.36848

Nogueira, E., Martins, R., Carvalho, N., & Batista, S. (2022). Satisfaction with life perceived by the elderly. Millenium - Journal of Education, Technologies, and Health, 2(10e), 177–184. https://doi.org/10.29352/mill0210e.26873

Novais, F., Cordeiro, C., Câmara Pestana, P., Côrte-Real, B., Reynolds Sousa, T., Delerue Matos, A., & Telles-Correia, D. (2021). The impact of COVID-19 in older people in Portugal: Results from the Survey of Health, Ageing and Retirement (SHARE). Acta Médica Portuguesa, 34(11), 761–766. https://doi.org/10.20344/amp.16209

Nyberg, A., Probst, V., & Vaes, A. W. (2021). Assessment. In A. E. Holland, S. D. Corso, & M. A. Spruit (Eds.), Pulmonary rehabilitation (p. 360). European Respiratory Society. https://doi.org/10.1183/2312508X.erm9321

Ordem dos Enfermeiros. (2019). Regulamento n.º 392/2019: Regulamento das competências específicas do enfermeiro especialista em enfermagem de reabilitação. Diário da República, 2(85), 13565–13568. https://dre.pt/application/conteudo/122216893

Organização Mundial da Saúde. (2020). Manual de políticas e estratégias para a qualidade dos cuidados de saúde: Uma abordagem prática para formular políticas e estratégias destinadas a melhorar a qualidade dos cuidados de saúde. https://apps.who.int/iris/bitstream/handle/10665/272357/9789240005709-por.pdf

Song, J., & Lee, E. (2021). Health-related quality of life of elderly women with fall experiences. International Journal of Environmental Research and Public Health, 18(15), 7804. https://doi.org/10.3390/ijerph18157804

Tseng, H.-Y., Löckenhoff, C., Lee, C.-Y., Yu, S.-H., Wu, I.-C., Chang, H.-Y., Chiu, Y.-F., & Hsiung, C. A. (2020). The paradox of aging and health-related quality of life in Asian Chinese: Results from the Healthy Aging Longitudinal Study in Taiwan. BMC Geriatrics, 20(1), 91. https://doi.org/10.1186/s12877-020-1446-y

Weeks, L. E., Nesto, S., Hiebert, B., Warner, G., Luciano, W., Ledoux, K., & Donelle, L. (2021). Health service experiences and preferences of frail home care clients and their family and friend caregivers during the COVID-19 pandemic. BMC Research Notes, 14(1), 271. https://doi.org/10.1186/s13104-021-05686-6

Published

2025-03-28

How to Cite

Coelho, E., Martins, R., & Carvalho, N. (2025). Effectiveness of a rehabilitation nursing program on response to effort and quality of life in the elderly . Millenium - Journal of Education, Technologies, and Health, 2(16e), e37204. https://doi.org/10.29352/mill0216e.37204

Issue

Section

Life and Healthcare Sciences