Rehabilitación intestinal de individuos con lesión medular: producción de vídeo

Campoy, Laura Terenciani; Rabeh, Soraia Assad Nasbine; Castro, Fabiana Faleiros Santana; Nogueira, Paula Cristina; Terçariol, César Augusto Sangaletti

doi:10.1590/0034-7167-2017-0283

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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Sumário

RESEARCH • Rev. Bras. Enferm. 71 (5) • Sep-Oct 2018 • https://doi.org/10.1590/0034-7167-2017-0283 copiar

Rehabilitación intestinal de individuos con lesión medular: producción de vídeo

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Producir y validar video educativo sobre maniobras de vaciamiento intestinal para capacitar individuos con intestino neurogénico sobre el proceso de rehabilitación intestinal.

Método:

Estudio metodológico desarrollado en cuatro etapas: guionado/storyboard, validación, producción del vídeo educativo y prueba piloto. Realizado entre enero 2013 y julio2015. Validación mediante instrumentos, efectuada por comité de expertos, con experiencia en vídeos de diciembre 2014 a febrero 2015. Valor de concordancia y pertinencia de guionado y storyboard considerado en 70% o superior. Datos analizados por estadística descriptiva.

Resultados:

Guionado y storyboard validados por 94% de expertos en temática y 100% de expertos técnicos. Validado y grabado el vídeo, se realizó prueba piloto con seis individuos con intestino neurogénico, 100% evaluó positivamente el vídeo.

Conclusión:

El vídeo contribuirá a educar a individuos con intestino neurogénico.

Descriptores:
Traumatismos de la Médula Espinal; Rehabilitación; Intestino Neurogénico; Enfermería; Medios Audiovisuales

PRE-VALIDATION VERSION

POST-VALIDATION VERSION

A.S., 26 years old, female, white, single, nursing student, had a car accident 6 months ago, and a spinal cord injury at the lumbar level (L2), she lives with her mother, her caregiver. She came to the health service complaining of malaise, abdominal discomfort, bowel incontinence, anal bleeding and no bowel elimination for 10 days. At her physical examination: distended abdomen, decreased airflow sounds, at palpation, presence of fecal impaction. She does not attend any rehabilitation center. She received guidance on bowel complications associated with SCI at discharge from the first post-injury hospitalization. She uses oral laxatives daily and does not perform bowel emptying maneuvers. She says she has a low-fiber diet, takes small amounts of liquid daily and that she has presented difficult bowel elimination after she had the car accident; she reports daily evacuation before the accident.

Hi Ana, I'm Laura, I'm a nurse here at this rehabilitation service and I'd like to know a little about your case. (Nurse)
Hi Laura, I'm 26 years old, single, a student, I live with my mother, who is my caregiver. Six months ago I had a car accident and was informed that I had a spinal cord injury at the lumbar level at L2. I came to this service because I felt malaise, abdominal discomfort and I haven't evacuated for 10 days. (Patient)
Do you attend any rehabilitation service, Ana? (Nurse)
No, I don't. (Patient)
Have you received any guidance regarding bowel complications at discharge when you were hospitalized? (Nurse)
Yes, when I was discharged at the first hospitalization, they told me that I would have some bowel complications because of the accident. (Patient)
Do you use any medication for bowel elimination? (Nurse)
Yes. After the accident, I started taking oral laxatives daily, something I didn't use to do, because before the accident I had no problem evacuating, I used to do it every day at the same time, after the meal. (Patient)

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Laura Terenciani Campoy. E-mail: lauratcampoy@hotmail.com