Acidente Vascular Cerebral: dificuldades na realização de estudos em ambiente hospitalar
DOI:
https://doi.org/10.34024/rnc.2022.v30.14059Palavras-chave:
Acidente vascular cerebral, seleção de pacientes, participação do paciente, fisioterapiaResumo
Introdução. Os estudos realizados com indivíduos com Acidente Vascular Cerebral (AVC) pode ser um grande desafio, principalmente durante a internação hospitalar. Objetivo. Analisar as principais dificuldades encontrados na realização de um estudo com pacientes hospitalizados com AVC agudo. Método. Trata-se de um estudo observacional retrospectivo, ocorrido durante a realização de um estudo em um hospital público terciário do Distrito Federal. Os critérios de inclusão foram: diagnóstico único de AVC, 24 a 72 horas do evento, ambos os sexos, idade igual ou superior a 18 anos, lesão na artéria cerebral média; colaboração à solicitação de comandos simples, IMS entre 1 e 3. Foram excluídos indivíduos que tinham doença sistêmica avançada, hipertensão intracraniana ou risco de evolução clínica evidenciada pela equipe médica, intervenção cirúrgica neurológica prévia, uso de antidepressivos ou antipsicóticos, AVC associado à hemorragia subaracnóide aguda traumática ou hemorragia subdural aguda. Resultados. Após os critérios de inclusão, 29 indivíduos do total de 347 foram selecionados para o estudo. Destes, por motivo de óbito, transferências, complicações hospitalares, permaneceram no estudo 19 indivíduos. Após o início da intervenção, ainda houve a perda de mais 3 indivíduos. Conclusão. Os estudos com indivíduos no estágio agudo do AVC são complexos de serem realizados pela gravidade do quadro neurológico e clínico, além da heterogeneidade da amostra, sendo essencial a escolha adequada de estratégias de recrutamento e manutenção do indivíduo durante a realização destes estudos.
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Copyright (c) 2022 Thaís Gontijo Ribeiro, Clarissa Cardoso dos Santos Couto Paz, Milene Soares Nogueira de Lima

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Aceito: 2022-08-31
Publicado: 2022-10-06