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Intestinal rehabilitation of individuals with spinal cord injury: validation of material for educational intervention

Grant number: 13/16334-5
Support type:Scholarships in Brazil - Master
Effective date (Start): March 01, 2014
Effective date (End): October 31, 2015
Field of knowledge:Health Sciences - Nursing - Medical-Surgical Nursing
Principal researcher:Soraia Assad Nasbine Rabeh
Grantee:Laura Terenciani Campoy
Home Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil


The Spinal Cord Injury (SCI) generates a chronic condition of health to the individual affected, due to the bankruptcy of a number of functions such as locomotion; sensitivity; sexuality; urinary and intestinal elimination; and autonomic nervous system. One of the impending complications must be highlighted, neurogenic bowel, with changes of the intestinal operation depending on the neurological level of injury. The individual with SCI can be rotated at stages of constipation and fecal incontinence, before training for the intestinal regulation since the voluntary muscle component inhibits intestinal emptying. To meet the intestinal problems of individuals with SCI, there are international guidelines with focus on prevention of intestinal complications, where nurses have leading role in nursing clinical evaluation, as well as in the care plan, proposition involving relatives/caregivers in the dynamics of the assistance. Rehabilitation should be started as soon as stabilizes the spinal cord injury and involves multidisciplinary team in a dynamic, process-oriented skills and recovery, developing knowledge and attitudes, which aim to help patients to live with minimum degree of dependence. To the achievement of better results in assistance, the adoption of Evidence-Based Practice (EBP) has been used as a strategy for the development and use of research in clinical practice. In this perspective the study will use the guidelines of the guide Neurogenic Bowel: What You Should Know-A Guide for People with Spinal Cord Injury edited by the Consortium for Spinal Cord Medicine1, with administrative and financial support of the Paralyzed Veterans of America, translated by Furlan et al., (2005). The material includes fundamental concepts to facilitate the understanding of practitioners regarding the self-care of patients with intestinal SCI, types of neurogenic bowel (irreflexive and reflective); purpose of the bowel program; patient information and specific intestinal care. To this end, the purpose of the study will be the production and validation of educational videos on maneuvers intestinal emptying in patients with neurogenic bowel to be used in training nurses to perform nursing interventions in bowel retraining. The teaching strategy that will be used for the production of videos is the simulation of clinical practice. It will be a descriptive exploratory study with quantitative analysis approach. The screenplay of the videos will be validated by a Committee of judges in the area of rehabilitation experts, after validation of the scripts and their adequacy, the videos will be filmed. The production of the videos will take place in the Centre of Simulation at Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo (EERP-USP). (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
CAMPOY, LAURA TERENCIANI; NASBINE RABEH, SORAIA ASSAD; SANTANA CASTRO, FABIANA FALEIROS; NOGUEIRA, PAULA CRISTINA; SANGALETTI TERCARIOL, CESAR AUGUSTO. Bowel rehabilitation of individuals with spinal cord injury: video production. Revista Brasileira de Enfermagem, v. 71, n. 5, p. 2376-2382, SEP-OCT 2018. Web of Science Citations: 0.
LAURA TERENCIANI CAMPOY; SORAIA ASSAD NASBINE RABEH; FABIANA FALEIROS SANTANA CASTRO; PAULA CRISTINA NOGUEIRA; CÉSAR AUGUSTO SANGALETTI TERÇARIOL. Bowel rehabilitation of individuals with spinal cord injury: video production. Revista Brasileira de Enfermagem, v. 71, n. 5, p. -, Out. 2018.

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