{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T14:27:27Z","timestamp":1758637647323,"version":"3.41.2"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>RESUMO  Objetivo:  avaliar o efeito de um programa de Enfermagem de Reabilita\u00e7\u00e3o na gest\u00e3o da incontin\u00eancia urin\u00e1ria na mulher ap\u00f3s acidente vascular cerebral.  M\u00e9todo:  estudo quantitativo, qu\u00e1si-experimental, longitudinal, realizado numa unidade de convalescen\u00e7a do distrito de Viana do Castelo, Portugal, entre o per\u00edodo de Setembro de 2018 a Mar\u00e7o de 2019. A amostra, constitu\u00edda por mulheres (n=30) entre os 45 e 90 anos, com incontin\u00eancia urin\u00e1ria ap\u00f3s AVC, divididas em dois grupos: grupo experimental (n=15) e grupo de controle (n=15). Apenas ao grupo experimental foi aplicado um programa de reabilita\u00e7\u00e3o funcional durante 4 semanas, composto por mudan\u00e7as comportamentais e um plano de exerc\u00edcios de refor\u00e7o dos m\u00fasculos do pavimento p\u00e9lvico, tendo-se avaliado, antes e depois da interven\u00e7\u00e3o, o impacto da incontin\u00eancia urin\u00e1ria na sua vida.  Resultados:  verificamos correla\u00e7\u00e3o estaticamente significativa entre o grau de incapacidade funcional e o impacto da incontin\u00eancia urin\u00e1ria (r=-0,499; p=0,005), concluindo que o grau de incapacidade funcional global influencia o impacto da incontin\u00eancia urin\u00e1ria na qualidade de vida. O programa de reabilita\u00e7\u00e3o funcional realizado no grupo experimental obteve resultados positivos ao n\u00edvel da diminui\u00e7\u00e3o da frequ\u00eancia urin\u00e1ria (t=6,985, p=0,000) e da quantidade de perdas de urina (Z=-2,762, p=0,006).  Conclus\u00e3o:  o programa de reabilita\u00e7\u00e3o funcional teve um impacto positivo na diminui\u00e7\u00e3o da frequ\u00eancia e quantidade de perdas de urina.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2020-0656pt","type":"journal-article","created":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T19:29:57Z","timestamp":1667849397000},"source":"Crossref","is-referenced-by-count":2,"title":["IMPACTO DE UM PROGRAMA DE REABILITA\u00c7\u00c3O NA GEST\u00c3O URIN\u00c1RIA DO DOENTE ACOMETIDO POR ACIDENTE VASCULAR CEREBRAL"],"prefix":"10.1590","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3003-8723","authenticated-orcid":false,"given":"Andreia Patr\u00edcia Azevedo","family":"Chiado","sequence":"first","affiliation":[{"name":"Instituto Polit\u00e9cnico de Viana do Castelo,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1685-9891","authenticated-orcid":false,"given":"Maria Salom\u00e9 Martins","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico de Viana do Castelo,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9982-9537","authenticated-orcid":false,"given":"Olga Maria Pimenta Lopes","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9312-8051","authenticated-orcid":false,"given":"B\u00e1rbara Pereira","family":"Gomes","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1527-9940","authenticated-orcid":false,"given":"Maria Manuela Ferreira","family":"Martins","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"2","key":"ref1","article-title":"Avalia\u00e7\u00e3o dos indicadores de \u00f3bito e incapacidade dos pacientes atendidos em uma unidade de acidente vascular cerebral","volume":"27","author":"Baptista SCPD","year":"2018","journal-title":"Texto Contexto Enferm"},{"issue":"1","key":"ref2","article-title":"Treatment of urinary incontinence after stroke in adults","volume":"2008","author":"Thomas L","year":"2008","journal-title":"Cochrane Library"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD005654.pub2","article-title":"Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women","author":"Dumoulin C","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"ref4","series-title":"Incontinence","first-page":"921","volume-title":"Cerebral lesions and cere-brpvascular accidents","author":"Abrams P","year":"2013","edition":"5"},{"issue":"1","key":"ref5","article-title":"Terapia comportamental na abordagem prim\u00e1ria da hiperatividade do detrusor","volume":"38","author":"Mesquita L","year":"2010","journal-title":"Rev Feminina"},{"issue":"4","key":"ref6","first-page":"3","article-title":"Contributo para a Adapta\u00e7\u00e3o e Valida\u00e7\u00e3o do Instrumento de Medida \u201cEscala de Auto-Efic\u00e1cia de Broome para Exerc\u00edcios da Musculatura do Pavimento P\u00e9lvico","volume":"3","author":"Branquinho N","year":"2007","journal-title":"EssFisiOnline"},{"key":"ref7","series-title":"Urologia Fundamental. Sociedade Brasileira de Urologia","first-page":"239","volume-title":"Bexiga Neurog\u00e9nica","author":"Rocha F","year":"2010"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"557","DOI":"10.17765\/1983-1870.2016v9n3p557-566","article-title":"Acidente Vascular Encef\u00e1lico como fator de risco para incontin\u00eancia urin\u00e1ria em idosos institucionalizados","volume":"9","author":"Quadros L","year":"2016","journal-title":"Rev Sa\u00fade Pesquisa"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"7","DOI":"10.15448\/1983-652X.2018.1.26335","article-title":"An\u00e1lise da rela\u00e7\u00e3o entre sintomas urin\u00e1rios e topografia da les\u00e3o cerebral em pacientes com acidente vascular cerebral","volume":"11","author":"Banaszeski V","year":"2018","journal-title":"Rev Ci\u00ean Sa\u00fade"},{"issue":"4","key":"ref10","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1002\/nau.22420","article-title":"Urinary incontinence after ischemic stroke: clinical and urodynamic studies","volume":"33","author":"Pizzi A","year":"2014","journal-title":"Neurourol Urodyn"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1080\/10749357.2018.1552741","article-title":"Effects on urinary outcome of patients and caregivers' burden of pelvic floor muscle exercises based on the health belief model done at home by post-stroke patients","volume":"26","author":"Arkan G","year":"2019","journal-title":"Top Stroke Rehabil"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1177\/0269215515578695","article-title":"Pelvic floor muscle training for urinary incontinence in female stroke patients: a randomized, controlled and blinded trial","volume":"30","author":"Shin D","year":"2016","journal-title":"Clin Rehabil"},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1002\/j.2048-7940.2010.tb00055.x","article-title":"Assessment, Guided Therapy of Urinary incontinence After Stroke","volume":"35","author":"Herr-Wilbert I","year":"2010","journal-title":"Rehab Nurs"}],"container-title":["Texto &amp; Contexto - Enfermagem"],"original-title":["IMPACT OF A REHABILITATION PROGRAM ON THE URINARY MANAGEMENT OF PATIENTS AFFECTED BY CEREBROVASCULAR ACCIDENT"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-07072022000100364&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,7]],"date-time":"2022-11-07T19:30:23Z","timestamp":1667849423000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-07072022000100364&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":13,"alternative-id":["S0104-07072022000100364"],"URL":"https:\/\/doi.org\/10.1590\/1980-265x-tce-2020-0656pt","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1980-265x-tce-2020-0656en","asserted-by":"subject"}]},"ISSN":["1980-265X","0104-0707"],"issn-type":[{"type":"electronic","value":"1980-265X"},{"type":"print","value":"0104-0707"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e20200656"}}