<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-3023</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Enfermagem de Reabilitação]]></journal-title>
<abbrev-journal-title><![CDATA[RPER]]></abbrev-journal-title>
<issn>2184-3023</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Enfermagem de Reabilitação]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-30232025000100200</article-id>
<article-id pub-id-type="doi">10.33194/rper.2025.376</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A INTERVENÇÃO DOS ENFERMEIROS ESPECIALISTAS EM ENFERMAGEM DE REABILITAÇÃO NO RISCO DE ÚLCERA POR PRESSÃO]]></article-title>
<article-title xml:lang="es"><![CDATA[LA INTERVENCIÓN DE LOS ENFERMEROS ESPECIALISTAS EN ENFERMERÍA DE REHABILITACIÓN EN EL RIESGO DE ÚLCERA POR PRESIÓN]]></article-title>
<article-title xml:lang="en"><![CDATA[THE INTERVENTION OF SPECIALIST NURSES IN REHABILITATION NURSING IN THE RISK OF PRESSURE ULCERS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[Patrícia Isabel de Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Márcia Bernardete Oliveira Rocha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Cristina Manuel Sarmento]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Gisele Araújo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Grande Porto III Maia/Valongo UCC Águas Santas ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-30232025000100200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-30232025000100200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-30232025000100200&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: As Equipas de Cuidados Continuados Integrados dão resposta a pessoas dependentes, que não se deslocam autonomamente. A mobilidade e a atividade são áreas de atenção do enfermeiro especialista em enfermagem de reabilitação e fatores relacionados com o risco de úlcera por pressão. Este estudo teve como objetivo avaliar a influência da intervenção dos enfermeiros especialistas em enfermagem de reabilitação na redução do risco de úlcera por pressão, avaliado através da escala de Braden, em utentes integrados numa Equipa de Cuidados Continuados Integrados em programa de reabilitação.  Metodologia: Estudo observacional, descritivo, exploratório, retrospetivo, realizado numa amostra de 60 utentes acompanhados numa Equipas de Cuidados Continuados Integrados do Norte de Portugal, referenciados para reabilitação, com alta no período compreendido entre 1 janeiro de 2021 e 31 de dezembro de 2022.  Resultados: Os participantes tinham em média 78 anos, com diagnósticos médicos mais frequentes: doença cérebro vascular, doenças do sistema nervoso e do sistema osteoarticular. Observou-se uma melhoria nos valores médios da escala de Braden, passando de 14,7 (alto risco) para 17,7 (baixo risco) (t(58) = 8,267, p&lt;,001, d Cohen= 1,06) e da Tabela Nacional da Funcionalidade, passando o valor de 126 na admissão para 104 na alta. Verifica-se ainda uma relação estatística muito forte entre a melhoria no valor das subescalas de Braden atividade (r(58) = 0,867, p &lt;,001) e mobilidade (r(58) = ,820, p &lt;,001) com o valor final da Escala de Braden no momento da alta.  Discussão: Os resultados revelaram uma correlação muito forte e positiva entre a melhoria das subescalas atividade e mobilidade, áreas que foram alvo de intervenção do enfermeiro especialista em enfermagem de reabilitação, com o valor final da Escala de Braden.  Conclusão: Este estudo revelou que as intervenções implementadas tiveram influência na melhoria da funcionalidade, da mobilidade e da atividade, fatores intrinsecamente ligados à intervenção do enfermeiro especialista em enfermagem de reabilitação. Sendo a mobilidade e a atividade dois dos seis parâmetros avaliados pela escala de Braden, infere-se assim que se obteve ganhos na prevenção de úlceras por pressão, refletindo-se em ganhos para o utente, familiares, cuidadores e para o Serviço Nacional de Saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los Equipos Integrados de Atención Continuada responden a las personas dependientes, que no se desplazan de forma autónoma. La movilidad y la actividad son áreas de atención para los enfermeros especializados en enfermería de rehabilitación y factores relacionados con el riesgo de úlceras por presión. Este estudio tuvo como objetivo evaluar la influencia de la intervención de enfermeras especialistas en enfermería de rehabilitación en la reducción del riesgo de úlceras por presión, evaluado mediante la escala de Braden, en pacientes integrados en un Equipo Integrado de Atención Continuada en un programa de rehabilitación.  Metodología: Estudio observacional, descriptivo, exploratorio, retrospectivo, realizado sobre una muestra de 60 pacientes seguidos en un Equipos Integrados de Atención Continuada en el norte de Portugal, remitidos para rehabilitación, dados de alta en el período comprendido entre el 1 de enero de 2021 y el 31 de diciembre de 2022.  Resultados: os participantes tenían una edad media de 78 años, con diagnósticos médicos más frecuentes: enfermedad cerebrovascular, enfermedades del sistema nervioso y del sistema osteoarticular. Hubo una mejora en los valores medios de la escala de Braden, de 14,7 (alto riesgo) a 17,7 (bajo riesgo) (t(58) = 8,267, p&lt;,001, d Cohen = 1,06) y en la Tabla Nacional de Funcionalidad, de 126 al ingreso a 104 al alta. También existe una relación estadística muy fuerte entre la mejora en el valor de las subescalas de actividad de Braden (r(58) = 0,867, p &lt;,001) y movilidad (r(58) = 0,820, p &lt;,001) con el valor final de la Escala de Braden en el momento del alta.  Discusión: Los resultados revelaron una correlación muy fuerte y positiva entre la mejora de las subescalas de actividad y movilidad, áreas que fueron objeto de intervención de los enfermeros especializados en enfermería de rehabilitación, con el valor final de la Escala de Braden.  Conclusión: Este estudio reveló que las intervenciones implementadas influyeron en la mejora de la funcionalidad, la movilidad y la actividad, factores intrínsecamente ligados a la intervención de los enfermeros especializados en enfermería de rehabilitación. Dado que la movilidad y la actividad son dos de los seis parámetros evaluados por la escala de Braden, se infiere que se obtuvieron ganancias en la prevención de las úlceras por presión, reflejadas en ganancias para el usuario, los familiares, los cuidadores y el Servicio Nacional de Salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The Integrated Continuing Care Teams respond to dependent people who do not move autonomously. Mobility and activity are areas of attention for nurses specialized in rehabilitation nursing and factors related to the risk of pressure ulcers. This study aimed to evaluate the influence of the intervention of specialist nurses in rehabilitation nursing in reducing the risk of pressure ulcers, assessed using the Braden scale, in patients integrated in an Integrated Continuing Care Teams in a rehabilitation program.  Methodology: Observational, descriptive, exploratory, retrospective study, carried out on a sample of 60 patients followed in an Integrated Continuing Care Teams from northern Portugal, referred for rehabilitation, discharged in the period between January 1, 2021, and December 31, 2022.  Results: The participants were on average 78 years old, with more frequent medical diagnoses: cerebrovascular disease, diseases of the nervous system and osteoarticular system. There was an improvement in the mean values of the Braden scale, from 14.7 (high risk) to 17.7 (low risk) (t(58) = 8.267, p&lt;.001, d Cohen = 1.06) and in the National Table of Functionality, from 126 at admission to 104 at discharge. There is also a very strong statistical relationship between the improvement in the value of the Braden subscales activity (r(58) = 0.867, p &lt;.001) and mobility (r(58) = .820, p &lt;.001) with the final value of the Braden Scale at the time of discharge.  Discussion: The results revealed a very strong and positive correlation between the improvement of the activity and mobility subscales, areas that were the target of intervention by the nurses specialized in rehabilitation nursing intervention, with the final value of the Braden Scale.  Conclusion: This study revealed that the interventions implemented by the nurses specialized in rehabilitation nursing had an influence on the improvement of functionality, mobility and activity, factors intrinsically linked to the intervention of the nurses specialized in rehabilitation nursing. Since mobility and activity are two of the six parameters evaluated by the Braden scale, it is thus inferred that gains were obtained in the prevention of pressure ulcers, reflected in gains for the user, family members, caregivers and the National Health Service]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Úlcera por Pressão]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem em Reabilitação]]></kwd>
<kwd lng="pt"><![CDATA[Autocuidado]]></kwd>
<kwd lng="pt"><![CDATA[Risco]]></kwd>
<kwd lng="es"><![CDATA[Úlcera por Presión]]></kwd>
<kwd lng="es"><![CDATA[Enfermería en Rehabilitación]]></kwd>
<kwd lng="es"><![CDATA[Autocuidado]]></kwd>
<kwd lng="es"><![CDATA[Risco]]></kwd>
<kwd lng="en"><![CDATA[Pressure ulcer]]></kwd>
<kwd lng="en"><![CDATA[Rehabilitation Nursing]]></kwd>
<kwd lng="en"><![CDATA[Self-care]]></kwd>
<kwd lng="en"><![CDATA[Risk]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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