Dados do Resumo

Título

A walking guide as an ally in the rehabilitation of cancer patients undergoing thoracic and abdominal surgery

Introdução

Considered a fundamental resource in the postoperative rehabilitation of cancer patients undergoing thoracic and abdominal surgery, walking is a strong ally in reestablishing the individual's functionality prior to hospitalization, in addition to contributing to positive results in the post-surgical context.

Objetivo

To create a walking guide for cancer patients undergoing thoracic and abdominal surgery in the hospital environment.

Métodos

Through the inclusion of clinical trials, systematic reviews, cohort, guidelines from the Pubmed, PEDro and Scielo databases, a literature review was carried out in order to answer the PICOT question “Does walking influence the recovery of hospitalized cancer patients with abdominal and chest cancer?”, excluding studies that did not describe the walking intervention. No data or language limits were used.

Resultados

1189 potential articles for the study were found in the literature. In the end, 6 articles were selected to support the preparation of the walking guide. The safety criteria defined for the patient to walk were: pain, level of tiredness and presence of dizziness, represented as relative and absolute contraindications. In the walking guide developed, patients are encouraged to walk at least three times a day for 6 to 15 minutes, varying the intensity according to the level of perceived exertion. For better understanding, we divided it into three levels depending on self-perception of tiredness, level 1 being: fastest speed that the patient can manage, maintaining the comfort zone; level 2: moderate speed, maintaining a BORG 5; level 3: fast speed, without exceeding a BORG 6. The minimum walking time and frequency were defined only to guide the patient, and can be exceeded, as long as the patient respects the suggested safety criteria.

Conclusões

Hospitalization tends to increase bed rest time, directly affecting the functionality of patients regardless of age group and generating a negative impact on post-surgical outcomes, thus, based on the literature review, an educational material was designed and structured with information on benefits and safety criteria for walking in a hospital environment for cancer patients undergoing thoracic and abdominal surgery.

Financiador do resumo

None.

Palavras Chave

Walking; Hospitalization; Neoplasms