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Introdução: Câncer é um termo que abrange mais de 100 diferentes tipos de doenças malignas, é uma doença que surge a partir de mutações genéticas e tem como principal característica o crescimento celular anormal e desordenado que pode invadir tecidos adjacentes e se espalhar para outros órgãos. A taxa de sobrevida de pacientes com câncer melhorou substancialmente nas últimas décadas com o surgimento de novas terapêuticas. No entanto, os pacientes oncológicos estão mais suscetíveis aos efeitos cardiotóxicos desenvolvidos durante o tratamento, devido a exposição à agentes deletérios, entre os sintomas cardiovasculares, a fadiga é muito prevalente no paciente com câncer ela é definida como uma experiência subjetiva que se caracteriza pelo cansaço que não alivia mesmo com o sono ou repouso e é também considerada um preditor da diminuição da capacidade funcional e qualidade de vida. A cinesioterapia baseia-se no movimento, ou seja, tratamento dos sistemas neuromusculoesquelético por meio do movimento, o Fisioterapeuta faz parte da equipe multidisciplinar que atua de forma abrangente na sintomatologia dos pacientes com câncer e usa esse recurso como forma de intervenção para prevenir, tratar e minimizar os distúrbios e sequelas causados pelo tratamento oncológico. Objetivo: descrever os benefícios da cinesioterapia aplicada a pacientes portadores de câncer com fadiga oncológica. Método: Trata-se de uma revisão sistemática da literatura feita com artigos indexados nas seguintes bases de dados: PubMed/MedLine, SciELO, Lilacs, Web of Science e Embase. Foram incluídos nessa revisão os ensaios clínicos e apresentação de casos publicados em língua portuguesa, espanhola e inglesa; que abordassem os efeitos da Cinesioterapia na fadiga oncológica. Como critérios de exclusão foram retirados da pesquisa os artigos que abordavam temas irrelevantes. Resultados e Discussão: A busca por artigos em todas as bases de dados pesquisadas encontrou um total de 54 artigos, sendo 36 na PubMed/MedLine, 2 na Lilacs, 0 na Embase, 15 na SciELO e nenhum nas Web of Science e PEDro, conforme Tabela 1. Os autores descrevem que a Cinesioterapia mostra efeitos positivos quanto à fadiga, capacidade funcional, qualidade de vida, sono e em processos inflamatórios desencadeados pela quimioterapia. Conclusão: A Cinesioterapia se mostra uma ferramenta terapêutica essencial para o manejo da fadiga oncológica, visto que diminui os índices de fadiga, bem como melhora a capacidade funcional e aumenta a qualidade de vida, seus efeitos são benéficos também para o sono além de reduzir a inflamação induzida pela quimioterapia.

What non-pharmacological interventions are used in the perioperative period to prevent anxiety in adolescents? What are the characteristics (duration, dose and frequency) of these interventions? What are the contexts where non-pharmacological interventions are delivered in order to prevent anxiety in adolescents? Which adolescent population has been included in non-pharmacological interventions in a perioperative period with the aim in preventing anxiety? What related effects of the anxiety concept (i.e., pain, discomfort, and maladaptive behaviors) have been reported by the adolescents in the perioperative period? Who are the professionals that use non-pharmacological interventions to prevent anxiety in adolescents in the perioperative period?

Objectives: To map scientific knowledge on the use of simulation in postgraduate and continuing education nursing programs. Introduction: Simulation is an important teaching-learning tool. It has been established as an effective strategy for nursing training, particularly with respect to developing the knowledge, skills, and initiative necessary for professional nursing practice. However, there is limited evidence on the usefulness of simulation in postgraduate and continuing education nursing programs, especially with respect to training, clinical fields, studied themes, types of simulation interventions, characteristics of simulation (fidelity), result assessment tools and strategies, and study outcomes. Inclusion criteria: This review will consider all studies, regardless of methodological design, related to the use of simulation in postgraduate or continuing education nursing programs, in either training or real clinical settings, in any language, without considering the time limits to select publications. Methods: The review will be conducted according to the JBI methodology for scoping reviews. An online database search will be performed in MEDLINE/PubMed®, CINAHL, Scopus®, LILACS, Embase, Cochrane Library, and Web of Science Core Collection and the gray literature in ProQuest Dissertation and Thesis, OpenGrey, Google Scholar, CAPES Thesis Bank (Brazil), the Brazilian Electronic Theses and Dissertations Digital Library, and the Portuguese Open Access Science Repository. Data selection and extraction will be conducted independently by two researchers in a personalized form. Data synthesis and analysis will be descriptively presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for the Scoping Review Checklist.

Protocolo de Revisão de Scoping

Additional file 2. Search strategy. Report of a full electronic search strategy for EBSCO database.

Additional file 3. Adapted Newcastle-Ottawa Scale. Adapted scale to assess risk of bias of 7 observational studies included.

Additional file 1. PRISMA Checklist. Twenty-seven-item checklist reporting of a systematic review.

Objective: The objective of the review was to synthesize the effectiveness of multisensory stimulation in managing neuropsychiatric symptoms (NPS) in older adults with major neurocognitive disorder (NCD). Introduction: Major neurocognitive disorder is characterized by changes in specific cognitive domains with a progressive deterioration in cognitive ability and capacity for independent living. Most older adults with this condition have one or more concomitant symptoms known as NPS. Evidence shows that nonpharmacological therapies have been effective in controlling these symptoms, with multisensory stimulation attracting further investigation. Inclusion criteria: The review considered studies on older adults aged 65 years or over with major NCD. The intervention of interest was multisensory stimulation, and the comparator was usual care (e.g. no occupational therapy, no cognitive training, and no art therapy, but with possible control of activities such as looking at photographs or doing quizzes), or another intervention (e.g. occupational therapy, cognitive training and art therapy). Primary outcomes were NPS (agitation, aggression, motor disturbances, mood liability, anxiety, apathy, night-time behaviour, eating disorders, delusion and hallucination). Secondary outcomes were quality of life, functional status in activities of daily living, cognitive status and caregiver burden. Experimental study designs were considered. Methods: A broad range of keywords and a three-step search strategy were used to identify potentially eligible published and unpublished studies from January 1990 to June 2016 in major healthcare-related online databases. Studies in English, Spanish and Portuguese were included. Two independent reviewers assessed the methodological quality of eight included studies using the Joanna Briggs Institute (JBI) Critical Appraisal Checklists for Randomized Controlled Trials and Quasi-Experimental Studies. Data were extracted using the standardized data extraction tool from the JBI System for the Unified Management, Assessment and Review of Information (JBI SUMARI) and included details about the interventions, populations, study methods and outcomes of interest. Significant differences were found between participants, interventions, outcome measures (clinical heterogeneity), and designs (methodological heterogeneity). For these reasons, a meta-analysis could not be performed. Therefore, the results have been described in a narrative format. Results: Eight studies (seven randomized controlled trials and one quasi-experimental study) were included, with a total sample of 238 participants (pre-intervention). Four studies confirmed the effectiveness of multisensory stimulation in domains such as physically nonaggressive behavior, verbally agitated behavior and agitation. However, these effects did not always persist in the long-term. Six studies showed poorly consistent results on the effects of multisensory stimulation in improving mood, with only one displaying significant effects. Similarly, despite poor results, two studies showed benefits concerning anxiety. Participants reported significantly decreased levels of anxiety over the course of the intervention, and this improvement persisted in the long-term. In regard to functional status in activities of daily living, two studies reported an improvement in the short-term. Moreover, the effectiveness in cognitive domains such as memory and attention to surroundings also showed inconsistent results across the seven studies that analyzed this outcome. Two studies reflected an improvement during the intervention, but also reported a gradual decline in the long-term. Only one study observed significantly better results during the intervention that persisted until the follow-up assessment. Apathy, night-time behavior, eating disorders, delusion and hallucination were NPS that were not explored in the studies that met the criteria to be included in this review. Conclusions: These findings suggest that multisensory stimulation could be an effective intervention for managing NPS in older adults with major NCD in a mild to severe stage, particularly for managing behavioral symptoms such as agitation. This research provides an indication of the likely effect of the multisensory stimulation on NPS such as agitation and anxiety, as well on cognitive status.

Objective: To know the manifestations and needs concerning the process of death and dying of the person with cancer at the end of their lives. Methods: This paper is a qualitative and descriptive case study. The scenario was the participants’ homes, who were also bound to the Interdisciplinary Homecare Program, in Pelotas/RS. Five persons with cancer at the end of their lives participated, four were male and one female. Data collection was carried out through semi-structured interviews and participant observation, from August to September 2015. Three or four meetings happened in their homes and thematic analysis was applied. Results: Four categories emerged: Emotional demonstrations and necessities; Social demonstrations and necessities; Physical demonstrations and necessities; Spiritual demonstrations and necessities. Conclusion: Cancer modifies patients and relatives’ lives, which demands skill and sensitive look from health professionals, when aiming to completely assist patients, considering their physical, emotional, social and spiritual dimensions.

Resumo Contexto: A dor a nível músculo-esquelético é um problema muito frequente em trabalhadores de diferentes contextos laborais. O exercício físico pode contribuir na prevenção e diminuição deste fenómeno. Objetivos: Mapear os programas de exercício físico para a dor músculo-esquelética relacionada com o trabalho. Método de revisão: Será considerada a estratégia de definição dos participantes, conceito e contexto (PCC) proposta pelo Joanna Briggs Institute. Serão incluídas as bases de dados: CINAHL Complete; PubMed; Scopus; SciELO; PEDro; SPORTDiscus. A pesquisa por estudos não publicados incluirá: DART-Europe; OpenGrey; RCAAP. Estudos publicados em inglês, espanhol e português serão considerados para inclusão e análise. A seleção dos artigos, a extração e síntese dos dados será desenvolvida por dois revisores independentes. Apresentação e interpretação dos resultados: Os dados analisados serão apresentados de forma diagramática, tabular e descritiva. Conclusão: O mapeamento de programas de exercício físico direcionados à prevenção de dores músculo-esqueléticas relacionadas com o trabalho poderá levar à reflexão sobre os mais adequados e a identificar áreas prioritárias.