ABSTRACT
AIMS: The World Health Organization points out that, by 2030, two billion people will need at least one assistive product. 3D printing can be used to meet the demands when dispensing these products. PURPOSE: This review aims to map the use of 3D printing in the manufacture of orthoses and prostheses for people with physical disability at rehabilitation centers. METHODS: Publications that deal with the use of 3D printing for the manufacture of orthoses and prostheses were used, preferably studies from 2012 to 2022. RESULTS: The majority of studies, 56.25%, were quantitative and 46.25% were evaluative research. None of the studies were characterized as developed at rehabilitation centers. 75% of them had the participation of people with physical disability. The use of 3D printing was, for the most part, for the development of assistive technologies for the upper limbs at 56.25%, while 31.25% were for the lower limbs. CONCLUSION: The assistive products developed were orthoses and prostheses for the wrist, hands, fingers, upper limbs, writing devices, sockets, knees, and feet. Although there were positive results in their performance, some limitations related to strength, stiffness, and resistance were observed.
Subject(s)
Disabled Persons , Orthotic Devices , Printing, Three-Dimensional , Prosthesis Design , Rehabilitation Centers , Humans , Disabled Persons/rehabilitation , Artificial LimbsABSTRACT
RESUMO Objetivo identificar quais os desfechos das inserções de dispositivos intrauterinos por enfermeiros em instituições de saúde. Métodos revisão integrativa realizada em oito bases de dados, com auxílio de um gerenciador de referências bibliográficas, utilizando o modelo de JBI para a análise do nível de evidência. Os dados foram organizados, categorizados e discutidos por meio de síntese descritiva. Resultados 10 estudos compuseram a amostra final, sendo dois apenas com enfermeiros e os demais com enfermeiros e médicos. Os principais desfechos avaliados foram perfuração e expulsão, sem diferenças significativas entre os profissionais que realizaram o procedimento. As taxas de sucesso, continuidade e satisfação foram semelhantes entre médicos e enfermeiros. Conclusão os desfechos das inserções de dispositivos intrauterinos por enfermeiros em instituições de saúde são similares aos realizados por médicos, com ampliação do acesso, sem aumentar as complicações relacionadas a esse método contraceptivo, contribuindo para a integralidade da assistência no campo do planejamento reprodutivo. Contribuições para a prática: os achados podem contribuir para o enfrentamento de barreiras pelos enfermeiros, servindo como subsídio para diretrizes e políticas de saúde que incentivem a inserção do dispositivo intrauterino por estes profissionais, principalmente, em contextos onde esta prática ainda não ocorre.
ABSTRACT Objective to identify the outcomes of intrauterine device insertions by nurses in healthcare institutions. Methods integrative review carried out in eight databases, with the help of a bibliographic reference manager, using the JBI model for analyzing the evidence level. The data was organized, categorized and discussed using descriptive summaries. Results 10 studies made up the final sample, two with nurses only and the others with nurses and physicians. The main outcomes assessed were perforation and expulsion, with no significant differences between the professionals who performed the procedure. Success rates, continuity and satisfaction were similar between physicians and nurses. Conclusion the outcomes of intrauterine device insertions by nurses in health institutions are similar to those carried out by physicians, with increased access, without increasing the complications related to this contraceptive method, contributing to comprehensive care in the field of reproductive planning. Contributions to practice: the findings could help nurses to tackle barriers and serve as a basis for guidelines and health policies that encourage the insertion of the intrauterine device by these professionals, especially in contexts where this practice does not yet take place.