Evidence-based practice guidelines for the nursing intervention stoma care in ICU - Systematic Literature Review

Regiane Cunha Moraes, Isabel Cristina Fonseca da Cruz

Abstract


The stomy designates the surgical opening in the digestive tract to divert intestinal transit to the outside and is performed primarily in cases of colorectal cancer. Problem- situation: scarcity of information on scientific evidences that offer indicators of the nursing prescriptions for the patient of high complexity with diagnosis / medical condition of colorectal cancer under intensive care. Objective: To review the evidence-based guidelines that will assist the intensivist nurse in the identification and treatment of nursing care related to patients with ICU ostomies. Methodology: The research was descriptive in nature through a bibliographic review systematized in the following electronic databases: BDENF, MEDLINE and SCIELO, based on the PICO strategy. Results: We selected 10 articles that fit the inclusion criteria of this study, 6 of which were Brazilian and 4 were foreign. Conclusion: The nurse acts from the preoperative phase until the discharge of the patient, being the most delicate moment when the patient is in the ICU. Nurses, therefore, must always keep in the process of seeking information appropriate to their practice, in order to offer a more complete care to the patient, taking into account both their health weakness and the emotional side, avoiding possible complications .

Key-words: ostomy; nursing care; ICU.

Keywords


Ostomy; Nursing Care; ICU.

Full Text:

HTML

References


Azevedo C, Mata LRF, Faleiro JC, Ferreira MA, Oliveira SP, Carvalho MC. Classificação de intervenções de enfermagem para planejamento de alta médica a pacientes com estomias intestinais. Rev enferm UFPE on line., Recife, 10(2):531-8, fev., 2016. Disponível em: http://saudepublica.bvs.br/pesquisa/resource/pt/bde-28274

Neto MAFL, Fernandes DOA, Didone EL. Epidemiological characterization of ostomized patients attended in referral Center from the city of Maceió, Alagoas, Brazil. J. Coloproctol. (Rio J.) [online]. 2016, vol.36, n.2, pp.64-68. ISSN 2237-9363. http://dx.doi.org/10.1016/j.jcol.2014.08.016. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000200064

Ming-gao G, Jian-zhong D, Yu W, You-ben F, Xin-Yu H. Colorectal cancer treatment in octogenarians: elective or emergency surgery? World Journal of Surgical Oncology, 2014; 12: 386. http://dx.doi.org/10.1016/j.jcol.2014.08.016. Disponível em: http://europepmc.org/abstract/med/25519055

Silva RB, Loureiro MDR, Frota OP, Ortega FB, Ferraz CCB. Qualidade da assistência de enfermagem em unidade de terapia intensiva de um hospital escola. Rev Gaúcha Enferm. 2013;34(4):114-120. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472013000400015&lng=en. http://dx.doi.org/10.590/S1983-14472013000400015.

NANDA. Diagnósticos de enfermagem da NANDA: Definições e classificação 2015-2017/ Porto Alegre: Artmed, 2013, 496 p.

Bulechek GM, Butcher HK, Dochterman JM. Classificação das intervenções de enfermagem – NIC. 5ª ed. Rio de Janeiro: Elsevier; 2010, 944 p.

Moorhead S, Johnson M, Maas LM, Swanson E. Classificação dos resultados de enfermagem (NOC). 5 ed. Elsevier, 2016.

Fernandes NC, Cunha RR, Brandão AF, Cunha LL, Barbosa PD, Silva, CO et al. Monitoria acadêmica e o cuidado da pessoa com estomia: relato de experiência. Revista Mineira de Enfermagem, Belo Horizonte, v.19, n. 2, p.238-241, 2015. Disponível em: http://www.reme.org.br/artigo/detalhes/1018

Costa JS, Borsatto AZ, Teixeira ER, Umpiérrez AF. Demarcação abdominal por enfermeira estomoterapeuta. Enfermería [Internet]. 2017 Jun [citado 2017 Dic 05] ; 6( 1 ): 12-18. Disponível em: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S2393-66062017000100012&lng=es.

Grant M, McCorkle R, Hornbrook MC, Wendel CS, Krouse R. Development of a Chronic Care Ostomy Self Management Program. Journal of cancer education : the official journal of the American Association for Cancer Education. 2013;28(1):70-78. doi:10.1007/s13187-012-0433-1. Disponível: http://europepmc.org/abstract/med/23104143

Padilha EF, Matsuda LM. Qualidade dos cuidados de enfermagem em terapia intensiva: avaliação por meio de auditoria operacional. Rev. Bras. Enferm. Brasilia, 2011 jul-ago; 64(4): 684-691. Disponível em: http://www.scielo.br/pdf/reben/v64n4/a09v64n4.pdf

Haugen V, Ratliff CR. Tools for Assessing Peristomal Skin Complications. Journal of Wound, Ostomy and Continence Nursing, 2013; 40(2): 131-134. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/23466718

Hoeflok J, Purnell P. Understanding the role of convex skin barriers in ostomy care. Nursing. 2017 Sep;47(9):51-56. doi: 10.1097/01. NURSE.0000516224.24273.88. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/28834934




URN: http://www.jsncare.uff.br/index.php/jsncareurn:nbn:de:1983-4152jsncare.v10i1.29648

Bookmark and Share


JSNCARE
Share |