Atuação dos enfermeiros em emergências oncológicas: Estratégias de manejo no extravasamento de drogas quimioterápicas antineoplásicas
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Data
2024-06
Tipo de documento
Monografia
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
ROCHA, Artemisa Nascimento
OLIVEIRA, Camila Silva de
RODRIGUES, Catarina de Andrade
OLIVEIRA, Savyllane da Silva de
JESUS, Vladmir Teixeira de
Orientador
BRUNONI, Jéssica Silva
Coorientador
Resumo
Como consequência do tratamento quimioterápico antineoplásico temos o extravasamento como um dos fatores mais agravantes nas emergências oncológicas, sendo o enfermeiro o grande responsável pelo manejo, administração de fármacos e pelas soluções de intercorrências. Objetivo: este estudo tem como objetivo destacar a atuação do enfermeiro mediante as estratégias, prevenção e manejo frente ao extravasamento, contribuindo para uma assistência de qualidade afim de garantir a segurança do paciente oncológico durante o tratamento quimioterápico antineoplásico levando então à uma redução das taxas de recorrência de extravasamento. Diante do exposto, temos a nossa questão de pesquisa: a equipe de enfermagem atua de forma adequada mediante ao extravasamento de quimioterápicos antineoplásicos? Método: trata-se de uma revisão integrativa da literatura realizada no período de abril a maio de 2024. Para a realização da pesquisa foram utilizadas as seguintes bases de dados: BVS, SCIELO E LILACS, no período de 2017 a 2023. Para as buscas, os descritores utilizados nos termos em português e inglês conforme pesquisado em descritores em ciência da saúde (DECs): Extravasamento de materiais terapêuticos e diagnósticos, antineoplásicos e cuidados de enfermagem. Os descritores foram combinados com o termo booleano AND. Resultado: na presente revisão, foram encontrados 23 artigos. Deste total, foram excluídos nove arquivos duplicados, sendo quatorze artigos selecionados pelo título, resumo e idioma e oito estudos foram excluídos por estarem fora de escopo, após os critérios de inclusão e exclusão e de remover duplicados, restaram 6 artigos para leitura e que salientam este estudo. Conclusão: com base nas informações e nos números de artigos relatados podemos destacar que existe uma escassez em estudos publicados com a temática abordada em questão. É de suma importância um programa de educação permanente mediante ao baixo conhecimento técnico e científico delineando estratégias com o intuito de melhorar e ter como consequência uma adequação do padrão documental acerca da prevenção e manejo do extravasamento por drogas quimioterápicas.
As a consequence of antineoplastic chemotherapy treatment, extravasation is one of the most aggravating factors in oncological emergencies, with nurses being largely responsible for management, drug administration and solutions to complications. Objective: This study aims to highlight the role of nurse through strategies, prevention and management of extravasation, contributing to quality care in order to guarantee the safety of oncological patients during antineoplastic chemotherapy treatment, thus leading to a reduction in extravasation recurrence rates. Given the above, we have our research question: does the nursing team act appropriately when dealing with the extravasation of antineoplastic chemotherapy drugs? Method: this is an integrative literature review carried out from April to May 2024. The following databases were used to conduct the research: BVS, SCIELO and LILACS, from 2017 to 2024. For the searches, the descriptors used in the terms in Portuguese and English as searched in descriptors in health sciences (DECs): Extravasation of therapeutic and diagnostic materials, antineoplastics and nursing care. The descriptors were combined with the Boolean term AND. Result: in this review, 23 articles were found. Of this total, nine duplicate files were excluded, fourteen articles were selected by title, abstract and language and eight studies were excluded for being out of scope, after the inclusion and exclusion criteria and removing duplicates, 6 articles remained for reading and that highlight this study. Conclusion: based on the information and the number of articles reported, we can highlight that there is a shortage of published studies with the theme addressed in question. A permanent education program is of utmost importance given the low technical and scientific knowledge, outlining strategies with the aim of improving and consequently adapting the documentary standard regarding the prevention and management of extravasation by chemotherapy drugs.
As a consequence of antineoplastic chemotherapy treatment, extravasation is one of the most aggravating factors in oncological emergencies, with nurses being largely responsible for management, drug administration and solutions to complications. Objective: This study aims to highlight the role of nurse through strategies, prevention and management of extravasation, contributing to quality care in order to guarantee the safety of oncological patients during antineoplastic chemotherapy treatment, thus leading to a reduction in extravasation recurrence rates. Given the above, we have our research question: does the nursing team act appropriately when dealing with the extravasation of antineoplastic chemotherapy drugs? Method: this is an integrative literature review carried out from April to May 2024. The following databases were used to conduct the research: BVS, SCIELO and LILACS, from 2017 to 2024. For the searches, the descriptors used in the terms in Portuguese and English as searched in descriptors in health sciences (DECs): Extravasation of therapeutic and diagnostic materials, antineoplastics and nursing care. The descriptors were combined with the Boolean term AND. Result: in this review, 23 articles were found. Of this total, nine duplicate files were excluded, fourteen articles were selected by title, abstract and language and eight studies were excluded for being out of scope, after the inclusion and exclusion criteria and removing duplicates, 6 articles remained for reading and that highlight this study. Conclusion: based on the information and the number of articles reported, we can highlight that there is a shortage of published studies with the theme addressed in question. A permanent education program is of utmost importance given the low technical and scientific knowledge, outlining strategies with the aim of improving and consequently adapting the documentary standard regarding the prevention and management of extravasation by chemotherapy drugs.
Palavras-chave
Extravasamento de materiais terapêuticos e diagnósticos, Antineoplásicos, Cuidados de Enfermagem