CUIDADOS DE ENFERMAGEM PARA PACIENTES ONCOLÓGICOS NEUTROPÊNICOS: SCOPING REVIEW
Mots-clés :
Cuidados de enfermagem, Neutropenia Febril Induzida por Quimioterapia, Neutropenia Febril, OncologiaRésumé
Objetivo: Identificar os cuidados de enfermagem relativos aos fatores de risco para neutropenia febril; à prevenção de infecção e sepse neutropênica; aos protocolos para uso de fatores estimuladores de colônias e de introdução de antibioticoterapia para pacientes oncológicos neutropênicos.Método: Scoping review, conforme Joanna Briggs Institute e o PRISMA-ScR. Realizou-se pesquisa nas bases de dados eletrônicas estabelecidas. A coleta de dados ocorreu de outubro/2018 a junho/2019. Os dados extraídos foram analisados e sintetizados de forma narrativa. Resultados: Recuperou-se um total de 7.884 registros e mantidos 27 estudos. Os principais cuidados de enfermagem encontrados foram: precauções padrões, avaliação dos fatores de risco para neutropenia febril; educação sobre autocuidado, educação permanente; uso do Telenursing; consulta ambulatorial periódica. Conclusão: Destacou-se que os enfermeiros necessitam avaliar periodicamente os fatores de risco e grau da neutropenia febril, elaborar protocolos de cuidados, oferecer aos pacientes uma educação tangível e ter ferramentas para minimizar atrasos no atendimento.
Téléchargements
Références
2. Ferreira JN, Correia LRBR, Oliveira RM, Watanabe SN, Possari JF, Lima AFC. Managing febrile neutropenia in adult cancer patients: an integrative review of the literature. Rev Bras Enferm. 2017;70(6):1301-8.
3. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and Explanation. Ann Intern Med. 2018;169(7):467-73.
4. Peters MDJ, Godfrey C, McInerney P, Baldini SC, Khalil H, Parker D. Chapter 11: Scoping Reviews. In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer's Manual The Joanna Briggs Institute; 2017.
5. Tricco AC, Lillie E, Zarin W, O'Brien K, Colquhoun H, Kastner M, et al. A scoping review on the conduct and reporting of scoping reviews. BMC Med Res Methodol. 2016; 16:15.
6. The Joanna Briggs Institute. The JBI Approach. Grades of recommendation. Levels of Evidence. Adelaide; 2014.
7. Tarakcioglu CGH, Korkmaz F. Nurses' knowledge and care practices for infection prevention in neutropenic patients. Contemp Nurse. 2017;53(2):143-55.
8. O'Brien C, Dempsey O, Kennedy MJ. Febrile neutropenia risk assessment tool: improving clinical outcomes for oncology patients. Eur J Oncol Nurs. 2014;18(2):167-74.
9. Chang LL, Schneider SM, Chiang SC, Horng CF. Implementing an evidence-based risk assessment tool to predict chemotherapy-induced neutropenia in women with breast cancer. Cancer Nurs. 2013;36(3):198-205.
10. Best JT, Frith K, Anderson F, Rapp CG, Rioux L, Ciccarello C. Implementation of an evidence-based order set to impact initial antibiotic time intervals in adult febrile neutropenia. Oncol Nurs Forum. 2011;38(6):661-8.
11. Olsen JP, Baldwin S, Houts AC. The Patient Care Monitor-Neutropenia Index: development, reliability, and validity of a measure for chemotherapy-induced neutropenia. Oncol Nurs Forum. 2011;38(3):360-7.
12. Flores IQ, Ershler W. Managing neutropenia in older patients with cancer receiving chemotherapy in a community setting. Clin J Oncol Nurs. 2010;14(1):81-6.
13. Nirenberg A, Reame NK, Cato KD, Larson EL. Oncology nurses' use of National Comprehensive Cancer Network clinical practice guidelines for chemotherapy-induced and febrile neutropenia. Oncol Nurs Forum. 2010;37(6):765-73.
14. Miller K. Using a computer-based risk assessment tool to identify risk for chemotherapy-induced febrile neutropenia. Clin J Oncol Nurs. 2010;14(1):87-91.
15. Moore K, Fortner B. Utility of routine nurse assessment of the risk of chemotherapy-induced febrile neutropenia. Can Oncol Nurs J. 2010 Spring;20(2):75-9.
16. Considine J, Livingston P, Bucknall T, Botti M. A review of the role of emergency nurses in management of chemotherapy-related complications. J Clin Nurs. 2009;18(18):2649-55.
17. Kearney N, Friese C. Clinical practice guidelines for the use of colony-stimulating factors in cancer treatment: Implications for oncology nurses. Eur J Oncol Nurs. 2008;12(1):14-25.
18. Nirenberg A, Mulhearn L, Lin S, Larson E. Emergency department waiting times for patients with cancer with febrile neutropenia: a pilot study. Oncol Nurs Forum. 2004 13;31(4):711-5.
19. Ying FLM, Ping MCY, Tong M, Yan EYP, Yee TLS, Ting LY, et al. A cohort study on protocol-based nurse-led out-patient management of post-chemotherapy low-risk febrile neutropenia. Support Care Cancer. 2018;26(9):3039-45.
20. Conley SB. Central Line-Associated Bloodstream Infection Prevention: Standardizing Practice Focused on Evidence-Based Guidelines. Clin J Oncol Nurs. 2016;20(1):23-6.
21. Zhou Y, Cui Y, Wang H, Wang F, Lu C, Shen Y. Developing a tool for nurses to assess risk of infection in pediatric oncology patients in China: a modified Delphi study. J Biomed Res. 2016 Sep;30(5):386-392.
22. Shelton BK, Stanik-Hutt J, Kane J, Jones RJ. Implementing the surviving sepsis campaign in an ambulatory clinic for patients with hematologic malignancies. Clin J Oncol Nurs. 2016; 20(3):281-8.
23. Duffy EA, Rodgers CC, Shever LL, Hockenberry MJ. Implementing a Daily Maintenance Care Bundle to Prevent Central Line-Associated Bloodstream Infections in Pediatric Oncology Patients. J Pediatr Oncol Nurs.2015;32(6):394-400.
24. Leonard K. A European survey relating to cancer therapy and neutropenic infections: nurse and patient viewpoints. Eur J Oncol Nurs. 2012;16(4):380-6.
25. Griffiths P, Richardson A, Blackwell R. Outcomes sensitive to nursing service quality in ambulatory cancer chemotherapy: Systematic scoping review. Eur J Oncol Nurs. 2012;16(3):238-46.
26. DeMille D, Deming P, Lupinacci P, Jacobs LA. The effect of the neutropenic diet in the outpatient setting: a pilot study. Oncol Nurs Forum. 2006;33(2):337-43.
27. Smith LH, Besser SG. Dietary restrictions for patients with neutropenia: a survey of institutional practices. Oncol Nurs Forum. 2000;27(3):515-20.
28. Mattison G, Bilney M, Haji-Michael P, Cooksley T. A nurse-led protocol improves the time to first dose intravenous antibiotics in septic patients post chemotherapy. Support Care Cancer. 2016;24(12):5001-05.
29. Hawley EL, Loney M, Wiece M. Development of tools and processes to improve treatment times in patients with febrile neutropenia. Clinical Journal of Oncology Nursing. 2011;15(5): e53-e57.
30. Montoya L. Managing hematologic toxicities in the oncology patient. J Infus Nurs. 2007;30(3):168-72.
31. Donohue R. Development and implementation of a risk assessment tool for chemotherapy-induced neutropenia. Oncol Nurs Forum. 2006;33(2):347-52.
32. Moore K, Crom D. Hematopoietic support with moderately myelosuppressive chemotherapy regimens: a nursing perspective. Clin J Oncol Nurs. 2006;10(3):383-8.
33. White N, Maxwell C, Michelson J, Bedell C. Protocols for managing chemotherapy-induced neutropenia in clinical oncology practices. Cancer Nurs. 2005;28(1):62-9.
34. Di Bitetti MS, Ferreras JA. Publish (in English) or perish: The effect on citation rate of using languages other than English in scientific publications. Ambio. 2017;46(1):121-27.
Publiée
Comment citer
Numéro
Rubrique
Licence
Nesta Revista, os Direitos Autorais para artigos publicados são do(s) autor(es), sendo os direitos da primeira publicação pertecentes à Revista Norte Mineira de Enfermagem. Os artigos são de acesso público, de uso gratuito, de atribuições próprias, de atribuições educacionais e de aplicações não comerciais.