Práticas integrativas e complementares em saúde no tratamento de feridas crônicas: revisão integrativa da literatura
Keywords:
Diabetic Foot, Pressure Ulcer, Varicose Ulcer, Leg Ulcer, Complementary TherapiesAbstract
Complementary and Integrative Practices in Health for the Treatment of Chronic Wounds: An Integrative Review of the Literature
Prácticas integrativas y complementarias en salud para el tratamiento de las heridas crónicas: revisión integrativa de la literatura
Objective: The objective of this study is to identify in literature the practices related to traditional and complementary medicine in health that are being used to treat people with chronic wounds. Materials and methods: This is an integrative literature review conducted through a search of the following databases: National Library of Medicine (Medicine-PubMed), Web of Science, Eletronic Library Online (SciELO), Cumulative Index of Nursing and Allied Health Literature ( CINAHL), Science Direct (Elsevier), Science Direct (Scopus), and Virtual Health Library and VHL in Traditional, Complementary and Integrative Medicine (VHL-MTCI). Results: Eighteen (18) articles dealing with leg ulcers (94.4%) and pressure injuries (5.6%) were analyzed. Phytotherapy (66.7%), apitherapy (22.2%) and ozone therapy (11.1%) were identified as all the results that were related to wound healing. Conclusion: Taking into account the three types of practices that were identified and their clinical results, it was evident that there are gaps in the literature. There is no evidence to support an indication of any practice in the care of this population, which reinforces the promising field for action on the part of nurses.Downloads
References
Chibante CLP. Saberes e práticas no cuidado centrado na pessoa com feridas. Esc Anna Nery. 2017;21(2):1-8.
Organización Mundial de la Salud. Estrategia de la OMS sobre Medicina Tradicional 2014-2023 [internet]. Organización Mundial de la Salud; 2013 [acesso 28 maio 2018]. Disponível em: http://apps.who.int/medicinedocs/documents/ s21201es/s21201es.pdf
Ministério da Saúde do Brasil, Secretaria de Atenção à Saúde. Política Nacional de Práticas Integrativas e Complementares [internet]. Brasília (DF); 2015 [acesso 29 maio 2018]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/ politica_nacional_praticas_integrativas_complementares_2ed.pdf
Ministério da Saúde do Brasil. Portaria n.º 849, de 27 de março de 2017. Inclui a Arteterapia, Ayurveda, Biodança, Dança Circular, Meditação, Musicoterapia, Naturopatia, Osteopatia, Quiropraxia, Reflexoterapia, Reiki, Shantala, Terapia Comunitária Integrativa e Yoga à Política Nacional de Práticas Integrativas e Complementares [internet]. Brasília (DF); 2017 [acesso 20 jun. 2018]. Disponível em: http://189.28.128.100/dab/docs/portaldab/documentos/prt_849_27_3_2017. pdf
Ministério da Saúde do Brasil. Portaria n.º 702, de 21 de março de 2018. Altera a Portaria de Consolidação nº2/GM/MS, de 28 de setembro de 2017, para incluir novas práticas na Política Nacional de Práticas Integrativas e Complementares — PNPIC [Internet]. Brasília (DF); 2017 [acesso 20 jun. 2018]. Disponível em: http://www.brasilsus.com.br/images/ portarias/marco2018/dia22/portaria702.pdf
Pereira RDM, Silva WWO, Ramos JC, Alvim NAT, Pereira CD, Rocha TR. Práticas integrativas e complementares de saúde: revisão integrativa sobre medidas não farmacológicas à dor oncológica. J Nurs UFPE on line. 2015;9(2):710-9.
Lemos IC, Agenor CS, Oliveira DCC, Carvalho FC. Práticas interativas não farmacológicas no trabalho de parto. Enfermagem Obstétrica. 2014; 1(1):25-30.
Souza LPS, Teixeira FL, Diniz AP, Souza AG, Delgado LHV, Vaz AM, Vieira PMO, Rodriguez OS. Práticas Integrativas e Complementares no Cuidado à Saúde Mental e aos Usuários de Drogas. Id on Line Rev. Mult. Psic. 2017;11(38):177-98.
Peart J. Influence of psychosocial factors on coping and living with a venous leg ulcer. British Journal of Community Nursing. 2015; 20(Sup6):S21-7.
The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual [internet]. Adelaide, Austrália; 2011. [acesso 20 jun. 2018]. Disponível em: www.joannabriggs.org
Moher D, Liberati A, Tetzlaff J, Altman DG, The Prisma Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The Prisma Statement. Epidemiol. Serv. Saúde. 2015; 24(2):335-42.
Buzzi M, Freitas F, Winter MB. Cicatrização de úlceras por pressão com extrato Plenusdermax de Calendula officinalis L. Rev Bras Enferm. 2016;69(2):250-7.
Li S, Zhao J, Liu J, Xiang F, Lu D, Liu B et al. Prospective randomized controlled study of a Chinese herbal medicine compound Tangzu Yuyang Ointment for chronic diabetic foot ulcers: A preliminary report. J Ethnopharmacol. 2011;133(2):543-50.
Frade MAC, Assis RVC, Netto JC, Andrade TAM, Foss NT. The vegetal biomembrane in the healing of chronic venous ulcers. An Bras Dermatol. 2012;87(1):45-51.
Rivera-Arce E, Chávez-Soto MA, Herrera-Arellano A, Arzate S, Agüero J, Feria-Romero IA et al. Therapeutic effectiveness of a Mimosa tenuiflora cortex extract in venous leg ulceration treatment. J Ethnopharmacol. 2007;109(3):523-8.
Nunes GAMA, Reis MC, Rosa MFF, Peixoto LRT, Rocha AF, Rosa SSRF. A system for treatment of diabetic foot ulcers using led irradiation and natural latex. Res Biomed. Eng. 2016;32(1):3-13.
Binic I, Jankovic A, Jankovic D, Jankovic I, Vrucinic Z. Evaluation of healing and antimicrobiological effects of herbal therapy on venous leg ulcer: pilot study. Phytotherapy research. 2010;24:277-82.
Buzzi M, Freitas F, Winter MB. Therapeutic effectiveness of a Calendula officinalis extract in venous leg ulcer healing. J wound care. 2016;26(12):732-9.
Januário V, Penetra MA, Noronha Neta MI, Carneiro S, Ávila DA, Sampaio ALB, Cassia FF. Evaluation of treatment with carboxymhylcellulose on chronic venous ulcers. An Bras Dermatol. 2016;91(1):17-22.
Kuo YS, Chien HF, Lu W. Plectranthus amboinicus and Centella asiática Cream for the treatment of diabetic foot ulcers. Evid Based Complement Alternat Med. 2012;2012(418679):1-9.
Leach MJ. Horse-chestnut (Aesculus hippocastanum) seed extract for venous leg ulceration: a comparative multiple case study of healers and non-healers. Focus Altern Complement Ther. 2014;19(4):184-90.
Carvalho AFM, Feitosa MCP, Coelho NPMF, Rebêlo VCN, Castro JG, Souza PRG et al. Low-level laser therapy and Calendula officinalis in repairing diabetic foot ulcers. Rev Esc Enferm USP. 2016;50(4):626-32.
Lammoglia-Ordiales L, Vega-Memije ME, Herrera-Arellano A, Rivera-Arce E, Agüero J, Vargas-Martinez F, Contreas-Ruiz J. A randomised comparative trial on the use of a hydrogel with tepescohuite extract (Mimosa tenuiflora córtex extract- 2G) in the treatment of venous leg ulcers. Int Wound J. 2012;9:412-8.
Gethin G, Cowman S. Manuka honey vs. Hydrogel — a prospective, open label, multicentre, randomised controlled trial to comparative desloughing efficacy and healing outcomes in venous ulcers. J Clin Nurs.2009;18(3):466-74.
Calderon MS, Figueroa CS, Arias JS, Sandoval AH, Torre FO. Terapia combinada com mel de Ulmo (Eucryphia cordifolia) e ácido ascórbico para úlceras venosas. Rev. Latino-Am. Enfermagem. 2015;23(2):259-66.
Kucharzewski M, Kózka M, Urbanek T. Topical Treatment of Nonhealing Venous Leg Ulcer with Propolis Ointment. Evid Based Complement Alternat Med. 2013; 2013(254017):1-5.
Jull A, Walker N, Parag V, Molan P et al. Randomized clinical trial of honey-impregnated dressings for venous leg ulcers Br J Surg. 2008;95:175-82.
Wainstein J, Feldbrin Z, Boaz M, Harman-Boehm I. Efficacy of ozone-oxygen therapy for the treatment of diabetic foot ulcers. Diabetes Technol Ther. 2011;13(12):1255-60.
Solovăstru LG, Stîncanu A, De Ascentii A, Capparé G, et al. Randomized, controlled study of innovative spray formulation containing ozonated oil and α-bisabolol in the topical treatment of chronic venous leg ulcers. Adv Skin Wound Care. 2015;28(9): 406-9.
Frykberg RG, Banks J. Challenges in the Treatment of Chronic Wounds. Advances in Wound Care. 2015;4(9): 560-82.
Wounds UK. Best Practice Statement: Holistic management of venous leg ulceration. Londres: Wounds UK; 2016.
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Osborne Park: Cambridge Media; 2014.
Ministério da Saúde do Brasil. Secretaria de Ciência, Tecnologia e Insumos Estratégicos. Departamento de Assistência Farmacêutica. Política e Programa Nacional de Plantas Medicinais e Fitoterápicos. Brasília: Ministério da Saúde; 2016.
Nascimento MWA, Veríssimo RCSS, Bastos MLA, Bernardo THL. Indicações de plantas medicinais realizadas por raizeiros para tratamento de feridas. Rev Eletr Enf. 2016;18(e1152):1-11.
Ministério da Saúde do Brasil. Política Nacional de Práticas Integrativas e Complementares no SUS: Atitude de ampliação de acesso. 2ª ed. Brasília (DF): Ministério da Saúde; 2018.
Ministério da Saúde do Brasil. Programa Nacional de Plantas Medicinais e Fitoterápicos. Brasília (DF): Ministério da Saúde; 2009.
Organização Mundial de Saúde/Unicef. Cuidados Primários de Saúde. Relatório da Conferência Internacional sobre Cuidados Primários da Saúde, Alma-Ata, URSS, 6 a 12 de setembro de 1978. Brasília: Ministério da Saúde; 1979.
Ministério da Saúde do Brasil. Secretaria-Executiva. Secretaria de Atenção à Saúde. Glossário temático: práticas integrativas e complementares em saúde. Brasília (DF): Ministério da Saúde; 2018.
Organização Mundial de Saúde. Conselho Executivo. Medicina tradicional y asistencia sanitaria moderna. Foro Mundial de la Salud. Revista internacional de Desarrollo Sanitario. 1991;12(1):120.
World Health Organization. Guidelines on good agricultural and collection practices (GACP) for medicinal plants. Geneve: WHO; 2003.
Fonnebo V, Kristensen T, Falkenberg T, Hegyi G, Hok J, Roberti di Sarsina P, Wiesener S. CAMbrella. A Pan‐European research network for Complementary and Alternative Medicine [internet]. 2010. [acesso 20 jun. 2018]. Disponível em: https://uit.no/Content/336413/Deliverable%209%20-%20Report%20No.2%20CAM%20medicinal%20products-Webb.pdf
Simões CMO, Schenkel EP, Mello JCP, Mentz LA, Petrovick PR. Farmacognosia: do produto natural ao medicamento. Porto Alegre: Artmed; 2017.
Olennikov DN, Kashchenko NI. Componential Profile and Amylase Inhibiting Activity of Phenolic Compounds from Calendula officinalis L. Leaves. The Scientific World J. 2014(654193): 1-9.
Published
How to Cite
Issue
Section
License
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.