Intervenções de enfermagem para promover o autocuidado num candidato à estomia intestinal de eliminação
DOI:
https://doi.org/10.5294/aqui.2022.22.1.2Palavras-chave:
Cuidados de enfermagem, prática clínica baseada em evidências, teoría del déficit del autocuidado, estomia, educação de pacientes como assuntoResumo
Objetivos: identificar as intervenções de enfermagem, suas características e resultados para promover o autocuidado em candidatos à estomia intestinal de eliminação.
Materiais e métodos: foi realizada uma revisão de escopo com base nas recomendações do Instituto Joanna Briggs. Para isso, foram selecionados estudos publicados em português, inglês e espanhol nas bases de dados Web of Science, CINAHL e Scopus de 9 de novembro de 2020.
Resultados: de 2 248 artigos identificados, foram incluídos 41 nesta revisão. Foram identificadas 20 intervenções de enfermagem associadas ao autocuidado de pacientes com estomia; a maioria tem lacunas em seu conteúdo, método e frequência ou dose. Foram identificados mais de 30 indicadores para avaliar o impacto das intervenções de enfermagem; contudo, a maioria delas foi avaliação indireta.
Conclusões: é escassa a evidência sobre os diferentes aspectos que devem ser considerados nas intervenções de enfermagem para pacientes com estomia. Além disso, não há um padrão nos métodos, na frequência ou na dose de intervenção. É urgente definir o conteúdo, o método e a frequência das intervenções de enfermagem necessárias para promover o autocuidado em pacientes com estomia intestinal de eliminação e utilizar ferramentas de avaliação que meçam diretamente esse autocuidado.
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