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Abstract(s)
Introdução: O trauma torácico tem sido descrito como uma das principais causas de morte e a sua incidência tem vindo a aumentar a nível mundial nos últimos anos. Uma rápida e correta intervenção e vigilância adequada do enfermeiro tem um efeito determinante na redução da morbilidade e mortalidade da pessoa com traumatismo torácico. Objetivos: Mapear o conhecimento de forma a identificar as intervenções de enfermagem à pessoa em situação crítica com traumatismo torácico. Materiais e métodos: Foi realizada síntese de evidência através de uma Scoping Review, seguindo a metodologia do Joanna Briggs Institute. Pesquisa realizada em cinco bases de dados: PubMed, Scopus, MEDLINE Complete, CINAHL Complete e Cochrane Library. Os dados foram extraídos para uma tabela de extração de dados previamente construída. Resultados: De um total de 4701 registos identificados, após aplicação de critérios de inclusão e exclusão, foram analisados sete estudos. As intervenções de enfermagem foram identificadas e organizadas numa tabela de extração de dados. Conclusões: Foram identificadas intervenções de enfermagem autónomas e interdependentes, dada a sua especificidade e complexidade, foram agrupadas, para os diferentes tipos de traumatismo torácico. As intervenções mais frequentes correspondem à gestão da dor, gestão da oxigenoterapia, colaboração na colocação de drenos torácicos e vigilância dos mesmos, administração de hemoderivados e avaliação e vigilância hemodinâmica e sinais de dificuldade respiratória. No entanto, considera-se fundamental a realização de mais estudos científicos que forneçam uma base sólida e atualizada para os cuidados de enfermagem, para comprovarem os ganhos em saúde.
Introduction: Chest trauma has been described as one of the leading causes of death, and its incidence has been increasing worldwide in recent years. A quick and accurate intervention and appropriate monitoring by the nurse have a decisive effect on reducing the morbidity and mortality of individuals with chest trauma. Objective: Mapping knowledge to identify nursing interventions for individuals in critical condition with thoracic trauma. Material and methods: Evidence synthesis was conducted through a Scoping Review, following the methodology of the Joanna Briggs Institute. The search was performed across five databases: PubMed, Scopus, MEDLINE Complete, CINAHL Complete, and Cochrane Library. Data were extracted into a pre-constructed data extraction table. Results: Out of 4701 records identified, after applying inclusion and exclusion criteria, seven studies were analysed. The nursing interventions have been identified and organized in a data extraction table. Conclusions: Autonomous and interdependent nursing interventions were identified, and given their specificity and complexity, they were grouped for the different types of chest trauma. The most frequent interventions are pain management, oxygen therapy management, collaboration in the placement and monitoring of chest tubes, administration of hemoderivatives, hemodynamic assessment, and monitoring of signs of respiratory distress. However, conducting further scientific studies that provide a solid and updated foundation for nursing care to demonstrate health benefits is essential.
Introduction: Chest trauma has been described as one of the leading causes of death, and its incidence has been increasing worldwide in recent years. A quick and accurate intervention and appropriate monitoring by the nurse have a decisive effect on reducing the morbidity and mortality of individuals with chest trauma. Objective: Mapping knowledge to identify nursing interventions for individuals in critical condition with thoracic trauma. Material and methods: Evidence synthesis was conducted through a Scoping Review, following the methodology of the Joanna Briggs Institute. The search was performed across five databases: PubMed, Scopus, MEDLINE Complete, CINAHL Complete, and Cochrane Library. Data were extracted into a pre-constructed data extraction table. Results: Out of 4701 records identified, after applying inclusion and exclusion criteria, seven studies were analysed. The nursing interventions have been identified and organized in a data extraction table. Conclusions: Autonomous and interdependent nursing interventions were identified, and given their specificity and complexity, they were grouped for the different types of chest trauma. The most frequent interventions are pain management, oxygen therapy management, collaboration in the placement and monitoring of chest tubes, administration of hemoderivatives, hemodynamic assessment, and monitoring of signs of respiratory distress. However, conducting further scientific studies that provide a solid and updated foundation for nursing care to demonstrate health benefits is essential.
Description
Keywords
Cuidados de enfermagem Traumatismo torácico Doente crítico Unidade de cuidados intensivos Nursing care Thoracic injuries Critical care Intensive care units