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Doente com neutropenia febril: uma intervenção especializada-revisão integrativa da literatura
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Abstract(s)
A Neutropenia Febril é considerada uma das complicações mais frequentes no doente oncológico tratado com Quimioterapia, conduzindo a complicações graves. Este trabalho tem como objetivo identificar as intervenções de enfermagem autónomas e interdependentes promotoras da prevenção do choque sético no doente oncológico submetido a Quimioterapia com Neutropenia Febril. Para tal, foi realizada uma revisão integrativa da literatura, nas bases de dados CINAHL Complete, MEDLINE Complete, Nursing & Allied Health Collection: Comprehensive Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register Library, Information Science & Technology Abstracts e MedicLatina, tendo sido selecionados nove artigos que preenchiam os critérios de pesquisa. Os resultados encontrados permitem identificar as intervenções de enfermagem implicadas no cuidado ao doente oncológico submetido a tratamento de Quimioterapia com Neutropenia Febril preventivas do choque sético. Estas foram agrupadas em oito unidades de análise de Intervenções de Enfermagem, sendo as de maior prevalência nos estudos analisados o Cumprimento de protocolos/Guidelines de atuação e a Educação para a saúde. Foram ainda agrupadas em autónomas e interdependentes segundo o REPE de forma a responder à questão de investigação.
Febrile Neutropenia is considered one of the most frequent complications in oncology patients treated with Chemotherapy, resulting in serious complications. This work aims to identify autonomous and interdependent nursing interventions that promote the prevention of septic shock in oncology patients undergoing Chemotherapy with Febrile Neutropenia. To this end, an integrative literature review was carried out in the CINAHL Complete, MEDLINE Complete, Nursing & Allied Health Collection: Comprehensive Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register Library, Information Science & Technology Abstracts and MedicLatina databases, having selected nine articles that fulfilled the research criteria. The results found make it possible to identify the nursing interventions involved in the care of oncology patients submitted to treatment of Chemotherapy with Febrile Neutropenia preventing septic shock. These were grouped in eight units of analysis of Nursing Interventions, and the most prevalent in the studies analysed were Compliance with protocols/Guidelines for action and Health Education. They have also been grouped into autonomous and interdependent according to the REPE (Regulamento do Exercício Profissional do Enfermeiro – Regulation on the Professional Activity of Nurses) to answer the research question.
Febrile Neutropenia is considered one of the most frequent complications in oncology patients treated with Chemotherapy, resulting in serious complications. This work aims to identify autonomous and interdependent nursing interventions that promote the prevention of septic shock in oncology patients undergoing Chemotherapy with Febrile Neutropenia. To this end, an integrative literature review was carried out in the CINAHL Complete, MEDLINE Complete, Nursing & Allied Health Collection: Comprehensive Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register Library, Information Science & Technology Abstracts and MedicLatina databases, having selected nine articles that fulfilled the research criteria. The results found make it possible to identify the nursing interventions involved in the care of oncology patients submitted to treatment of Chemotherapy with Febrile Neutropenia preventing septic shock. These were grouped in eight units of analysis of Nursing Interventions, and the most prevalent in the studies analysed were Compliance with protocols/Guidelines for action and Health Education. They have also been grouped into autonomous and interdependent according to the REPE (Regulamento do Exercício Profissional do Enfermeiro – Regulation on the Professional Activity of Nurses) to answer the research question.
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Keywords
Chemotherapy-induced febrile neutropenia Drug therapy Enfermagem oncológica Febre Febrile neutropenia Fever Neutropenia febri Neutropenia febril induzida por quimioterapia Oncology nursing Tratamento farmacológico.