Nursing Evidence –based inteprofissional practice guidelines for care in post-bariatric surgery – ICU - Systematic Literature Review.

Leonor Cipitelli Spala, Isabel Cruz

Abstract


Obesity is the most prevalent chronic disease in the world, and bariatric surgery has been a consistent feature to reverse overweight. In this context, the nursing practice has a fundamental role from the preparation of the patient for the surgery until the hospital discharge. Objective: Through literature research, to select and analyze scientific articles that allow answering the practical question, identifying strategies of clinical practice of nursing assistance to patients submitted to bariatric surgery. Methods: This is a descriptive and qualitative research from bibliographic material available in the virtual databases: Scientific Eletronic Library Online (SCIELO); National Library of Medicine National Institutes of Health (PUBMED) and Latin American and Caribbean Literature in Health Sciences (LILACS). Results: The results reveal 10 publications identified and analyzed by the thematic analysis technique, in which the following categories of analysis emerged: Nursing diagnosis in the preparation of the patient for bariatric surgery; nursing care in the postoperative period, involving parameters such as vital signs investigation, diet, physical activity, sleep quality and socialization. Conclusion:This review highlights the importance of effective participation of nursing in the diagnosis, care and orientation of patients undergoing bariatric surgery and, especially, in intensive care during late recovery.

Keywords


obesity, bariatric surgery, nursing care, critical care.

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References


Steyer NH, Oliveira MC, Gouvea MRF, Echer IC, Lucena AF. Perfil clínico, diagnóstico e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica. Rev Gaúcha Enferm 2016; 37(1):1-8. Disponível em: http://www.scielo.br/scielo.php?pid=S1983-14472016000100401.

Fencl JL, Walsh A, Vocke D. The bariatric patient: na overview of perioperative care. AORN Journal 2015: 117-128. Disponível em: http://dx.doi.org/10.1016/j.aorn.2015.05.007.

ParenteE.B.Isbodymassindexstillagoodtoolforobesityevaluation?ArchEndocrinolMetab.,v.60,n.6,p507-509.2016.Disponível em: http://dx.doi.org/10.1590/2359-3997000000232.

WORLDHEALTHORGANIZATION.Waistcircumferenceandwaist–hipratio:reportofaWHOexpertconsultation Geneva,2011p.1-47.

MINISTÉRIODASAÚDE.Vigilânciadefatoresderiscoeproteçãoparadoençascrônicasporinquéritotelefônico(VIGITEL2014).Disponívelem:http://www.abeso.org.br/uploads/downloads/80/553a243c4b9f3.pdf

BrayG.A.;PerreaultL.Obesityinadults:Prevalence,screeningandevaluation.2016.Disponívelem:http://www.endotext.org/section/obesity.

CedikovaM.MitochondriainWhite,Brown,andBeigeAdipocytes.StemCellsInternational,v.2016.Disponívelem:http://dx.doi.org/10.1155/2016/6067349.

Rêgo AS, Zulin A, Scolari S, Marcon SS, Radovanovic CAT. Análise das condições clínicas de pessoas obesas em período pré e pós-operatório de cirurgia bariátrica. Ver ColBrasCir 2017; 44(2): 171-178. Disponível em www.scielo.br/pdf/rcbc/v44n2/pt 0100-6991-rcbc-44-02-00171.

Diretrizes Brasileiras de Obesidade. ABESO. 2016, 4ª Edição. Disponível em: http://www.abeso.org.br/diretrizes.

Tchernof A, Després JP. Pathophysiology of human visceral obesity: an update. Physiol Rev. 2013 Jan;93(1):359-404. doi: 10.1152/physrev.00033.2011. Disponível em www.ncbi.nlm.nih.gov/pubmed/?term=Tchermof+and+Després+2013.

NANDA.Diagnósticos de enfermagem da NANDA: definições e classificação (2012-2014). Porto Alegre: Artmed, 2013.

Santos MBP, Camilo JC. Cuidados de Enfermagem no pós-operatório de cirurgia bariátrica. Simpósio de TCC e Seminário de IC. 2016. 2º.

Romanzini AE, Carvalho EC, Galvão CM. Recuperação cirúrgica retardada: análise do conceito. RevBrasEnferm 2015, 68(5):953-60. Disponível em: http://www.scielo.br/pdf/reben/v68n5/0034-7167-reben-68-05-0953

Felix LG, Soares MJGO, Nôbrega MML. Protocolo de assistência de enfermagem ao paciente em pré e pós-operatório de cirurgia bariátrica. Ver BrasEnferm 2012, 65(1):83-91. Disponível em: www.scielo.br/scielo.php?script=sci_arttext8pid=S0034-71672012000100012.

Caceres BA, O’Connell T. A review of the safety and efficacy of bariatric surgery in adults over the age of 60: 2002-2013. Disponívelem: https://www.ncbi.nlm.nih.gov/pubmed/25736716.

Barros, LM, Moreira RAN, Frota NM, Caetano JA. Identificação dos diagnósticos de enfermagem da classe de respostas cardiovasculares/pulmonares em pacientes submetidos à cirurgia bariátrica. Aquichan 2015, 15(2): 200-209. http://aquichan.unisabana.edu.co/index.php/aquichan/article/view/3158/3911.

Barros LM, Frota NM, Moreira RAN, Araújo TM, Caetano JÁ. Assessment of bariatric surgery results. Rev Gaúcha Enferm, 2015, 36(1):21-27. Disponível em: http://www.scielo.br/scielo.php?pid=S1983-14472015000100021.

Harris JÁ, castle NG. Obesity and nursing home care in the United States: A systematic review. Gerontology 2017, gnx128. Disponível em: www.ncbi.nlm.nih.gov/pubmed/29253135.

Lerdal A, Gay CL, Bonsaksen T, Fagermoen MS. Predictors of physical and mental health in persons with morbid obesity attending a patient education course – a two-year follow-up study. Health and Quality of Life Outcomes 2017, 15:103.

Aquino EC, Viana GCP, Silva AA, Cruz CD, Rocha RLP. Cirurgia bariátrica: a percepção do paciente frente ao impacto físico, psicológico e social. RevEnfermCent-Oeste Min 2017 (7).

Barros LM. Efetividade da cartilha “Cirurgia Bariátrica: cuidados para uma vida saudável” no preparo pré-operatório: ensaio clínico randomizado progmático. Fortaleza 2018,240p.

Sharman M, Dip G, Cert G, Hensher M, Wilkinson S, Williams D, Palmer A, Venn A, Dip G, Ezzy Douglas. What are the support experiences and needs of patients who have received bariatric surgery? Health Expect 2015.

Petcu A. Comprehensive Care for Bariatric Surgery Patients. AACN AdvCritCare 2017, 28(3): 263-274.

Orem DE, Taylor S. Nursing: concepts of practice. 6thed. New York: Mosby-Year BooK; 2001.

Santos B, Ramos A, Fonseca C. Training to practice: Importance of Self-Care Theory in Nursing Process for improving care. Journal of Aging & Innovation 2017, 6 (1): 51.

Neves JS, Oliveira SC, Souteiro P, Pedro J, Magalhães D, Gerreiro V, Bettencourt-Silva, Costa MM, Santos CA, Queiros J, Varela A, Freitas P, Carvalho D. Effectofweightlossafterbariatricsurgeryonthyroidfunction. ObesSurg 2018, 28(1): 97-103. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/28725979.






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