Nursing interventions in the postoperative period of cardiac surgery

Isabella da Costa Malheiro, Thalita Gomes do Carmo, Ana Carla Dantas Cavalcanti, Paula Vanessa Peclat Flores

Abstract


Objective: Identify scientific productions about nursing interventions performed in the postoperative period of cardiac surgery during hospitalization. Method: Integrative literature review developed through the PICo strategy. The searches were performed in the databases of PUBMED, LILACS and CINAHAL, using the controlled descriptors “Cardiac Surgery/Adult or Elderly”, “Nursing Interventions” and “Hospitalization”, considering the Boolean operator “and”. Results: We identified 91 studies and 15 articles were selected and grouped into four intervention categories: Transitional nursing care in the postoperative period of cardiac surgery; Prevention of readmissions and prolongation of hospitalization; Health education before and after cardiac surgery; Anxiety and stress on patient recovery. Conclusion: This research showed the importance of nursing interventions, showing prominence in myocardial revascularization surgeries, and it is necessary to expand and develop studies in various types of cardiac interventions.


Keywords


Aged; Cardiology; Nursing; Hospitalization.

References


Al-Zaru, I.M., AbuAlRub, R., & Musallam, E.A. Economical and clinical impact of surgical site infection following coronary artery bypass graft surgery in north Jordan. Inter J Nurs Prac., 17, 117-125. doi: http://dx.doi.org/10.1111/j.1440.172X.2011.01916.x

Baab, M. (2009). Clinical Risk Assessment: Identifying Patients at High Risk for Heart Failure. AORN J., 89(2), 277-288. doi: http://dx.doi.org/10.1016/j.aorn.2008.08.002

Barreiros, B.R.N., Bianchi, E.R.F., Turrini, R.N.T., & Poveda, V.B. (2016). Causas de readmissão hospitalar após cirurgia cardíaca. Rev eletrônica enferm, 18, e1182. doi: http://dx.doi.org/10.5216/ree.v18.39529

Bates, O.L., O’Connor, N., Dunn, D., & Hasenau, S.M. Applying STAAR Interventions in Incremental Bundles: Improving Post-CABG Surgical Patient Care. Worldviews Evid Based Nurs., 11(2), 89-97. doi: http://dx.doi.org/10.1111/wvn.12028

Brasil. (2018). Brasília: Ministério da Saúde. Recuperado em 24 outubro, 2019, de http://www.datasus.gov.br

Cebeci, F., & Çelik, S.S. (2007). Discharge training and counselling increase self-care ability and reduce postdischarge problems in CABG patients. J Clin Nurs., 8(2), 412-410. doi: http://dx.doi.org/10.1111/j.1365-2702.2007.01952.x

Cwynar, R., Albert, N.M., Butler, R., & Hall, C. (2009). Factors Associated With Long Hospital Length of Stay in Patients Receiving Warfarin After Cardiac Surgery. J Cardiovasc Nurs., 24(6), 465-474. doi: http://dx.doi.org/10.1097/JCN.0b013e3181b152d7

Dessote, C.A.M., Figueiredo, M.L., Rodrigues, H.F., Furuya, R.K., Rossi, L.A., & Dantas, R.A.S. (2016). Classificação dos pacientes segundo o risco de complicações e mortalidade após cirurgias cardíacas eletivas. Rev Eletr Enf., 18, e1140. doi: http://dx.doi.org/10.5216/ree.v18.37736

Flores, V.P., Silva, D.M., Pereira, S.K., Cavalcanti, A.C.D., Pereira, J.M.V., & Santana, R.F. (2018). Diagnóstico de Enfermagem Recuperação Cirúrgica Retardada em Idosos: Estudo de Casos Múltiplos. Rev enferm Cent-Oeste Min., 8, e2519. doi: http://dx.doi.org/10.19175/recom.v7i0.2519

Fredericks, S. (2009). Timing for delivering individualized patient education intervention to Coronary Artery Graft patients: An RCT. Eur J Cardiovasc Nurs., 8(2), 144-150. doi: http://dx.doi.org/10.1016/j.ejcnurse.2008.10.007

Gortner, S.R., Gilliss, C.L., Shinn, J.A., Sparacino, P.A., Rankin, S., Leavitt, M., Price, M., & Hudes, M. Improving recovery following cardiac surgery: a randomized clinical trial. J Adv Nurs., 13(5), 649-661. doi: http://dx.doi.org/10.1111/j.1365-2648.1988.tb01459.x

Jickling, J.L., & Jane, E. (1997). The information needs at time of hospital discharge of male and female patients who have undergone coronary artery bypass grafting: A pilot study. Heart Lung, 26(5), 350-357. doi: http://dx.doi.org/10.1016/s0147-9563(97)90021-2

Koerich, C., Lanzoni, G.M.M., Erdmann, A.L. (2016). Fatores associados à mortalidade de pacientes submetidos à cirurgia de revascularização do miocárdio. Rev Latino-Am Enf., 24, e2748. doi: http://dx.doi.org/10.1590/1518-8345.0708.2748

Lee J. (2017). Transitional care intervention: A readmission solution. Nurs Man., 48(3), 32-39. doi: http://dx.doi.org/10.1097/01.NUMA.0000512507.39701.16

Mallet, A.L.R., Brandão, A.A., Araújo, C.G.S., Catharina, C.V., Oliveira, G.M.M., Assad, M.H.V. & et al. (2017). Manual de prevenção cardiovascular. SOCERJ. Recuperado em 10 novembro, 2019, de https://socerj.org.br/antigo/wpcontent/uploads//2017/05/Manual_de_Prevencao_Cardiovascular_SOCERJ.pdf

Mangusan, R.F., Hooper, V., Denslow, S.A., & Travis, L. (2015). Outcomes Associated with Postoperative Delirium After Cardiac Surgery. Am J Crit Car., 24(2), 156-163. doi: http://dx.doi.org/10.4037/ajcc2015137

Mosleh, S.M., Eshah, N.F., & Almalik, M. (2015). Perceived Learning Needs According to Patients Who Have Undergone Major Coronary Interventions and Their Nurses. J Clin Nurs., 26(3-4), 418-426. doi: http://dx.doi.org/10.1111/jocn.13417

Naughton, C., Cheek, L., O’Hara, K. (2005). Rapid recovery following cardiac surgery: a nursing perspective. Br J Nurs., 14(4), 214-219. doi: http://dx.doi.org/10.12968/bjon.2005.14.4.17606

Parent, N., & Fortin, F. (2000). A randomized, controlled trial of vicarious experience through peer support for male first-time cardiac surgery patients: Impact on anxiety, self-efficacy expectation, and self-reported activity. Heart Lung, 29(6), 389-400. doi: http://dx.doi.org/10.1067/mhl.2000.110626

Pereira, D.A., Ferreira, T.M., Silva, J.I., Gomes, E.T., & Bezerra, S.M.M.S. (2018). Necessidades de aprendizagem acerca da cirurgia cardíaca na perspectiva de pacientes e enfermeiros. Rev. Sobecc, 23(2), 84-88. doi: http://dx.doi.org/10.5327/Z1414-4425201800020005

Ribeiro, K.R.A., & Silva, E.D. (2018). Ansiedade no pré-operatório de cirurgias cardíacas: como a enfermagem pode atuar? Rev Soc Cardiol., 28(1), 90-100. doi: http://dx.doi.org/10.29381/0103-8559/2018280195-100

Rocha, R.S.B., Gomes, T.C.O., Pinto, J.M., Oliveira, L.S., & Moreno, M.A. (2017); Cirurgia Cardíaca e Complicações: uma breve revisão sobre os efeitos da mobilização precoce no paciente crítico. Rev CPAQV, 9(2), 1-8.

Romanzini, A.E., Carvalho, E.C., & Galvão, C.M. (2015). Recuperação cirúrgica retardada: análise do conceito. Rev Bras Enferm., 68(5), 668-75. doi: http://dx.doi.org/10.1590/0034-7167.2015680526i

Sawatzky, J.V., & Naimark, B.J. The coronary artery bypass graft surgery trajectory: Gender differences revisited. Europ J Cardiovasc Nurs., 8(4), 302-308. doi: http://dx.doi.org/10.1016/j.ejcnurse.2009.02.003

Smeltzer, S.C., Bare, B.G., Janice, J.L., & Cheever, K.H. (2014). Tratado de Enfermagem médico-cirúrgica. Rio de Janeiro: Guanabara Koogan.

Weber, L.A.F., Lima, M.A.D.S., Acosta, A.M., & Marques, G.Q. (2017). Transição do Cuidado do Hospital para o Domicílio: Revisão Integrativa. Cogitare Enferm., (22)3, e47615. doi: http://dx.doi.org/10.5380/ce.v22i3.47615

Whittemore, R., Knafl, K. (2005). The integrative review: updated methodology. J Adv Nurs., 52(2), 546-553. doi: http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x




DOI: http://dx.doi.org/10.33448/rsd-v9i7.4080

Refbacks

  • There are currently no refbacks.


Base de Dados e Indexadores: Base, Diadorim, Sumarios.org, DOI Crossref, Dialnet, Scholar Google, Redib, Doaj, Latindex, Portal de Periódicos CAPES

Research, Society and Development - ISSN 2525-3409

Licença Creative Commons
Este obra está licenciado com uma Licença Creative Commons Atribuição 4.0 Internacional

Rua Irmã Ivone Drumond, 200 - Distrito Industrial II, Itabira - MG, 35903-087 (Brasil) 
E-mail: rsd.articles@gmail.com