Natureza e classificação das intervenções de enfermagem em ambulatório de quimioterapia de adultos

Abstract

(BRASIL, 1996).A estimativa de mortalidade para 1998 prevê a ocorrência de 107.950 óbitos por câncer, sendo 58.070 (53,8%) no sexo masculino e 49.880 (46,2%) no sexo feminino. Os tumores responsáveis pelas mais altas taxas de incidência e mortalidade no país são: pulmão, estômago e próstata para o sexo masculino e mama, cérvico-uterino e estômago para o sexo feminino. Foi estimado, também, que ocorrerão 269.000 casos novos de câncer, sendo 140.705 (52,3%) em mulheres e 128.295 (47,7%) em homens. Dos casos novos em mulheres, 32.695 (12,1%) corresponderão ao câncer de mama e,

First time nursing consultation in outpatient chemotherapy treatment: a scoping review / Consulta de enfermagem de primeira vez no tratamento de quimioterapia ambulatorial: revisão de escopo

“…14 Among the aspects to be evaluated by nurses, psychological and emotional issues stand out as the most cited (58.33% of the articles). [10][11][12][13]15,17,19 Among them, depressed mood, anxiety, distorted self-image, low self-esteem, fear of disease recurrence, and children's predisposition to cancer. In turn, some studies mention the fear of metastasis, while others highlight the feeling of uncertainty.…”

“…11,15,17 As nursing intervention proposals, there are the insertion in self-help groups, and the offer of emotional support, as it presents patients with possibilities, resources, and coping strategies. 10 Meleis' Theory of Transitions emerges to strengthen the patient's resignification process. 15 Another very prevalent aspect was sexuality (50% of the articles) 11,[14][15][17][18][19] , particularly in women of childbearing age, who need to be oriented about fertility and contraceptive methods.…”

“…11,14-16,18 Among them, 15 nausea, vomiting, mucositis, weight changes, hair loss, fatigue, pain, bleeding or bruising, tingling or numbness, shortness of breath, eye and nail problems, for which specific interventions should be designed. In addition, there should be concern about elimination 10,15,18 -diarrhea and constipation. 15 Questioning about social and family support was mentioned in 41.66% of the texts, [10][11][13][14]18 support that is often not adequately valued.…”

“…In addition, there should be concern about elimination 10,15,18 -diarrhea and constipation. 15 Questioning about social and family support was mentioned in 41.66% of the texts, [10][11][13][14]18 support that is often not adequately valued. 17 Family support promotes better facing of the disease and chemotherapy treatment, therefore, it must be questioned as to marital status, if the patient has children -how many and how old -, with whom the patient lives, besides defining the figure of a main caregiver, responsible for supporting the patient in meeting his needs, if, by any chance, he cannot decide or do it due to treatment or cancer evolution.…”

“…17 Family support promotes better facing of the disease and chemotherapy treatment, therefore, it must be questioned as to marital status, if the patient has children -how many and how old -, with whom the patient lives, besides defining the figure of a main caregiver, responsible for supporting the patient in meeting his needs, if, by any chance, he cannot decide or do it due to treatment or cancer evolution. 14 Nutritional assessment is present in 41.66% of the articles, [10][11]15,[17][18] for which BMI must be evaluated, and dietary changes are proposed as an intervention.…”