Acompanhamento por telefone no p�s-alta dos pacientes onco-hematol�gicos: revis�o integrativa da literatura

Abstract

RESUMOObjetivo: analisar a produção científica acerca do acompanhamento, por telefone, pelo enfermeiro, no pós-alta do paciente com doença onco-hematológica, na redução do evento de readmissão hospitalar. Método: trata-se de uma revisão integrativa da literatura. Tal revisão visa responder à seguinte questão de pesquisa: A intervenção no acompanhamento por telefone, pelo enfermeiro, no pós-alta, reduz a readmissão hospitalar dos pacientes com doença onco-hematológica? A pesquisa foi realizada nas seguintes bases de dados: Cochrane Library, PubMed, LILACS e CINAHL. A busca foi iniciada no segundo semestre de 2016 e finalizada em fevereiro de 2017, sem qualquer restrição quanto a idioma e período. Após a análise das publicações, foram selecionados para compor a amostra da pesquisa, seis artigos, que foram submetidos à análise de conteúdo. Resultados: Foram elaboradas duas categorias temáticas: benefícios e desvantagens da consulta através do acompanhamento por telefone realizada pelo enfermeiro-oncologista; elementos necessários à avaliação, pelo enfermeiro durante o acompanhamento por telefone. Conclusão: A intervenção telefônica tem sido um instrumento de trabalho do enfermeiro, que possibilita estar mais próximo ao paciente, quando este se encontra geograficamente longe e mais necessitado de um cuidado que lhe forneça segurança, conforto e qualidade de vida. ABSTRACTObjective: to analyze the scientific production about the telephone follow-up by the nurse in the post-discharge of oncohematological disease patients, in the reduction of the hospital readmission event. Method: this is an integrating review of literature. This review aims to answer the following research question: Does intervention in the telephone follow-up by the nurse in the post-discharge period reduce the hospital readmission of patients with onco-hematological disease? The research was carried out in the following databases: Cochrane Library, PubMed, LILACS and CINAHL. The search began in the second half of 2016 and ended in February 2017 without any restriction on language and period. After the publications analysis, six articles were selected to compose the research sample and were submitted to content analysis. Results: The study elaborated two thematic categories: benefits and disadvantages of the consultation through the telephone follow-up performed by the oncologist nurse and necessary elements for evaluation by the nurse during the telephone follow-up. Conclusion: The telephone intervention has been nurse's tool that makes it possible to be closer to the patient when this one is geographically far away and needs more care to provide safety, comfort and quality of life. Descriptors: Telemedicine; Patient readmission; Oncology nursing; Hematologic Diseases. RESUMENObjetivo: analizar la producción científica sobre el seguimiento telefónico por los enfermeros después de alta hospitalaria de los pacientes con enfermedades onco-hematológicas, en la reducción de eventos de reingreso hospitalario. Método: Se trata de una revisión integrativa...

Impact of telephone monitoring on cancer patients undergoing esophagectomy and gastrectomy

“…In this study, one sought to evaluate the symptoms presented after the surgical procedure for patients randomized to the intervention group, in which it was possible to notice that pain was the most prevalent symptom in all telephone contacts, followed by diarrhea, lack of appetite, nausea and vomiting. In a study on telephone follow-up after hospital discharge with onco-hematological patients, it was demonstrated that the most common symptoms presented at home were nausea, mucositis, constipation and fatigue, and that their knowledge and management through the follow-up is the differential to make them less intense and even possible to be controlled by the patients themselves, promoting selfcare and better quality of life (15) .…”

“…Thus, the nurses' practice associated with monitoring can produce significant changes in the ability to adjust to the new health condition, highlighting the importance of technical and clinical knowledge of the nurses' interventions, with this monitoring being carried out in several sectors. Oncology is a productive field for the use of telehealth technology, since patients require long periods of care, with careful and consistent monitoring (15) . A study showed that postoperative follow-up by telephone, already common in developed countries, can be transposed to Brazil, even within the scope of the Unified Health System -Sistema Único de Saúde (SUS), due to its low cost and high adherence to treatment, but it is still not widely used for surgical patients (13,21) .…”

Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial

“…In Brazil, telephone interventions are important nursing tools for achieving and maintaining closer contact with patients. As such, they have been used for post-discharge follow-up strategies in different contexts (de Sousa et al, 2017), including assessments of discharge guidance and behavioral interventions in therapeutic compliance, rehospitalizations and mortality in patients with heart failure (Oscalices et al, 2019), programs designed to reduce absenteeism for return appointments to receive examination results (Nicolau et al, 2017), and assessments of the selfefficacy among puerperal women in regard to the duration and exclusivity of breastfeeding (Chaves et al, 2019). While no national studies have examined the use of telephone interventions for guiding colonoscopy patients in the process of bowel preparation, a Chinese study showed that reeducation of patients in colonoscopy preparation via telephone significantly improved the quality of bowel preparation (Liu et al, 2014).…”

Telemonitoramento como tecnologia aliada ao cuidado de enfermagem ao paciente onco-hematológico

“…O paciente com doença onco-hematológica, quando tem alta hospitalar, vai para a sua residência com condições clínicas estáveis, porém não totalmente recuperados. Assim, se não Research, Society andDevelopment, v. 9, n. 9, e413997405, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.7405 acompanhado de perto, pode apresentar complicações, com consequente agravamento do quadro clínico, culminando, portanto, com readmissões e, possivelmente, em aumento das morbimortalidades (Sousa, Espírito Santo, Pinheiro, 2017).…”

“…Acompanhá-los no domicílio, através da consulta telefônica, possibilita que tais riscos e complicações sejam precocemente identificados e, prontamente, assistidos, a fim de evitar agravamento do quadro clínico, reduzir as readmissões hospitalares e a mortalidade (Sousa, Espírito Santo, Pinheiro, 2017 (Sousa, Espírito Santo, Santana, Lopes, 2015) e que por semelhança fisiopatogênica estão presentes também nos pacientes com linfoma. Estes DE foram aplicados aos participantes da pesquisa previamente a intervenção de enfermagem a Research, Society and Development, v. 9, n. 9, e413997405, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.7405 6 fim de detectar os DE, e consequentemente as demandas de cuidados de enfermagem mais prevalentes.…”