Hospital discharge of liver transplantation patient: an integrative review
Alta hospitalaria de pacientes con trasplante de hígado: una revisión integradora
Alta hospitalar do paciente transplantado hepático: revisão integrativa
Laísa Fischer Wachholz; Neide da Silva Knihs; Sabrina Regina Martins; Aline Lima Pestana Magalhães; Laura Cavalcanti de Farias Brehmer; Marisa da Silva Martins
Abstract
Objective: To analyze evidence available in the literature to support the planning of hospital discharge of the patient who has undergone liver transplantation.
Method: Integrative review from the bases Scopus, LILACS, ScieELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. The keywords Liver transplant and Hospital discharge were used in English, Spanish, and Portuguese, being identified 1,152 articles, and the sample consisting of 13 articles.
Results: Publications are concentrated between 2014 (n = 4; 30.7%) and 2016 (n = 3; 23%), originating in Brazil (n = 5; 38.4%) and the United States (n = 3; 23%). The results were organized into the categories: Warning signs for possible changes that may arise at home; Recommendations for the use of medicines – promoting self-management and adherence to treatment; Daily activities and care at home – support and self-confidence; Changes in body image and daily life – the importance of support network.
Conclusion: Discharging the patient who has undergone liver transplantation is a challenge, given the complexity of the procedure. The findings show care directed at health education to minimize complications, support the multidisciplinary team and patient in self-care, especially regarding the signs and symptoms of complications, care with the use of medication, and the changes that occur when returning home.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Analisar evidências disponíveis na literatura capazes de subsidiar o planejamento da alta hospitalar do paciente submetido ao transplante hepático.
Método: Revisão integrativa a partir das bases Scopus, LILACS, SciELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. Utilizou-se os descritores Transplante hepático e Alta hospitalar, em inglês, espanhol e português, identificando-se 1.152 artigos, sendo que a amostra foi composta por 13 artigos.
Resultados: As publicações concentram-se entre 2014 (n=4; 30,7%) e 2016 (n=3; 23%), tendo como origem o Brasil (n=5; 38,4%) e os Estados Unidos (n=3; 23%). Os resultados foram organizados nas categorias: Sinais de alerta para possíveis alterações que possam surgir no domicílio; Recomendações para o uso de medicamentos-promoção do autogerenciamento e adesão ao tratamento; Atividades e cuidados diários em domicílio – apoio e autoconfiança; Mudanças na imagem corporal e vida diária – importância da rede de apoio.
Conclusão: A alta hospitalar do paciente submetido ao transplante hepático é um desafio, visto a complexidade do procedimento. Os achados apresentam cuidados direcionados à educação em saúde no sentido de minimizar complicações, apoiar a equipe multiprofissional e o paciente no autocuidado, em especial quanto aos sinais e sintomas de complicações, cuidados com o uso de medicação e as mudanças que ocorrem no retorno ao domicílio.
Palavras-chave
Referências
1 Morais EM, Corand D, Machado GC, Abreu MO, Matos EM, Cruz SAC. Postoperative complications of liver transplant: evidence for the optimization of nursing care. Rev de Pesquisa: Cuidado é Fundamental Online. 2017;9(4):999-1007.
2 Mcginnis CW, Hays SM. Adults with liver failure in the intensive care unit: a transplant primer for nurses. Crit Care Nurs Clin North Am. 2018;30(1):137-48.
3 Oliveira RA, Turrini RNT, Poveda VB. Adherence to immunosuppressive therapy following liver transplantation: an integrative review. Rev Latino-americana de Enf. 2016;1(1):e2778.
4 Ribas ED, Bernardino E, Larocca LM, Poli P No, Aued GK, Silva CPC. Nurse liaison: a strategy for counter-referral. Rev Lat Am Enfermagem. 2018;71(1, suppl 1):546-53.
5 Silva SS, Assis MMA, Santos A. The nurse as the protagonist of care management in the Estratégia Saúde da Família: diferente analysis perspectives. Texto Contexto Enferm. 2017;26(3):1-9.
6 Ferrazzo S, Vargas MAO, Gomes DC, Gelbcke FL, Hammerschimidt KSA, Lodeyro CF. Specialist service in liver transplant in a University Hospital: a case study. Texto Contexto Enferm. 2017;26(2):e2630015.
7 Mota L, Bastos F, Brito M. The liver transplant patient: characterization of the therapeutic regimen management style. Rev de Enf Referência. 2017;4(13):19-30.
8 Lima LF, Martins BCC, Oliveira FRP, Cavalcante RMA, Magalhães VP, Firmino PYM, et al. Pharmaceutical orientation at hospital discharge of transplant patients: strategy for patient safety. Einstein. 2016;14(3):359-65.
9 Negreiros FDS, Pequeno AMC, Garcia JHP, Aguiar MIF, Moreira TR, Flor MJN. Multi-professional team's perception of nurses' competences in liver transplantations. Rev Bras de Enf. 2017;70(2):242-48.
10 Sousa LMMS, Marques-Vieira CMA, Severino SS, Antunes AV. The methodology of integrative review of literature in nursing. Rev Investigação em Enferm. 2017;17(26):17-26.
11 Melnyk BM, Finout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Crit Care Nurse. 2014;34(3):174-178.
12 Ordin YS, Karayurt Ö, Wellard S. Investigation of adaptation after liver transplantation using Roy’s Adaptation Model. Nurs Health Sci. 2012;1(15):31-8.
13 Musgrave CR, Pilch NA, Taber DJ, Meadowns HB, Mcgilicuddy JM, Chavin KD et al. Improving transplant patient safety through pharmacist discharge medication reconciliation. Am J Transplant. 2013;13(3):796-801.
14 Garcia AMC, Veneroso CE, Soares DD, Lima AS, Correia MI. Effect of a physical exercise program on the functional capacity of liver transplant patients. Transplant Proc. 2014;46(6):1807-8.
15 Toh MR, Teo V, Kwan YH, Raaj S, Tan SYD, Tan JZY. Association between number of doses per day, number of medications and patient’s non-compliance, and frequency of readmissions in a multi-ethnic Asian population. Prev Med Rep. 2014;1:43-7.
16 Bardet JD, Charpiat B, Bedouch P, Rebillon M, Ducerf C, Gauchet A, et al. Illness representation and treatment beliefs in liver transplantation: an exploratory qualitative study. Ann Pharm Fr. 2014;72(5):375-87.
17 Chaney A. Primary care management of the liver transplant patient. Nurse Pract. 2014;39(12):26-33, quiz 33-4.
18 Wallia A, Illuri V, Molitch M. Diabetes care after transplant. Med Clin North Am. 2016;100(3):535-50.
19 Mendes KDS, Lopes NLC, Fabbris MA, Castro-e-Silva Júnior O, Galvão CM. Sociodemographic and clinical characteristics of candidates for liver transplantation. Acta Paul Enferm. 2016 abr;29(2):128-35.
20 Beckmann S, Künzler-Heule P, Biotti B, Spirig R. Mastering together the highs and lows: patients’ and caregivers’ perceptions of self-management in the course of liver transplantation. Prog Transplant. 2016;26(3):215-23.
21 Aguiar MIF, Alves NP, Braga VAB, Souza AMA, Araújo MAM, Almeida PC. Psychosocial aspects of quality of life of hepactic transplant receivers. Texto Contexto Enferm. 2018;27(2):1-11.
22 Moayed MS, Ebadi A, Khodaveisi M, Nassiri Toosi M, Soltanian AR, Khatiban M. Factors influencing health self-management in adherence to care and treatment among the recipients of liver transplantation. Patient Prefer Adherence. 2018;12:2425-36.
23 Bottan ER, Campos L, Verwebe APS. Health education: concepts and practices of surgeons dentists of family health strategy. Unimontes Científica. 2016;2(18):25-35.
24 Bertonhi LG, Dias JCR. Type 2 Diabetes mellitus: clinical aspects, treatment and dietary management. Rev Ciências Nutricionais Online. 2018 [citado 2019 dez 4];2(2):1-10. Disponível em:
25 Pio FSCG, Azevedo DM, Marques LF, Santiago LC. Nursing care in heart transplantation: integrative review. Rev Enferm (Lisboa). 2016;5(10):1857-65.
26 Sá AS, Ziviani LC, Castro-e-Silva O, Galvão CM, Mendes KDS. Information needs of family caregivers regarding liver transplant candidates. Rev Gaúcha Enferm. 2016 mar;37(1):e54650.
27 Oliveira PC, Deta FP, Paglione HB, Mucci S, Schirmer J, Roza BA. Adherence to liver transplantation treatment: an integrative review. Cogitare enferm. 2019;24:e58326.
28 Costa JM, Martins JM, Pedroso LA, Braz CL, Reis AMM. Pharmaceutical orientation at hospital discharge of transplant patients: strategy for patient safety. Rev Bras de Farmácia Hospitalar e Serviços de Saúde. 2014;1(5):28-41.
29 Carvalho CCA, Campos OH No. Papel do profissional farmacêutico no Sistema Único De Saúde (SUS) em um município de Minas Gerais. Rev Bras de Ciências da Vida. 2018 [citado 2019 dez 4];6(3):1-26. Disponível em:
30 Alencar TOS, Nascimento MAA, Alencar R. Pharmaceutical assistance in family health strategy: an analysis of access. Rev Bras Farm. 2013 [citado 2019 dez 4];3(94):219-26. Disponível em:
31 Oliveira ARF, Alencar MSM. The use of health applications for mobile devices as sources of information and education in healthcare. Rev Digit Bibliotecon Cienc Inf. 2017 jan-abr;15(1):243-5.
32 Fernandes MP, Marin HF. The mobile applications use for diet control in adults: an Integrative Systematic Review. J Health Inform. 2018 out-dez; [citado 2019 dez 4];10(4):119-24. Disponível em:
33 Ferraz EF, Sales CA, Marcon SS. Perspectivas de indivíduos com diabetes sobre autocuidado: contribuições para assistência. Esc Anna Nery. 2017;21(2);e20170043.
34 Marathe PH, Gao HX, Close KL. American diabetes association standards of medical care in diabetes 2017. J Diabetes. 2017;9(4):320-4.
35 Razia JM, Lazzaretti CT. Diagnoses of Disease and Narrative: Etnographical Studies With Liver Tranpslanted Patients. Rev Lat Am de Estudios sobre Cuerpos, Emociones y Sociedad. 2015; 7(17):32-41. Disponível em:
Submetido em:
04/12/2019
Aceito em:
08/04/2020
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email