INTERVENÇÕES DE ENFERMAGEM AO CLIENTE COM ENFARTE AGUDO DO MIOCÁRDIO APÓS ICP
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https://orcid.org/0000-0003-0410-7588
João Rosado
https://orcid.org/0000-0003-3769-4141
André Cardoso
https://orcid.org/0009-0003-6726-3753
Mariana Almeida
https://orcid.org/0009-0009-3383-171X
Sandra Neves
https://orcid.org/0000-0001-8277-6635
Resumen
Contextualização: Durante 2019 houve 4 275 mortes devido a EAM, tendo diminuído 7,5% em relação a 2018 (INE, 2021). A angioplastia reduziu a morbilidade e mortalidade desta patologia; contudo não está isenta de riscos. Com esta revisão narrativa pretende-se identificar as intervenções de enfermagem nos doentes com EAM pós-angioplastia na UCI, concentrando-se na prevenção e tratamento de possíveis complicações, através do ensino ao doente para o autocuidado; Objetivo: Identificar intervenções de enfermagem para doentes com EAM após a angioplastia na UCI; Metodologia: Realizou-se a recolha de dados desta revisão narrativa da literatura através da CINAHL Complete e MEDLINE Complete. Estabeleceu-se o limite temporal entre 2016 e 2021, incluindo artigos escritos em português, inglês e espanhol. Utilizou-se literatura cinzenta para complementar a informação; Resultados: A investigação resultou em 16 artigos, relacionados com intervenções de enfermagem após angioplastia em doentes que sofrem de EAM. Estas intervenções incluem monitorização hemodinâmica, prevenção de complicações, incluindo hemorragia, hematoma, controlo da dor, gestão da ansiedade e ensino para aumentar a literacia em saúde; Considerações finais: Através da análise crítica da literatura com a prática clínica, foi possível inferir que os enfermeiros são intervenientes num cuidado contínuo, desde a admissão, ao período intra e pós-procedimento, até aos esclarecimentos na alta e ao acompanhamento pós-alta. Determinaram-se um conjunto de intervenções importantes que podem ser divididas em 4 grupos centrais de ação com ganhos de saúde, identificando-se a Prevenção de complicações e organização dos cuidados de enfermagem, Satisfação do doente e Promoção da saúde, bem-estar e autocuidado e readaptação funcional
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