Contenido del artículo principal

Resumen

Introducción: Entre los sistemas más afectados por la pandemia COVID-19, destaca el sistema renal, circunstancia que conlleva desafíos en la gestión de cuidados de enfermería en los pacientes.


Objetivo: Describir la evidencia científica sobre la gestión de cuidados de enfermería en pacientes diagnosticados con COVID-19 sometidos a terapia renal sustitutiva.


Metodología: Se buscaron artículos en las bases de datos PubMed, SCOPUS, Web Of Science, LILACS, BDENF, EMBASE, IBECS, CINAHL, COCHRANE LIBRARY y Scielo, utilizando las siguientes palabras clave cruzadas: “renal therapy” AND “nursing care” AND “covid-19”. Para sistematizar las búsquedas, se utilizó el operador booleano “AND”. Inicialmente, se identificaron 167 referencias primarias en las bases de datos seleccionadas, y como muestra final, se incluyeron 14 artículos.


Resultados: Se encontró que entre las contribuciones a la gestión de cuidados de enfermería en la atención de pacientes en hemodiálisis en el contexto de la pandemia de COVID-19, se describen el uso de tecnologías de la salud (ejemplos: el uso de telemedicina y el desarrollo de nuevos protocolos), el desarrollo de nuevos métodos en la gestión de cuidados de enfermería y la educación continua. Estas herramientas fueron esenciales para la continuidad de los cuidados de enfermería.
Conclusión: Entre las herramientas utilizadas para la gestión de cuidados de enfermería en el contexto de la pandemia de COVID-19 en pacientes en hemodiálisis, se incluyen las tecnologías de la salud y la educación continua en salud, lo que permite una gestión de cuidados calificada.

Palabras clave

terapia de reemplazo renal COVID-19 enfermería

Detalles del artículo

Cómo citar
1.
Carvalho-de Alencar CD, de-Souza Araújo V, Alves-Silva ML, da-Silva Quirino G, Alves-Pinto AG. Gestión de Cuidados de Enfermería en Terapia Renal Sustitutiva en Pacientes con COVID-19: Revisión Integradora. Enferm Nefrol [Internet]. 2023 [consultado 13 Abr 2024];26(3):[aprox. 11 p.]. Disponible en: https://enfermerianefrologica.com/revista/article/view/4532

Referencias

  1. Lu R, Zhao X, Li J, Niu P, Yang B, Wu H et al. Genomic characterization and epidemiology of new 2019 coronaviruses: implications for virus origins and receptor binding. The lancet [Internet]. 2020 [cited 2022 Jun 20];395(10224): 565-74. Available from: https://doi.org/10.1016/S0140-6736(20)30251-8.
  2. Aspiazu MB, Bayard RB, Azcuy OH, Llerena TZ, Rodríguez EL, González LP. Función de la pesquisa activa estudiantil en el enfrentamiento a la pandemia COVID 19 en la atención primaria de salud. Rev cubana med [Internet] 2021 [cited 2023 Jun 20]; 60(2):e1660. Available from: https://revmedicina.sld.cu/index.php/med/article/view/1660/2082.
  3. Gandhi RT, Lynch JB, Rio C. Mild or Moderate Covid-19. N Engl J Med [Internet]. 2020 [cited 2022 Jun 21]; 383(18): 1757-66. Available from: 10.1056/NEJMcp2009249.
  4. Luigi V, Kruger T, Seikrit C, Muhlfeld AS, Kunter U, Werner C et al. Time on previous renal replacement therapy is associated with worse outcomes of COVID-19 in a regional cohort of kidney transplant and dialysis patients. Medicine [Internet]. 2021 [cited 2022 Jun 21];100(10): 1-8. Available from: 10.1097/MD.0000000000024893.
  5. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney int [Internet]. 2020 [cited 2023 Jun 20];97(5): 829-38. Available from: 10.1016/j.kint.2020.03.005.
  6. Zhang G, Hu C, Luo L, Fang F, Chen Y, Li J et al. Clinical features and short-term outcomes of 221 patients with COVID-19 in Wuhan, China. J Clin Virol [Internet]. 2020 [cited 2023 Jul 02];127:1-8. Available from: 10.1016/j.jcv.2020.104364.
  7. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet [Internet]. 2020 [cited 2023 Jul 02]; 395(10229):1054-62. Available from: 10.1016/S0140-6736(20)30566-3.
  8. Nigri RB, Silva RFA. Hemodiálise no contexto da Covid-19: os cuidados, o protagonismo da enfermagem e a qualidade. Rev Bras de Enferm [Internet]. 2021 [cited 2023 Jun 02];75(1):e20201077. Available from: https://doi.org/10.1590/0034-7167-2020-1077.
  9. Silva AFS, Magalhães DM, Rocha PRS, Silva RF. Intervenções de Enfermagem Para Complicações Apresentadas Durante a Hemodiálise em Pacientes Críticos. Rev Enfermagem do Centro-Oeste Mineiro [Internet]. 2018 [cited 2023 May 12];8:1-9. Available from: https://doi.org/10.19175/recom.v8i0.2327.
  10. Prisma. Transparente Reporting of Systematic Reviews and Meta-Analyses [cited 2022 Aug 10]. Available from: https://prisma-statement.org/.
  11. Mendes KDS, Silveira RCCP, Galvão CM. Uso de gerenciador de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto & Contexto Enfermagem [Internet] 2019 [cited 2023 May 13];28:e20170204. Available from: https://doi.org/10.1590/1980-265X-TCE-2017-0204.
  12. Ursi ES, Galvão CM. Prevenção De Lesões De Pele No Perioperatório: Revisão Integrativa Da Literatura. Rev Latino Am Enfermagem [Internet]. 2006 [cited 2023 May 12]; 14(1):124-31. Available from: https://doi.org/10.1590/S0104-11692006000100017.
  13. CRITICAL APPRAISAL SKILLS PROGRAMME. CASP. [cited 2023 Aug 28]. Available from: https://casp-uk.net/casp-tools-checklists/.
  14. Chua HR, Laren GM, Choong LH, Chionh CY, Khoo BZ, Yeo SC. Ensuring sustainability of continuous kidney replacement therapy in the face of extraordinary demand: lessons from the COVID-19 pandemic. Am J Kidney Dis [Internet]. 2020 [cited 2023 May 13];76(3):392-400. Available from: 10.1053/j.ajkd.2020.05.008.
  15. Corbett RW, Blakey S, Nitsch D, Loucaidou M, Lean A, Duncan N. Epidemiology of COVID-19 in an urban dialysis center. J Am Soc Nephrol [Internet]. 2020 [cited 2023 Jun 01];31(8):1815-23. Available from: 10.1681/ASN.2020040534.
  16. Nair D, Malhotra S, Lupo D, Harbert G, Scherer JS. Challenges in communication, prognostication and dialysis decision-making in the COVID-19 pandemic: implications for interdisciplinary care during crisis settings. Curr opin nephrol hypertens [Internet]. 2021 [cited 2023 Jun 01];30(2):190-7. Available from: 10.1097/MNH.0000000000000689.
  17. MitchelL KR, Bomm A, Shea BS, Shemin D, Bayliss G. Inpatient dialysis planning during the COVID-19 pandemic: a single-center experience and review of the literature. Int J Nephrol Renovasc Dis [Internet]. 2020 [cited 2023 Jun 01];13: 253-9. Available from:10.2147/IJNRD.S275075.
  18. Noce E, Zorzanello M, Patel D, Kodali R. Management of COVID-19 in an Outpatient Dialysis Program. Nephrol Nurs J [Internet]. 2020 [cited 2023 May 16];47(5):423-7. Available from: 10.1177/2054358120938564.
  19. Apata IW, Cobb J, Navarrete J, Bukart J, Laura P, Lea JP. COVID-19 infection control measures and outcomes in urban dialysis centers in predominantly African American communities. BMC nephrol [Internet]. 2021 [cited 2023 May 163];22(1):1-9. Available from: 10.1186/s12882-021-02281-6.
  20. Yin J, Yin J, Tian Z, Li P, Chen X. Integrated management is effective in the prevention and control of COVID-19 in the blood purification center: joint efforts from multiple departments. Renal Replacement Therapy [Internet]. 2021 [cited 2023 May 16];7(1):1-5. Available from: 10.1186/s41100-021-00334-y.
  21. Naamani Z, Gorley K, Nobre H, Santin O, Maqbali M. Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC nephrol [Internet]. 2021 [cited 2023 Jun 20];22(1):1-8. Available from: 10.1186/s12882-021-02349-3.
  22. Lang CN, Zotzmann V, Schmid B, Berchtold-Herz M, Utzolino S, Paul B et al. Intensive care resources and 60-day survival of critically-Ill COVID-19 patients. Cureus [Internet]. 2021 [cited 2023 Jun 13];12(2):e13210. Available from: 10.7759/cureus.13210.
  23. Wasserman E, Toal M, Nellis M, Traube C, Joyce C, Finkelstein R et al. Rapid transition of a PICU space and staff to adult coronavirus disease 2019 ICU care. Pediatr Crit Care Med [Internet]. 2021 [cited 2023 Jun 13];22(1):50-5. Available from: 10.1097/PCC.0000000000002597.
  24. Lew SQ, Wallace EL, Srivatana V, Warady BA, Watnick S, Hood J et al. Telehealth for home dialysis in COVID-19 and beyond: a perspective from the American Society of Nephrology COVID-19 Home Dialysis Subcommittee. Am J Kidney Dis [Internet]. 2021 [cited 2023 Jun 13];77(1):142-8. Available from:10.1053/j.ajkd.2020.09.005.
  25. Brickman D, Greenway A, Sobocinski K, Thai H, Turick A, Xuereb K et al. Rapid critical care training of nurses in the surge response to the coronavirus pandemic. Am J Crit Care [Internet]. 2020 [cited 2023 Jun 13];29(5):104-7. Available from: 10.4037/ajcc2020142.
  26. Ehmann MR, Zink E, Levin AB, Suarez J, Belcher HME, BiddisonELD et al. Operational recommendations for scarce resource allocation in a public health crisis. Chest [Internet]. 2021 [cited 2023 May 16];159(3):1076-83. Available from: 10.1016/j.chest.2020.09.246.
  27. Bruyneel A, Gallani MC, Tack J, Hondt A, Canipel S, Stéphane F et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit Care Nurs [Internet]. 2021 [cited 2023 May 26];62:1-6. Available from: 10.1016/j.iccn.2020.102967.
  28. World Health Organization, State of the world’s nursing 2020: investing in education, jobs and leadership. [cited 2023 Mar 13]. Available from: https://apps.who.int/iris/handle/10665/331677.
  29. World Health Organization, COVID-19: Occupational health and safety for health workers: interim guidance. [cited 2023 Mar 05]. Available from: https://www.who.int/publications/i/item/coronavirus-disease-(covid-19)-outbreak-rights-roles-and-responsibilities-of-health-workers-including-key-considerations-for-occupational-safety-and-health.
  30. Almeida JÁ. Medicina Interna do Centro Hospitalar Universitário S. João na Pandemia COVID-19. Medicina Interna [Internet]. 2020 [cited 2023 May 26];1-6. Available from: https://doi.org/10.24950/rspmi/COVID19/J.Almeida/CHUSJOAOS/2020.
  31. Silva JMAV, Ribeiro OMPL, Santos MR, Faria ACA, Monteiro MAJ, Vandresen L. Planejamento organizacional no contexto de pandemia por COVID-19: implicações para a gestão em enfermagem. J Health NPEPS [Internet]. 2020 [cited 2023 Jun 20];5(1):1-18. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1103674.
  32. Kruk ME, Myers M, Varpilah ST, Dahn BT. What is a resilient health system? Lessons from Ebola. Lancet [Internet]. 2015 [cited 2023 May 28];385(9980):1910-2. Available from: 10.1016/S0140-6736(15)60755-3.
  33. Queiroz JS, Marques PF. Gerenciamento de enfermagem no enfrentamento da COVID-19 nos serviços de hemodiálise. Enferm Foco [Internet]. 2020 [cited 2023 May 28];11(1):196-8. Available from: https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.3536.
  34. Pennafort VPS, Mendonça AEO, Nunes VMA. Cuidado do paciente hospitalizado com COVID-19 em hemodiálise: relato de experiência. Archives of Health [Internet]. 2021 [cited 2023 Jun 20];2(4):1352-5. Available from: https://ojs.latinamericanpublicacoes.com.br/ojs/index.php/ah/article/view/644.
  35. Greenhalgh, T, Koh GCH, Car J. Covid-19: a remote assessment in primary care. Bmj [Internet]. 2020 [cited 2023 May 28];368:1-5. Available from: https://doi.org/10.1136/bmj.m1182.
  36. Fagherazzi G, Goetzinger C, Rashid MA, Aguayo GA, Huiart L. Digital health strategies to fight COVID-19 worldwide: challenges, recommendations, and a call for papers. J Med Internet Res [Internet]. 2020 [cited 2023 Jun 19];22(6): p.e1928. Available from: doi:10.2196/19284.
  37. Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinney D et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am Med Inform Assoc [Internet]. 2020 [cited 2023 Jun 19];27(6):957-62. Available from: 10.1093/jamia/ocaa067.
  38. Sarbadhikari S, Sarbadhikari SN. The global experience of digital health interventions in COVID-19 management. Indian J public health [Internet]. 2020 [cited 2023 Jun 19];64(6):117-24. Available from: 10.4103/ijph.IJPH_457_20.
  39. Toit M, Malau-Aduli B, Vangaveti V. Use of telehealth in the management of non-critical emergencies in rural or remote emergency departments: a systematic review. J telemedicine and telecare [Internet]. 2019 [cited 2023 Jun 19]; 25(1):3-16. Available from: 10.1177/1357633X17734239.
  40. Caffery LJ, Farjian M, Smith AC. Telehealth interventions for reducing waiting lists and waiting times for specialist outpatient services: A scoping review. J telemed telecare [Internet]. 2016 [cited 2023 Jun 19];22(8):504-12. Available from: 10.1177/1357633X16670495.
  41. Caetano R, Silva AB, Guedes ACCM, Paiva CCN, Ribeiro GR, Santos DL et al. Desafios e oportunidades para telessaúde em tempos da pandemia pela COVID-19: uma reflexão sobre os espaços e iniciativas no contexto brasileiro. Cad Saúde Pública [Internet]. 2020 [cited 2023 Jun 05];36(5):1-16. Available from: https://doi.org/10.1590/0102-311X00088920.
  42. Celippi IC, Lima GS, Rossi E, Wazlawick RS, Dalmarco EM. Uma análise sobre o desenvolvimento de tecnologias digitais em saúde para o enfrentamento da COVID-19 no Brasil e no mundo. Cad Saúde Pública [Internet]. 2021 [cited 2023 Jun 02];37(3):1-12. Available from: https://doi.org/10.1590/0102-311X00243220.
  43. Gama BMBM, Cruz CMA, França LM, Ferreira MR, Gomes SS, Godinho MR. Pandemia de COVID-19 e os cuidados de enfermagem aos pacientes em tratamento hemodialítico. Esc. Anna. Nery [Internet]. 2020 [cited 2023 Jun 05]; 24:1-7. Available from: https://doi.org/10.1590/2177-9465-EAN-2020-0413.
  44. Bitencourt JVOV, Meschial WC, Friozon G, Biffi P, Souza JB, Maestri E. Protagonismo do enfermeiro na estruturação e gestão de uma unidade específica para covid-19. Texto & Contexto-Enfermagem [Internet]. 2020 [cited 2023 Jun 05];29:e20200213. Available from: https://doi.org/10.1590/1980-265X-TCE-2020-0213.
  45. World Health Organization. Health Care Readiness. [cited 2023 Mar 28]. Available from: https://www.who.int/teams/health-care-readiness/covid-19.
  46. Reis LM, Lago PN, Carvalho AHS, Nobre VNN, Guimarães APR. Atuação da enfermagem no cenário da pandemia COVID-19. Nursing (São Paulo) [Internet]. 2020 [cited 2023 Jun 05];23(269):4765-72. Available from: https://doi.org/10.36489/nursing.2020v23i269p4765-4772.
  47. Feliciano AB, Fortuna CM, Silva MV, Santos KS, Araujo PN, Franceschini ABC. A pandemia de covid-19 e a educação permanente em saúde. Cadernos da Pedagogia [Internet]. 2020 [cited 2023 Jun 20];14(29):120-35. Available from: https://www.cadernosdapedagogia.ufscar.br/index.php/cp/article/view/1457.
  48. PERNAMBUCO. Secretaria de Saúde – Segurança do Paciente: recomendações aos Núcleos de Segurança do Paciente no Enfrentamento da COVID-19. Pernambuco, 2020. 102f.
  49. Santos JLS, Santana FA, Serafim CS, Freitas LR, Oliveira WLS, Melo MVS et al. Enfrentamento a covid-19: importância da educação permanente em serviços de saúde. Revista Eletrônica Acervo Enfermagem [Internet]. 2021 [cited 2023 Jun 05];13:1-10. Available from: https://doi.org/10.25248/reaenf.e8669.2021.

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