Comfort care of the patient in intensive care – an integrative review
Abstract
Aims – To identify comfort needs and measures of the patient admitted in intensive care units.Material and Method – The investigation questions are: wthat are the comfort needs of the patient admitted in intensive care and which measures should be undertaken to promote comfort to the patient admitted in intensive care units? It was carried out an analysis of the descriptors (keywords) in DeCS and MeSH within the scope of comfort care to elderly patient in intensive care units. Boolean research through data base searching engines: EBSCO, PubMed, B-ON, RCAAP, BVS, Cochrane Library, SciELO. It was obtained a 6488 article population of which 10 articles composed the sample. It was analysed the content of the corpus (corresponding to nursing care) allowing to obtain 2 categories totalizing 55 registration unities.
Results – Data distribution was according to theoretical assumptions of Kolcaba Theory: in the category of Comfort Needs (28 registration unities) - 28% are of physical order, 14% environmental, 56% psycho-spiritual and 14% of social order; as far as Comfort Measures are concerned (27 registration unities) – 18% concern suffering relieve, 56% peaceful atmosphere and 26% transcendence.
Conclusion – Comfort needs concern essentially physical and psycho-spiritual context and the comfort measures more frequently adopted are aim to relieve suffering and promote a peaceful atmosphere. Nursing disciplin is the one that shows more concern towards comfort care.
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References
Sousa P. O conforto da pessoa idosa. Lisboa: Universdade Católica Editora; 2014. 168 p.
Urden L, Stacy K, Lough M. Enfermagem de Cuidados Intensivos: diagnósticos e intervenção. 5a ed. Loures: Lusodidacta; 2008. 1292 p.
OMS. Relatório Mundial de Envelhecimento e Saúde [Internet]. Genebra: Organização Mundial de Saúde; 2015 [cited 2016 Jun 10]. Available from: http://apps.who.int/iris/bitstream/10665/186468/6/WHO_FWC_ALC_15.01_por.pdf?ua=1
Ministério da Saúde. Avaliação da Situação Nacional das Unidade de Cuidados Intensivos [Internet]. Lisboa: Ministério da Saúde; 2015. [cited 2016 Jun 1]. 459 p. Available from: http://www2.portaldasaude.pt/portal/conteudos/a+saude+em+portugal/publicacoes/estudos/avaliacao+uci.htm
ICN. Classificação internacional para a prática de Enfermagem: CIPE Versão 1. Tradução P. Genebra: Ordem dos Enfermeiros; 2005. 210 p.
Tomey AM, Alligood MR. Teóricas de Enfermagem e a sua obra: modelos e teorias de enfermagem. 5a ed. Loures: Lusociência; 2004.750 p.
Kolcaba K. Evolution of the mid range theory of comfort for outcomes research. Nurs Outlook [Internet]. 2001 Mar [cited 2016 Jun 10];49(2):86–92. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107034755&lang=pt-br&site=ehost-live
Kolcaba K. A theory of holistic comfort for nursing. J Adv Nurs [Internet]. 1994 Jun [cited 2016 Jun 10]; 19(6):1178–84. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107453730&lang=pt-br&site=ehost-live
Fortin MF. O processo de investigação: da concepção à realização. 3a Ed. Loures: Lusociência; 2003. 388 p.
Polit DF, Beck CT. Fundamentos de pesquisa de Enfermagem : avaliação de evidências para a prática de enfermagem. 7a Ed. Porto Alegre: Artmed; 2011. 667.
CRD. Systematic reviews: CRD’s guidance for undertaking reviews in health care [Internet]. 3a ed. York: University of York; 2009 [cited 2016 Jun 10]. Available from: http://www.york.ac.uk/media/crd/Systematic_Reviews.p
df
Whittemore R, Knafl K. The integrative review : updated methodology. J Adv Nurs. 2005;52(5):546–53.
Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it?. Einstein [Internet]. 2010 [cited 2016 Jun 10];8(1):102–6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000100102&lng=en&nrm=iso&tlng=en
Mendes KDS, Silveira RCDCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Context - Enferm. 2008;17(4):758–64.
Ramalho A. Manual de estudos e projetos de revisão sistemática com e sem metanálise. Coimbra: Formasau; 2005. 112 p.
BVS. Descritores em Ciências da Saúde [Internet]. São Paulo: Biblioteca Virtual em Saúde; 2016 Mar [cited 2016 May 14]. Available from: http://decs.bvs.br/
NCBI. MeSH [Internet]. Bethesda: National Center for Biotechology Information; 1999 Set 1 [updated 2016 Abr 1; cited 2016 Mai 14]. Available from: http://www.ncbi.nlm.nih.gov/mesh
Bardin L. Análise de Conteúdo. Lisboa: Edições 70; 1977. 229 p.
QRS International. NVivo 11 for Windows. 2016.
Amado JS. A Técnica de Análise de Conteúdo. Rev Ref. 2000 Nov; 5: 53-63 p.
Ramos Frausto VM, Rico Venegas RM, Martínez PC. Percepción del familiar acompañante com respecto al cuidado de enfermería en hospitalización. Enferm Global. 2012 Ene; 25: 219-32
Blanca Gutiérrez JJ, Blanco Alvariño AM, Luque Pérez, et al. Experiencias, percepciones y necesidades en la UCI: revisión sistemática de estudios cualitativos. Enferm Global. 2008 Feb; 12: 1-14
Castro C, Vilelas J, Botelho MAR. A experiência vivida da pessoa doente internada numa UCI: revisão sistemática da literatura. Pens Enferm. 2011 2º semestre; 15 (2): 41-59
Sousa PP, Mendes CMA. O conforto do doente idoso crónico em contexto hospitalar: contributos para uma revisão sistemática da literatura. Rev Enferm Ref [Internet]. 2012; III Série (7):149–58. Available from: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0874-02832012000200016&nrm=isso
Gélinas C, Arbour C, Michaud C, et al. Patients and ICU nurses' perspectives of non-pharmacological interventions for pain management. Nurs Crit Care. 2012; 18 (6): 307-18
Pott FS, Stahlhoefer T, Felix JVC, et al. Medidas de conforto e comunicação nas ações de cuidado de enfermagem ao paciente crítico. Rev Bras Enferm. 2013 Mar-Abr; 66 (2): 174-9
Silva JMC, Valente Ribeiro PPS. Estratégias de autocuidado das pessoas com doença oncológica submetidas a quimioterapia/radioterapia e a sua relação com o conforto. Enferm Global. 2015 Ene; 37: 384-99
Carvajal Carrascal G, Montenegro Ramírez JD. Higiene: cuidado básico que promueve la comodidade en pacientes críticos. Enferm Global. 2005 Oct; 40: 340-50
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