Palabras clave
Cuidados Postoperatorios
Dolor
Cirugía Torácica
Procedimientos Quirúrgicos Cardíacos
Enfermería Complementary Therapies
Postoperative Care
Pain
Thoracic Surgery
Cardiac Surgical Procedures
Nursing Terapias Complementares
Cuidados Pós-Operatórios
Dor
Cirurgia Torácica
Procedimentos Cirúrgicos Cardíacos
Enfermagem
PlumX Metrics
Resumen
Objetivo: Mapear la producción de conocimiento sobre las principales terapias no farmacológicas para el alivio del dolor postoperatorio en pacientes sometidos a cirugía cardíaca. Método: Revisión de alcance realizada de acuerdo con las recomendaciones del Instituto Joanna Briggs y checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews, en 11 fuentes de datos nacionales e internacionales. Se seleccionaron 17 estudios sin límite de tiempo ni restricciones de idioma. Resultados: Predominó la cirugía de revascularización miocárdica. De los 17 artículos seleccionados, diez (58,8%) se referían a masajes, cinco (29,4%) a musicoterapia, uno (5,9%) a acupresión y uno (5,9%) a aromaterapia. La Escala analógica visual predominó en la valoración del dolor. El tiempo de intervención varió de tres a 30 minutos. Conclusión: Las principales medidas no farmacológicas utilizadas en el alivio del dolor posquirúrgico fueron el masaje terapéutico, la música, la acupresión y la aromaterapia.
Citas
Brasil. Brasília (DF): Ministério da Saúde. Procedimentos hospitalares do sus - por local de internação - BRASIL [Internet]. 2020 [Cited 2020 out 26]. DATASUS - Sistema de Informações Hospitalares do SUS (SIH/SUS). Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/qiuf.def
Vieira CAC, Soares AJC. Perfil clínico e epidemiológico dos pacientes que realizaram cirurgia cardíaca no hospital sul fluminense – HUSF. Rev Saúde [Internet]. 2017 [Cited 2020 out 2020];8(1):3-7. Available from: https://doi.org/10.21727/rs.v8i1.607
Ribeiro KRA, Gonçalves FAF, Borges MM, Loreto RGO, Amaral MS. Pós-Operatório de Revascularização do Miocárdio: Possíveis Diagnósticos e Intervenções de Enfermagem. Rev Pesqui (Univ Fed Estado Rio J, Online) [internet]. 2019 [cited 2021 may 20];11(3):801-808. Available from: https://doi.org/10.9789/2175-5361.2019.v11i3.801-808.
Silva LLT, Mata LRF, Silva AF, Daniel JC, Andrade AFL, Santos ETM. Cuidados de enfermagem nas complicações no pós-operatório de cirurgia de revascularização do miocárdio. Rev baiana enferm [Internet]. 2017 [Cited 2020 out 28];31(3):201-81. Available from: https://doi.org/10.18471/rbe.v31i3.20181
Pereira KT, Silva BS, Soares NJD, Hueb AC. Perfil de pacientes e a ocorrência de complicações após cirurgia cardiovascular em hospital quaternário. Rev Ciênc Saúde [Internet]. 2019 [cited 2021 may 20];9(2):17-22. Available from: https://doi.org/10.21876/rcshci.v9i2.850
Menezes TC, Bassi D, Cavalcanti RC, Barros JESL, Granja KSB, Calles ACN et al. Comparações e correlações da intensidade da dor e da força muscular periférica e respiratória no pré e pós-operatório de cirurgia cardíaca. Rev bras ter intensiva [internet]. 2018 [Cited 2021 may 20];30(4):479-486. Available from: https://doi.org/10.5935/0103-507x.20180069
Lima V, Lohmann PM, Costa AEK, Marchese C. O uso da escala da dor pelos profissionais de enfermagem no contexto da urgência e emergência: uma revisão integrativa. Research, Society and Development [internet]. 2020 [Cited 2021 may 20];9(11):e079119403. Available from: https://doi.org/10.33448/rsd-v9i11.9403.
Varndell W, Fry M, Elliott D. Exploring how nurses assess, monitor and manage acute pain for adult critically ill patients in the emergency department: protocol for a mixed methods study. Scand J Trauma Resusc Emerg Med [Internet]. 2017 [Cited 2020 out 29]; 25(1):75. Available form: https://doi.org/10.1186/s13049-017-0421-x
Bonilla-Marciales AP, Vásquez-Hernandéz SM, Ariza-Silva PA, Pinzon-Gómez ID, Ramos-Ortega L, Santiago-Alvarez JC et al. Avaliação dos conhecimentos para o tratamento não farmacológico da dor. Rev Cienc Cuidad [Internet]. 2020 [cited 2021 may 20];17(2):65-76. Available from: https://doi.org/10.22463/17949831.1646
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Reviewer´s Manual, JBI [Internet]. 2020 [cited 2020 out 23]. Available from: https://reviewersmanual.joannabriggs.org/
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med [Internet]. 2018 [cited 2020 out 23];169(7):467-73. Available from: https://doi.org/10.7326/M18-0850
Dantas JKS, Sarmento SDG, da Silva BVS, Dantas DV, Dantas RAN. Terapias não farmacológicas no alívio da dor no pós-operatório de cirurgia cardíaca: revisão de escopo. 2020 [Cited 2020 nov 01]. Available from: https://doi.org/10.17605/OSF.IO/BQ678
Harrison TM, Brown R, Duffey T, Frey C, Bailey J, Nist MD. Effects of Massage on Postoperative Pain in Infants With Complex Congenital Heart Disease. Nurs Rec [Internet]. 2020 [Cited 2020 nov 15];69(5):36-46. Available from: https://doi.org/10.1097/NNR.0000000000000459 [incluída na revisão]
Alameri R, Dean G, Castner J, Volpe E, Elghoneimy Y, Jungquist C. Efficacy of Precise Foot Massage Therapy on Pain and Anxiety Following Cardiac Surgery: Pilot Study. Pain Manag Nurs [Internet]. 2019 [Cited 2020 nov 15]; 21(4):314-22. Available from: https://doi.org/10.1016/j.pmn.2019.09.005 [incluída na revisão]
Hassan HE, Mokabel FM, AL_Radwan NA. Effect of Massage Therapy on the Mood and Pain of Post Cardiac Catheterization Patients [Internet]. Am J Nurs. 2019 [Cited 2020 nov 15];7(3):392-9. Available from: https://doi.org/10.12691/ajnr-7-3-21 [incluída na revisão]
Boitor M, Martorella G, Maheu C, Laizner AM, Gélinas C. Effects of Massage in Reducing the Pain and Anxiety of the Cardiac Surgery Critically III—a Randomized Controlled Trial. Pain Med [Internet]. 2018 [Cited 2020 nov 15];19:2556-69. Available from: https://doi.org/10.1093/pm/pny055 [incluída na revisão]
Narimani M, Jaberi AA, Bonabi TN, Sadeghi T. Effect of Acupressure on Pain Severity in Patients Undergoing Coronary Artery Graft: A Randomized Controlled Trial. Anesth Pain Med [Internet]. 2018 [Cited 2020 nov 15];8(5):e82920. Available from: https://doi.org/10.5812/aapm.82920 [incluída na revisão]
Seifi Z, Bikmoradi A, Bazrafshan M, Poorolajal J, Araghchian M, Kashfi SH, et al. The Effect of Inhalation Aromatherapy with Lavender Essential oil on Pain Severity of Patients After Coronary Artery Bypass Surgery: A Single-blind Randomised Clinical Trial. J Clin Diagn Res [Internet]. 2018 [Cited 2020 nov 18];12(7):1-5. Available from: https://doi.org/10.7860/JCDR/2018/34865.11721 [incluída na revisão]
Cigerci Y, Ozbayir T. The effects of music therapy on anxiety, pain and the amount of analgesics following coronary artery surgery. Turk Gogus Kalp Dama [Internet]. 2016 [Cited 2020 nov 18];24(1):44-50. Available fom: https://doi.org/10.5606/tgkdc.dergisi.2016.12136 [incluída na revisão]
Tarika, Qureshi A, Mawar S, Devagourou. A Study to Evaluate the Effect of Music on Pain Intensity and Physiological Parameters among Post - Operative Cardiac Patients in AIIMS, New Delhi. IJSR [Internet]. 2015 [Cited 2020 nov 18];4(2):762-8. Available from: https://www.ijsr.net/search_index_results_paperid.php?id=SUB151233 [incluída na revisão]
Boitor M, Martorella G, Maheu C, Laizner AM, Gélinas C. Effects of Massage in Reducing the Pain and Anxiety of the Cardiac Surgery Critically III—a Randomized Controlled Trial. Pain Med [Internet]. 2018 [Cited 2020 nov 18];19:2556-69. Available from: https://doi.org/10.1093/pm/pny055 [incluída na revisão]
Ajorpaz NM, Mohammadi A, Najaran H, Khazaei S. Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery. Nurs Midwifery Stud [Internet]. 2014 [Cited 2020 nov 23];3(3):e20213. Available from: https://doi.org/10.17795/nmsjournal20213 [incluída na revisão]
Braun AL, Stanguts C, Casanelia L, Ed CG, Spitzer O, Paul E, et al. Massage therapy for cardiac surgery patients—a randomized trial. J Thorac Cardiovasc Surg [Internet]. 2012 [Cited 2020 nov 23];144(6):1453-9. Available from: https://doi.org/10.1016/j.jtcvs.2012.04.027 [incluída na revisão]
Asadizaker M, Fathizadeh A, Haidari A, Goharpai S, Fayzi S. The effect of foot and hand massage on postoperative cardiac surgery pain. Int J Midwifery Nurs [Internet]. 2011 [Cited 2020 nov 23];3(10):165-9. Available from: https://academicjournals.org/journal/IJNM/article-full-text-pdf/5992CBF1057 [incluída na revisão]
Albert NM, Gillinov AM, Lytle BW, Feng J, Cwynar R, Blackstone EH. A randomized trial of massage therapy after heart surgery. Heart Lung [Internet]. 2009 [Cited 2020 nov 23];38(6):480-90. Available from: https://doi.org/10.1016/j.hrtlng.2009.03.001 [incluída na revisão]
Hatem TP, Lira PIC, Mattos SS. The therapeutic effects of music in children following cardiac surgery. J Pediatr (Rio J) [Internet]. 2006 [Cited 2020 nov 23];82(3):186-92. Available from: https://doi.org/10.2223/JPED.1473 [incluída na revisão]
Kshettry VR, Carole LF, Henly SJ, Sendelbach S, Kummer B. Complementary Alternative Medical Therapies for Heart Surgery Patients: Feasibility, Safety, and Impact. Ann Thorac Surg [Internet]. 2006 [Cited 2020 nov 23];81(1):201-5. Available from: https://doi.org/10.1016/j.athoracsur.2005.06.016 [incluída na revisão]
Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P. Effects of Music Therapy on Physiological and Psychological Outcomes for Patients Undergoing Cardiac Surgery. J Cardiovasc Nurs [Internet]. 2006 [Cited 2020 nov 23];21(3):194-200. Available from: https://doi.org/10.1097/00005082-200605000-00007 [incluída na revisão]
Hattan J, King L, Griffiths P. The impact of foot massage and guided relaxation following cardiac surgery: a randomized controlled trial. J Adv Nurs [Internet]. 2002 [Cited 2020 nov 23];37(2):199-207. Available from: https://doi.org/10.1046/j.1365-2648.2002.02083.x [incluída na revisão]
Chandrababu R, Nayak BS, Pai VB, N R, George LN, Devi ES, et al. Effects of foot massage and patient education in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. Complement Ther Clin Pract [Internet]. 2020 [Cited 2020 nov 23];40(2020):1-9. Available from: https://doi.org/10.1016/j.ctcp.2020.101215
Najafi SS, Rast F, Momennasab M, Mahmood G, Dehghanrad F, Mousavizadeh SA. The Effect of Massage Therapy by Patients’ Companions on Severity of Pain in the Patients Undergoing Post Coronary Artery Bypass Graft Surgery: A Single-Blind Randomized Clinical Trial. Int J Community Based Nurs Midwifery [internet]. 2014 [Cited 2020 dez 03];2(3):128-35. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201205/
Abdou F, El-Hafez AIA. Effect of Foot Reflexology Practice on Acute Pain and Anxiety of Critically ill Patients after Cardiothoracic Surgery. Int J Innov Res Sci Eng Technol [Internet]. 2018 [Cited 2020 dez 03];3(8):2121-8. Available from: https://doi.org/10.23958/ijirms/vol03-i08/01.
Silva KG, Taets GGC, Bergold LB. A utilização da música em uma unidade pediátrica: contribuindo para a humanização hospitalar. Rev Enferm UERJ [Internet]. 2017 [Cited 2020 dez 03]; 25:1-5. Available from: https://doi.org/10.12957/reuerj.2017.26265
Firmeza MA, Rodrigues AB, Melo GAA, Aguiar MIF, Cunha GH, Oliveira PP et al. Control of anxiety through music in a head and neck outpatient clinic: a randomized clinical trial. Rev Esc Enferm USP [Internet]. 2017 [Cited 2021 may 24];51:1-8. Available from: https://doi.org/10.1590/s1980-220x2016030503201
França GS, Lima CM, Sarah TL, Santos GRAC, Oliveira LL, Souza RR. A utilização de métodos não farmacológicos para o alívio da dor durante o trabalho de parto e parto. REAS [Internet]. 2021 [Cited 2021 may 20];13(5):1-14. Available from: https://doi.org/10.25248/reas.e7215.2021.
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2021 Array