Intervenções de enfermagem na reabilitação de pessoas com intestino neurogênico: revisão integrativa
DOI:
https://doi.org/10.4025/ciencuidsaude.v21i0.61197Palabras clave:
Intestino Neurogénico; Enfermería; Enfermería en RehabilitaciónResumen
Objetivo: identificar quais intervenções de enfermagem são mais eficazes para a reabilitação de pessoas com intestino neurogênico. Método: revisão integrativa da literatura, no período de março de 2016 a dezembro de 2021, nos idiomas inglês, português e espanhol, nas bases de dados eletrônicasCINAHL, Cochrane Library, Embase (Elsevier) e MEDLINE, com os descritores “Neurogenicbowel” and“Nursing”. Critérios de inclusão: estudos na íntegra, com conteúdos sobre intervenções de enfermagem para pacientes adultos com intestino neurogênico. Resultados: oito estudos incluídos. As intervenções mais citadas foram adequação dietética e ingestão hídrica(62,5%); uso apropriado de medicamentos (50%); massagem abdominal, retirada manual das fezes e estimulação reto-digital (50%); posicionamento para evacuação, prática de exercícios físicos e estimulação elétrica (25%). Considerações finais: a síntese integrativa dos estudos evidenciou que os resultados mais efetivos são os que associam mais de uma intervenção e que decorrem da avaliação individualizada e sistemática realizada pelo enfermeiro
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Referencias
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8. Martinez AP, Azevedo GR. Tradução, adaptação cultural e validação da Bristol StoolFormScale para a população brasileira. Rev Latino-Am Enfermagem. 2012;20(3):1-7. DOI: https://doi.org/10.1590/S0104-11692012000300021
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16. Nelson MES, Orr M. Digital rectal stimulation as an intervention in persons with spinal cord injury and upper motor neuron neurogenic bowel. An evidenced-based systematic review of the literature. J Spinal Cord Med. 2021;44(4):525-532. DOI: 10.1080/10790268.2019.1696077
17. Zhang Y, Xia X, Zhuang X. Effect of quantitative assessment-based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. J Clin Nurs. 2018; 27(5-6):1146-1151. DOI: 10.1111/jocn.14198
18. Yeung HY, Iyer P, Pryor J, Nicholson M. Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. DisabilRehabil. 2021; 43(9):1208- 1219. DOI: 10.1080/09638288.2019.1652702
19. McClurg D, Norton C. What is the best way to manage neurogenic bowel dysfunction? BMJ. 2016;354:i3931. DOI: 10.1136/bmj.i3931
20. Kurze1 I, Geng V, Böthig R. Guideline for the management of neurogenic bowel dysfunction in spinal cord injury/disease. Spinal Cord. 2022; 60:435-443. DOI: https://doi.org/10.1038/s41393-022-00786-x
21. Organização Pan-Americana da Saúde. Cuidados inovadores para condições crônicas: organização e prestação de atenção de alta qualidade à s doenças crônicas não transmissíveis nas Américas. Washington, DC: OPAS, 2015. 1. Doença Crônica. 2. Assistência à Saúde. 3. Inovação. 4. Américas. I. Título. II. Organização Mundial da Saúde. ISBN 978-92-75-71738-7.
22. Kayikçi EE, Kocatepe V, Akyuz F, Can G. The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science. 2020;8(3):311-7. DOI: 10.14235/bas.galenos.2020.2832
23. Johns J, Krogh K, Rodriguez GM, Eng J, Haller E, Heinen M, et al. Management of neurogenic bowel dysfunction in adults after spinal cord injury: clinical practice Guideline for healthcare providers. Journal of Spinal Cord Med. 2021;44(3):442-510. DOI: 10.1080/10790268.2021.1883385.
24. Santos LT, Matos GSR, Nogueira PC, Simis M. Effect of transcutaneous abdominal electrical stimulation in people with constipation due to spinal cord injuries: a pilot study. RevEscEnferm USP. 2022;56(spe):e20210449. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0449en
25. Todd C, Woodward S. Experience of nurses caring for patients with neurogenic Bowel Dysfunction. JWOCN. 2018;45(2):163–167. DOI:10.1097/won.0000000000000413
2. Consortium for Spinal Cord Medicine Clinical practice guidelines: Management of Neurogenic Bowel Dysfunction in Adults after Spinal Cord Injury. 2020. https://pvacf.org/wp-content/uploads/2020/10/CPG_Neurogenic-Bowel-Recommendations.single-6.pdf. Accessed March 28, 2021.
3. Mekhael M, Kristensen H, Larsen HM, Juul T, Emmanuel A, Krogh K, et al. Transanal irrigation for neurogenic bowel disease, low anterior resection syndrome, faecal incontinence, and chronic constipation: a systematic review. J Clin Med. 2021;10(4):753. DOI: 10.3390/jcm10040753.
4. Campoy LT, Rabeh SAN, Castro FFS, Nogueira PC, Terçariol CAS. Bowel rehabilitation of individuals with spinal cord injury: video production. Rev Bras Enferm. 2018;71(5):2376-82. DOI: http://dx.doi.org/10.1590/0034-7167-2017-0283
5. Emmanuel A, Kurze I, Krogh K, Velasco ME, Christensen P, Christensen P, et al. An open prospective study on the efficacy of Navina Smart, an electronic system for transanal irrigation, in neurogenic bowel dysfunction. PLoS ONE. 2021;16(1):e0245453. DOI: https://doi.org/10.1371/ journal.pone. 0245453
6. Johns JS, Krogh K, Ethans K, Chi J, Querée M, Eng JJ, et al. Pharmacological management of neurogenic bowel dysfunction after spinal cord injury and multiple sclerosis: a systematic review and clinical implications. J. Clin. Med. 2021;10(4):882. DOI: https://doi.org/10.3390/jcm10040882
7. Bernardi M, Fedullo AL, Bernardi E, Munzi D, Peluso I, Myers J, et al. Diet in neurogenic bowel management: a viewpoint on spinal cord injury. World J Gastroenterol. 2020;26(20):2479-2497. DOI: 10.3748/wjg. v26.i20.2479
8. Martinez AP, Azevedo GR. Tradução, adaptação cultural e validação da Bristol StoolFormScale para a população brasileira. Rev Latino-Am Enfermagem. 2012;20(3):1-7. DOI: https://doi.org/10.1590/S0104-11692012000300021
9. Mendes KD, Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências em saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. DOI: https://doi.org/10.1590/S0104-07072008000400018
10. Moher D, Liberati A, Tetzlaff J, Altmn DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097
11. Melnyk BM, Fineout-Overholt E. Making the Case for Evidence-Based Practice. In: Melnyk BM, Fineout-Overholt E. Eds. Evidence-Based Practice in Nursing & Healthcare. A Guide to Best Practice. 2011. 2nd Edition, Lippincot Williams & Wilkins, Philadelphia, 3-24.
12. Wincentak J, Xu Y, Rudden L, Truong C, Krog K, Kingsnorth. Current state of knowledge on digital rectal stimulation in individuals with traumatic and nontraumatic spinal cord injury: a scoping review. Arch Phys Med Rehabil. 2021;102(9):1816-1825. DOI: 10.1016/j.apmr.2020.12.023
13. McClurg, D; Booth, L; Herrero-Fresneda, I. Safety and efficacy of intermittent colonic exoperistalsis device to treat chronic constipation: a prospective multicentric clinical trial. Clin Transl Gastroenterol. 2020;11(12):e00267. DOI: 10.14309/ctg.0000000000000267
14. Durney P, Stillman M, Montero W, Goetz L. A Primary care provider's guide to neurogenic bowel dysfunction in spinal cord injury. Top Spinal Cord InjRehabil. 2020; 26(3):172-176. DOI: 10.46292/sci2603-172
15. McClurg D, Harris F, Goodman K, Doran S, Hagen S, Treweek S, et al. Abdominal massage plus advice, compared with advice only, for neurogenic bowel dysfunction in MS: a RCT. Health TechnolAssess. 2018;22(58):1-134. DOI: 10.3310/hta22580
16. Nelson MES, Orr M. Digital rectal stimulation as an intervention in persons with spinal cord injury and upper motor neuron neurogenic bowel. An evidenced-based systematic review of the literature. J Spinal Cord Med. 2021;44(4):525-532. DOI: 10.1080/10790268.2019.1696077
17. Zhang Y, Xia X, Zhuang X. Effect of quantitative assessment-based nursing intervention on the bowel function and life quality of patients with neurogenic bowel dysfunction after spinal cord injury. J Clin Nurs. 2018; 27(5-6):1146-1151. DOI: 10.1111/jocn.14198
18. Yeung HY, Iyer P, Pryor J, Nicholson M. Dietary management of neurogenic bowel in adults with spinal cord injury: an integrative review of literature. DisabilRehabil. 2021; 43(9):1208- 1219. DOI: 10.1080/09638288.2019.1652702
19. McClurg D, Norton C. What is the best way to manage neurogenic bowel dysfunction? BMJ. 2016;354:i3931. DOI: 10.1136/bmj.i3931
20. Kurze1 I, Geng V, Böthig R. Guideline for the management of neurogenic bowel dysfunction in spinal cord injury/disease. Spinal Cord. 2022; 60:435-443. DOI: https://doi.org/10.1038/s41393-022-00786-x
21. Organização Pan-Americana da Saúde. Cuidados inovadores para condições crônicas: organização e prestação de atenção de alta qualidade à s doenças crônicas não transmissíveis nas Américas. Washington, DC: OPAS, 2015. 1. Doença Crônica. 2. Assistência à Saúde. 3. Inovação. 4. Américas. I. Título. II. Organização Mundial da Saúde. ISBN 978-92-75-71738-7.
22. Kayikçi EE, Kocatepe V, Akyuz F, Can G. The effects of abdominal massage on the management of constipation: a systematic review of randomised controlled trials. Bezmialem Science. 2020;8(3):311-7. DOI: 10.14235/bas.galenos.2020.2832
23. Johns J, Krogh K, Rodriguez GM, Eng J, Haller E, Heinen M, et al. Management of neurogenic bowel dysfunction in adults after spinal cord injury: clinical practice Guideline for healthcare providers. Journal of Spinal Cord Med. 2021;44(3):442-510. DOI: 10.1080/10790268.2021.1883385.
24. Santos LT, Matos GSR, Nogueira PC, Simis M. Effect of transcutaneous abdominal electrical stimulation in people with constipation due to spinal cord injuries: a pilot study. RevEscEnferm USP. 2022;56(spe):e20210449. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0449en
25. Todd C, Woodward S. Experience of nurses caring for patients with neurogenic Bowel Dysfunction. JWOCN. 2018;45(2):163–167. DOI:10.1097/won.0000000000000413
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Publicado
2022-11-29
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Sección
Artigos de revisão
Cómo citar
Intervenções de enfermagem na reabilitação de pessoas com intestino neurogênico: revisão integrativa. (2022). Ciência, Cuidado E Saúde, 21. https://doi.org/10.4025/ciencuidsaude.v21i0.61197
