Keywords
Stroke
Nursing
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To understand the role of nurses in the treatment of thrombolysis in patients with ischemic stroke reported in the scientific literature. Methods: This is an integrative review conducted through Pubmed, using the descriptors found on the Medical Subject Headings (MeSH) website: “Thrombolytic Therapy”, “Stroke” and “Nursing”. The inclusion criteria were articles published in the last ten years, in Portuguese, English and Spanish, with free access and free of charge, that addressed the topic. Duplicate articles and articles published outside the stipulated period, other reviews, articles not available in full and that are not freely accessible were excluded, and 12 articles were selected. Results: Studies show that the use of intravenous thrombolysis is often restricted due to the limited time in which it can be used. However, the importance of nurses in early identifying patients with stroke was highlighted, verifying possible indications or contraindications and the possibility of thrombolytic treatment. Final considerations: The role of the nurse in the thrombolysis of patients with ischemic stroke reported in the literature was understood, but it was noted that there are few articles that address the topic. Most publications are limited to studying the effectiveness of thrombolytic treatment.
References
ALMEIDA SEM. Análise epidemiológica do acidente vascular cerebral no Brasil. Rev. Neurocienc, 2012; 20(2): 481-482.
AMORIM DM. Características clínicas e fatores de riscos em pacientes jovens com acidente vascular cerebral. Trabalho de Conclusão do Curso (Bacharelado em Medicina) – Universidade Federal da Bahia, Salvador, 2012; 40.
BENSENOR IM,et al. Prevalência de AVC e incapacidade associada no Brasil: pesquisa nacional de saúde. Arq. Neuro-Psiquiatr, 2015; 73(9): 746-750.
BRASIL. Resolução CNS nº 466. 2012. Disponível em: https ://conselho.saude.gov.br/resolucoes/2012/R eso466.pdf. Acessado em: 20 de janeiro de 2024.
DALPIAN APC e GRAVEMTQ, et al. Avaliação da percepção corporal em pacientes pós-acidente vascular cerebral. Rev. Neurocienc, 2013; 21(3): 377-382.
FRANÇA RM e FONTES VLF, et al. O idoso com acidente vascular cerebral (AVC) isquêmico agudo: vivenciando o cuidado. Revista Brasileira de Ciências do Envelhecimento Humano, 2004; 1(2): 22-29.
HACKE W, et al. Thrombolysis with Alteplase 3 to 4.5 hours after Acute Ischemic Stroke. N Engl J Med, 2008; 359(13): 1317-29.
HASNAIN MG, et al. Can a multicomponentmultidisciplinaryimplementationpackagechangephysicians' and nurses' perceptions and practices regarding thrombolysis for acute ischemic stroke? Anexploratory analysis of a cluster-randomized trial. Implement Sci, 2019; 14(1): 98.
HUNG L e HU Y, et al. Exploring the impact of intravenous thrombolysis on length of stay for acutei schemic stroke: a retrospectivec ohort study. BMC Health Services Research, 2015; 15: 404.
JAUCH EC, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke, 2013; 44(3): 870-947.
JEON S, et al. Multidisciplinary Approach to Decrease In-Hospital Delay for StrokeThrombolysis. J Stroke, 2017; 19(2): 196-204.
LAVADOS PM, et al. Strokeepidemiology, prevention, and management strategiesat a regional level: Latin America and the Caribbean. Lancet Neurol, 2007; 6(4): 362–72.
LEVI CR, et al. Cluster‐Randomized Trial of Thrombolysis Implementation Support in Metropolitan and Regional Australian Stroke Centers: Lessons for Individual and Systems Behavior Change. J Am Heart Assoc. 2020; 9(3): 12732.
LIU Z, et al. Effects of Nursing Quality Improvement on Thrombolytic Therapy for Acute Ischemic Stroke. Front Neurol. 2019; 29(9): 1025.
OLIVEIRA DS. Análise do perfil epidemiológico de pacientes com acidente vascular encefálico atendidos na clínica escola de saúde do UNIFOR-MG. Trabalho de Conclusão de Curso (Bacharelado em Fisioterapia) – Centro Universitário de Formiga, Formiga, 2013; 60.
ONG, C, et al. Out come of stroke patients receiving different doses of recombinanttis sueplasminogen activator. Drug Des Devel Ther., 2017; 11: 1159-1566.
SÁBPD e GRAVE MTQ, et al. Perfil de pacientes internados por acidente vascular cerebral em hospital do Vale do Taquari - RS. Rev. Neurocienc, 2014; 22(3): 381-387.
SAPOSNIK G, et al. Strokeoutcome in those over 80: a multicenter cohort study across Canada. Stroke, 2008; 39(8): 2310-7.
SCHMIDT A, et al. AcuteIschemicStroke (AIS) patient management in French stroke units and impact estimation of thrombolysis on care path ways and associated costs. Cere brovasc Dis, 2015; 39(2): 94-101.
SBIBAE. SOCIEDADE BENEFICENTE ISRAELITA BRASILEIRA ALBERT EINSTEIN. Diretrizes assistenciais acidente vascular cerebral. 2010. Disponível em: http ://medicalsuite.einstein.br/diretrizes/ neurologia/AVC.pdf. Acessado em: 20 de janeiro de 2025.
SOUZA MP e OLIVEIRA IRS. Enfermagem na assistência ao paciente com acidente vascular cerebral em ambiente intra-hospitalar. Monografia (Especialização em Urgência e Emergência) – Faculdade Redentor, Três Rios, 2012; 180.
SOUZA MT, et al. Revisão Integrativa: o que é e como fazer. Einstein, 2010; 8(1): 102-106.
SUN Z, et al. Effect of Comprehensive Nursing Intervention on the Effect of CT-Guided Intravenous Thrombolysis in Acute Cerebral Infarction. J Healthc Eng, 2022: 6959416.
TEXEIRA RA e SILVA LDD, et al. Tratamento trombolítico no Acidente Vascular Cerebral Isquêmico. Revista Neurociências, 2004, 12(1): 1-13.
TSENG Y, et al. Risk Factors Associated with Outcomes of Recombinant Tissue Plasminogen Activator Therapy in Patients with Acute Ischemic Stroke. Int J Environ Res Public Health, 2020; 17(2): 618.
VENTURELLI PM, et al. Impact of Evidence‐Based Stroke Care on Patient Outcomes: A Multilevel Analysis of an International Study. J Am Heart Assoc. 2019; 8(13): 12640.
YIN C, et al. Effect of standardized nursing cooperation on intravenousthrombolysis with recombinantt issue plasminogen activator in acute ischemic stroke. Am J Transl Res. 2021; 13(10): 11925-11931.
YOU S, et al. Efficacy and safety of intravenous recombinantt issue plasminogen activator in mildischaemic stroke: a meta-analysis. Stroke Vasc Neurol. 2018; 3(1): 22-27.