Keywords
Enteral nutrition
Stroke
Home nursing
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Abstract
Objective: To analyze the literature on home nursing care in nutritional therapy for elderly patients after a Stroke. Methods: An integrative review was conducted with searches and selection in the LILACS, IBECS, MEDLINE, and BDENF databases. Seven primary studies were included, focusing on Stroke as the main problem, Enteral Nutritional Therapy as the area of interest, and Nursing Care as the context, with no time or language restrictions. Descriptive methods were used for data analysis and knowledge synthesis. Results: The main aspects highlighted in this area were the care related to the placement and fixation of the device. Additionally, the indications and advantages of its use compared to other feeding methods were discussed. The clinical benefits of the device, the associated challenges and risks, and the need for professional support to ensure care is structured with quality, safety, and efficiency were also identified. Conclusion: Despite the limitations in advancements, home nursing care in enteral nutrition stands out as a valuable and relevant approach to reducing complications and adverse events in elderly patients who have suffered a Stroke.
References
AFONSO MG, et al. Construção e validação de cartilha educativa multiprofissional para cuidadores de pacientes em terapia nutricional enteral domiciliar. Texto & Contexto-Enfermagem, 2021; 30: e20200158.
BELL CL. et al. Person-centered feeding care: A protocol to re-introduce oral feeding for nursing home patients with tube feeding. The Journal of nutrition, health and aging, 2016; 20 (6): 621-627.
BRAZIER S et al. Stroke: ineffective tube securement reduces nutrition and drug treatment. British Journal of Nursing, 2017; 26(12): 656-663.
CASTRÃO DL. Et al. Terapia nutricional enteral e parentetal: complicações em pacientes críticos- uma revisão de literatura. Comum. Cienc. Saúde. 2009; 20(1): 65-74.
CEBM. Oxford Centre for Evidence-Based Medicine. Levels of Evidence. Oxford: University of Oxford; 2009.
DALPIAN APC, et al. Avaliação da Percepção Corporal em Pacientes Pós-Acidente Vascular Cerebral (AVC). Revista Neurociências. 2013; 21(3):377-382.
DE SÁ BP, et al. Perfil de pacientes internados por Acidente Vascular Cerebral em hospital do Vale do Taquari/RS. Revista Neurociências, 2014; 22(3) 381-387.
DOMINGUES EA. Paciente idoso desospitalizado: a continuidade da terapia nutricional enteral domiciliar. Tese (Mestrado em ciências) - Escola de enfermagem. Universidade de São Paulo. São Paulo, 2019. 101 p.
ERCOLE FF, et al. Revisão integrativa versus revisão sistemática. REME-Revista Mineira de Enfermagem. 2014; 18(1): 9-11.
FUJINO V, et al. Terapia nutricional enteral em pacientes graves: revisão de literatura. Arq. Ciênc. Saúde. 2007; 14(4): 220-226.
HAYE JC. Current feeding policies for patients with stroke. British Journal of Nursing. 1998; 7(10): 580-588.
JACOBSSON C, et al. Outcomes of individualized interventions in patients with severe eating difficulties. Clinical nursing research. 1997; 6(1):25-44.
JUAN W, et al. A comparative study of two tube feeding methods in patients with dysphagia after stroke: a randomized controlled trial. Journal of Stroke and Cerebrovascular Diseases, v. 29, n. 3, p. 104602, 2020.
KELLY J, et al. Medicine administration errors in patients with dysphagia in secondary care: a multi‐centre observational study. Journal of advanced nursing. 2011; 67(12): 2615-2627
LIM ML, et al. Cuidando de pacientes em nutrição enteral domiciliar: complicações relatadas por cuidadores domiciliares e perspectivas de enfermeiros comunitários. Journal of clinical nursing, 2018; 27(13—14): 2825-2835.
MARZIALE MH. Instrumento para recolección de datos revisión integrativa. 2015. Available from: http://gruposdepesquisa.eerp.usp.br/sites/redenso/wp-content/uploads/sites/9/2019/09/Instrumiento_revision_litetarura_RedENSO_2015.pdf Spanish.
MOHER D, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA satement (Chinese edition). Journal of integrative medicine, 2009; 7(9): 889-896.
NAVES LK, TRONCHIN DMR. Nutrição enteral domiciliar: perfil dos usuários e cuidadores e os incidentes relacionados às sondas enterais. Revista Gaúcha De Enfermagem. 2018;39:e2017–0175.
SILVA IL, et al. Atuação interdisciplinar da nutrição e fonoaudiologia no desmame da via alternativa de alimentação em paciente grave pós AVC: um relato de caso. Rev. Soc. Cardiol. Estado de São Paulo. 2023; 33(2B): 271-271.
WHITTEMORE R, KNAFL K. The integrative review: updated methodology. Journal of advanced nursing. 2005; 52(5): 546-553.