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Cuidados para minimizar a dor em unidade de terapia intensiva pediátrica: uma scoping review
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| Projeto de graduação_41756 | 1.2 MB | Adobe PDF |
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Introdução: Este trabalho centra-se na minimização da dor em crianças hospitalizadas em Unidades de Cuidados Intensivos Pediátricos (UCIP), enfatizando o uso de intervenções não farmacológicas (INF).
Objetivo: Mapear a literatura sobre INF no controlo da dor em UCIP.
Métodos: Realizou-se pesquisa nos motores de busca/ bases de dados PubMed, MedLine via EBSCO, CINAHL via EBSCO e Google Académico, utilizando uma frase booleana. Seleção de artigos efetuada de acordo com a estratégia Preferred Reporting Items for Systematic reviews and Meta-Analyses.
Resultados: Selecionados seis estudos, (quantitativos e qualitativos) que abordam INF: intervenções cognitivas, comportamentais, métodos físicos e outras estratégias. Resultados consistentes mostram melhorias fisiológicas (sinais vitais), alívio da dor e bem-estar emocional. Musicoterapia e reflexologia destacam-se pela eficácia. Limitações incluem custos de tecnologias imersivas e desafios em ambientes open space. As INF complementam a farmacoterapia, promovendo cuidados seguros e humanizados.
Conclusão: As INF são essenciais no controlo da dor em UCIP, fomentando conforto, estabilidade e bem-estar. Reforçam o papel do enfermeiro em cuidados centrados na criança e família. Contudo, limitações metodológicas e escassez de evidência a longo prazo limitam generalizações. Recomendam-se estudos longitudinais e multicêntricos para validar impactos duradouros e integrar abordagens holísticas na prática de enfermagem.
Introduction: This study focuses on minimizing pain in children hospitalized in Pediatric Intensive Care Units (PICU), emphasizing the use of non-pharmacological interventions (NPI) by nurses. Objective: To map the literature about NPI in pain management in PICU Methods: A search was conducted in the search engines/PubMed databases, MedLine via EBSCO, CINAHL via EBSCO, and Google Scholar, using a Boolean phrase. Articles were selected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy Results: Six studies (quantitative and qualitative) addressing NPI: cognitive interventions, behavioral interventions, physical methods, and other strategies. Consistent results show physiological improvements (vital signs), pain relief, and emotional well-being. Music therapy and reflexology stand out for their effectiveness. Limitations include the costs of immersive technologies and challenges in open space environments. NPI complement pharmacotherapy, promoting safe and humanized care. Conclusion: INF are essential in pain management in PICU, promoting comfort, stability, and well-being. They reinforce the role of nurses in child and family care. However, methodological limitations and the lack of long-term evidence limit generalizations. Longitudinal and multicenter studies are recommended to validate lasting impacts and integrate holistic approaches into nursing practices.
Introduction: This study focuses on minimizing pain in children hospitalized in Pediatric Intensive Care Units (PICU), emphasizing the use of non-pharmacological interventions (NPI) by nurses. Objective: To map the literature about NPI in pain management in PICU Methods: A search was conducted in the search engines/PubMed databases, MedLine via EBSCO, CINAHL via EBSCO, and Google Scholar, using a Boolean phrase. Articles were selected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy Results: Six studies (quantitative and qualitative) addressing NPI: cognitive interventions, behavioral interventions, physical methods, and other strategies. Consistent results show physiological improvements (vital signs), pain relief, and emotional well-being. Music therapy and reflexology stand out for their effectiveness. Limitations include the costs of immersive technologies and challenges in open space environments. NPI complement pharmacotherapy, promoting safe and humanized care. Conclusion: INF are essential in pain management in PICU, promoting comfort, stability, and well-being. They reinforce the role of nurses in child and family care. However, methodological limitations and the lack of long-term evidence limit generalizations. Longitudinal and multicenter studies are recommended to validate lasting impacts and integrate holistic approaches into nursing practices.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa para obtenção do grau de Licenciado em Enfermagem.
Palavras-chave
Enfermeiros pediátricos Dor processual Manejo da dor Pesquisa em enfermagem Unidade de terapia intensiva pediátrica Intervenções não farmacológicas Pediatric nurses Procedural pain Pain management Nursing research Pediatric intensive care unit Non-pharmacological interventions