Patient guidance during discharge after a tracheostomy: an integrative review

• Published in: Rev. RENE Vol. 24; p. e91981
• Main Authors: Pitzer, Monique Brito, Flores, Paula Vanessa Peclat, Silva, Marcella dos Santos Lopes da, Dias, Ágatha Cappella, Santos, Lorena Cupello Lobo dos
• Format: Journal Article
• Language: English
• Published: Universidade Federal do Ceará 08.11.2023
• Subjects: nursing care; hospital to home transition; tracheostomy; nursing
• ISSN: 1517-3852; 2175-6783
• DOI: 10.15253/2175-6783.20232491981

Objective: to map the orientations provided by nurses for the self-care of patients during the postoperative period of tracheostomy and their transition from hospital to home. Methods: this is an integrative review. We used the PCC acronym, where the Population was adult patients with tracheostomy; the Concept, self-care (education/orientation by the nurse); and the Context, operation periods and home care. The study was based on the question: What guidelines for self-care should the nurse given to patients in the postoperative period of a tracheostomy and in the process of discharge? We carried out a wide search, whose results were reviewed by two researchers and organized around the phenomenon of interest. Results: 1,940 articles were found and 28 were selected. 16 phenomena of interest were organized into three categories: tracheostomy management, airway care, and activities of daily living. Conclusion: Self-care guidance is related to direct care of the stoma, how to act in home emergencies, and psychosocial aspects. Contributions to practice: identifying, summarizing, and organizing evidence about nursing clinical practice creates quality materials that can be implemented fast into clinical practice, especially in regard to preparing patients with tracheostomy for their discharge.