Avaliação clínica da maturação da fístula arteriovenosa para hemodiálise: revisão de escopo
Resumo Objetivo: Mapear as evidências de pesquisa disponíveis para avaliação clínica da maturação da fístula arteriovenosa. Métodos: Estudo do tipo Scoping review, com busca realizada entre outubro a novembro de 2019 nas bases de dados JBI, Cochrane, Biblioteca Virtual em Saúde, PubMed, e CINAHL, se...
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Published in | Acta paulista de enfermagem Vol. 34 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | Portuguese |
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Escola Paulista de Enfermagem, Universidade Federal de São Paulo
2021
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Abstract | Resumo Objetivo: Mapear as evidências de pesquisa disponíveis para avaliação clínica da maturação da fístula arteriovenosa. Métodos: Estudo do tipo Scoping review, com busca realizada entre outubro a novembro de 2019 nas bases de dados JBI, Cochrane, Biblioteca Virtual em Saúde, PubMed, e CINAHL, sendo incluídos estudos com pacientes maiores de 18 anos, com doença renal crônica pré-dialítica ou já em hemodiálise, submetidos à cirurgia da fístula arteriovenosa; texto disponível; e idiomas inglês, espanhol ou português. Foram excluídos estudos relacionados a fase pós-operatória ou relacionados a cuidados com próteses/enxertos arteriovenosos. Resultados: Foram identificadas 1954 publicações elegíveis, dos quais 38 compuseram a amostra final. O estudo compreendeu publicações entre 1998 e 2018, com abrangência internacional do tema (94,7%). O profissional executor da avaliação foi predominantemente o enfermeiro ou equipe de enfermagem (47,4%), e a avaliação teve início no pós-cirúrgico imediato, até meses após a cirurgia. Dentre as técnicas de avaliação clínica, 23 estudos (60,5%) recomendaram o exame físico e 15 (39,5%) a combinação anamnese e exame físico. Conclusão: A presente revisão apresentou o mapeamento de evidências, nas quais a avaliação clínica da fístula arteriovenosa deve incluir anamnese e exame físico, sendo apresentados vários elementos ligados a permeabilidade e respostas vasculares do acesso. Houve a predominância do profissional enfermeiro como avaliador, sendo ressaltada a necessidade do treinamento para execução da avaliação, além de uma avaliação mais abrangente, com aplicação do Processo e Teorias de Enfermagem, e Linguagens Padronizadas, o que pode propiciar um novo campo de investigação e desenvolvimento na área. |
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AbstractList | Resumo Objetivo: Mapear as evidências de pesquisa disponíveis para avaliação clínica da maturação da fístula arteriovenosa. Métodos: Estudo do tipo Scoping review, com busca realizada entre outubro a novembro de 2019 nas bases de dados JBI, Cochrane, Biblioteca Virtual em Saúde, PubMed, e CINAHL, sendo incluídos estudos com pacientes maiores de 18 anos, com doença renal crônica pré-dialítica ou já em hemodiálise, submetidos à cirurgia da fístula arteriovenosa; texto disponível; e idiomas inglês, espanhol ou português. Foram excluídos estudos relacionados a fase pós-operatória ou relacionados a cuidados com próteses/enxertos arteriovenosos. Resultados: Foram identificadas 1954 publicações elegíveis, dos quais 38 compuseram a amostra final. O estudo compreendeu publicações entre 1998 e 2018, com abrangência internacional do tema (94,7%). O profissional executor da avaliação foi predominantemente o enfermeiro ou equipe de enfermagem (47,4%), e a avaliação teve início no pós-cirúrgico imediato, até meses após a cirurgia. Dentre as técnicas de avaliação clínica, 23 estudos (60,5%) recomendaram o exame físico e 15 (39,5%) a combinação anamnese e exame físico. Conclusão: A presente revisão apresentou o mapeamento de evidências, nas quais a avaliação clínica da fístula arteriovenosa deve incluir anamnese e exame físico, sendo apresentados vários elementos ligados a permeabilidade e respostas vasculares do acesso. Houve a predominância do profissional enfermeiro como avaliador, sendo ressaltada a necessidade do treinamento para execução da avaliação, além de uma avaliação mais abrangente, com aplicação do Processo e Teorias de Enfermagem, e Linguagens Padronizadas, o que pode propiciar um novo campo de investigação e desenvolvimento na área. |
Author | Silva, Paulo Cezar Gonçalves da Zaccaro, Kênia Rocha Leite Duarte, Sabrina da Costa Machado Benevides, Andrea Barroso Lopes, Rafael Oliveira Pitta Correia, Bianca Rafaela Brandão, Marcos Antonio Gomes Silva, Rafael Celestino da |
AuthorAffiliation | Universidade Federal do Rio de Janeiro |
AuthorAffiliation_xml | – name: Universidade Federal do Rio de Janeiro |
Author_xml | – sequence: 1 givenname: Bianca Rafaela surname: Correia fullname: Correia, Bianca Rafaela organization: Universidade Federal do Rio de Janeiro – sequence: 2 givenname: Marcos Antonio Gomes surname: Brandão fullname: Brandão, Marcos Antonio Gomes organization: Universidade Federal do Rio de Janeiro – sequence: 3 givenname: Rafael Oliveira Pitta surname: Lopes fullname: Lopes, Rafael Oliveira Pitta organization: Universidade Federal do Rio de Janeiro – sequence: 4 givenname: Paulo Cezar Gonçalves da surname: Silva fullname: Silva, Paulo Cezar Gonçalves da organization: Universidade Federal do Rio de Janeiro – sequence: 5 givenname: Kênia Rocha Leite surname: Zaccaro fullname: Zaccaro, Kênia Rocha Leite organization: Universidade Federal do Rio de Janeiro – sequence: 6 givenname: Andrea Barroso surname: Benevides fullname: Benevides, Andrea Barroso organization: Universidade Federal do Rio de Janeiro – sequence: 7 givenname: Sabrina da Costa Machado surname: Duarte fullname: Duarte, Sabrina da Costa Machado organization: Universidade Federal do Rio de Janeiro – sequence: 8 givenname: Rafael Celestino da surname: Silva fullname: Silva, Rafael Celestino da organization: Universidade Federal do Rio de Janeiro |
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DOI | 10.37689/acta-ape/2021ar00232 |
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DocumentTitleAlternate | Evaluación clínica de la maduración de la fístula arteriovenosa para hemodiálisis: revisión de alcance |
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Keywords | Fístula arteriovenosa Diálisis renal Arteriovenous fistula Evaluación en salud Health evaluation Diálise renal Avaliação em saúde Renal dialysis Cuidados posoperatorios Cuidados pós-operatórios Postoperative care Avaliação em enfermagem |
Language | Portuguese |
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Snippet | Resumo Objetivo: Mapear as evidências de pesquisa disponíveis para avaliação clínica da maturação da fístula arteriovenosa. Métodos: Estudo do tipo Scoping... |
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Title | Avaliação clínica da maturação da fístula arteriovenosa para hemodiálise: revisão de escopo |
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