NURSING CARE FOR PATIENTS UNDERGOING HEART SURGERY

Mônica Leal Nascimento, Geane Silva Oliveira, Gyanna Sybelly Silva Matos, Macerlane De Lira Silva
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Abstract

INTRODUCTION: Nursing care for patients undergoing heart surgery is extremely important, as it is possible to avoid risks, as well as the manifestation of various complications. With regard to cardiac surgeries, surgical interventions have the possibility of reducing mortality and thus improving the quality of life of patients, as it favors the development and improvement of assistance itself. OBJECTIVE: To identify nursing care for patients undergoing cardiac surgery in the literature. METHODOLOGY: this study is an integrative review of the literature, based on the following guiding question: what is the nursing care provided to patients undergoing cardiac surgery? Data collection took place between the months of January and February 2024 through the databases Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Databases (BDENF), making use of the descriptors in health sciences (DeCS): nursing, cardiac surgery and patient. For the inclusion criteria, the following were adopted: articles published between the years 2019 and 2023, articles available in Portuguese for free, which addressed the topic and which were available in full, duplicate articles were excluded, that is, those present in more of a database, incomplete articles, and those that deviated from the study proposal. RESULTS AND DISCUSSIONS: It is worth noting that the postoperative period of cardiac surgeries, a period during which the patient recovers from post-anesthetic and post-surgical stress, is marked by the destabilization of the patient’s clinical condition, and is therefore , full of specificities, and critical care. Therefore, the postoperative period of cardiac surgery requires continued attention, resoluteness, and highly complex care from the nursing team. Therefore, it is possible to minimize various complications, such as changes in blood pressure levels, as well as compensation of organic systems. CONCLUSION: It is concluded, therefore, that the assistance of the nursing team to patients undergoing cardiac surgery is essential, as it makes it possible to carry out a continuous investigation, as well as to determine human responses, as well as to elaborate possible nursing diagnoses.
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心脏手术患者的护理
导言:对接受心脏手术的患者进行护理极为重要,因为这样可以避免风险以及各种并发症的出现。就心脏手术而言,手术干预有可能降低死亡率,从而提高患者的生活质量,因为它有利于辅助本身的发展和改善。目的:在文献中找出对心脏手术患者的护理。方法:本研究是对文献的综合回顾,基于以下指导性问题:为心脏手术患者提供了哪些护理?在 2024 年 1 月至 2 月期间,通过科学电子图书馆在线(SCIELO)、拉丁美洲和加勒比健康科学文献(LILACS)、护理数据库(BDENF)等数据库收集数据,并使用健康科学描述符(DeCS):护理、心脏手术和患者。纳入标准如下:2019 年至 2023 年间发表的文章、免费提供的葡萄牙语文章、涉及该主题且全文可用的文章、排除重复文章,即存在于更多数据库中的文章、不完整的文章以及偏离研究建议的文章。结果与讨论:值得注意的是,心脏手术的术后时期是病人从麻醉后和手术后的应激状态中恢复的时期,其特点是病人的临床状况不稳定,因此充满了特殊性和危急性。因此,心脏手术术后需要护理团队的持续关注、果断和高度复杂的护理。因此,可以最大限度地减少各种并发症,如血压水平的变化以及机体系统的补偿。结论:因此,护理小组对心脏手术患者的协助是必不可少的,因为这可以进行持续的调查,确定人的反应,并制定可能的护理诊断。
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