Objective: To synthesize the best available evidence on the effectiveness of nursing interventions in radiotherapy patient care and to summarize the evidence on the experience and acceptability of interventions reported by health professionals involved in the prevention and treatment of side effects. Method: A mixed-method systematic review. Quantitative and qualitative studies are presented. Results: Twelve studies published between 2013 and 2017 were included. Most interventions found focused on skin care, oral care, nausea and vomiting and nursing consultation. In accordance with high level of evidence and recommendation grade of the studies, the use of Calendula officinalis and thyme honey were considered effective for preventing and treating radiodermatitis and mucositis, respectively. Conclusion: The quality of evidence of nursing interventions is weak. Although there are studies with a strong design and a high level of evidence, publication of nursing interventions is not enough and does not present a high quality to support practice to plan an effective patient-centered care.
Objetivo: Conhecer principais diagnósticos, intervenções de enfermagem e o perfil de pacientes submetidos à radioterapia em um Hospital referência em Oncologia em Porto Alegre-RS. Método: Estudo quantitativo descritivo baseado em dados secundários de Prontuários Eletrônicos do Paciente do sistema de registro Hospitalar, atendidos entre agosto e setembro de 2017. Amostragem final de 223 prontuários. Resultados: 55,6% dos pacientes eram do sexo masculino, a média de idade da amostra foi de 61,59 anos e 50% procedente da região metropolitana do RS. Antes do tratamento 100% dos pacientes apresentaram diagnóstico de enfermagem de risco para integridade da pele prejudicada, seguido de integridade da pele prejudicada 43,9%. Após 10 dias, 61,9% apresentaram conforto prejudicado e 38,1% sentimento de impotência. Ao final do tratamento as condições da pele permaneceram inalteradas.Conclusão: Identificar diagnósticos de enfermagem no início do tratamento, incluindo os de risco, permite o Enfermeiro priorizar o cuidado centrado nas necessidades do paciente.
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