Hipodermóclise: Revisão Sistemática Da Literatura

Vidal, Franciele Karolline Gonçalves; Oselame, Gleidson Brandão; Neves, Eduardo Borba; Oliveira, Elia Machado de

doi:10.13037/ras.vol13n45.2953

Cited by 13 publications

(45 citation statements)

References 2 publications

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“…This lack of knowledge may be associated with a lack of discussion on the subject in schools (15) , a fact that needs to be reviewed, because nursing team knowledge allows reflection on the importance of its role in using this method as a therapeutic resource. Theoretical and practical knowledge about SC therapy can minimize mechanical and tissue trauma, provide comfort, and reduce stress and pain from repeated and unsuccessful punctures for the infusion of fluids and drugs (8) . Change of puncture site every two days.…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in Paraná (3) showed that only 0.02% of the patients used hypodermoclysis at the institution. Therefore, it is necessary to consider that drug administration is one of the care functions performed, most times, by the nursing team; consequently, it is essential to disseminate information to and train this team (8) . Hypodermoclysis is considered a simple, safe, and effective practice for hydroelectrolytic replacement and/or drug therapy in patients who require clinical treatment in a hospital or home setting (1)(2)(3)22) .…”

Section: / Switzerlandmentioning

confidence: 99%

“…Due to the scarcity of studies and scientific publications that encourage its use, some advantages, even incipient ones, have been presented in order to make the adoption of this practice feasible in health services, including low cost (inexpensive materials when compared to other types of punctures; costs for maintenance of the IV route are about four times greater (17) ), simplicity of insertion of the peripheral catheter, ease of administration and maintenance, and possibility of early hospital discharge (due to its effectiveness, safety, and ease of home management). It also provides comfort, convenience, and autonomy to the patient, as well as minimal risk of local or systemic complications (1,3,8,22) . Additionally, the technique has the lowest degree of limitation due to the differentiated options of puncture sites (preferably distant from the joints) and low incidence of infection, favoring a greater acceptance by patients, their families, and the health team (6,8,23) .…”

Section: / Switzerlandmentioning

confidence: 99%

“…It also provides comfort, convenience, and autonomy to the patient, as well as minimal risk of local or systemic complications (1,3,8,22) . Additionally, the technique has the lowest degree of limitation due to the differentiated options of puncture sites (preferably distant from the joints) and low incidence of infection, favoring a greater acceptance by patients, their families, and the health team (6,8,23) . Furthermore, it is the best route for safe and effective administration of opioids, with fewer adverse events, by reducing the fluctuation of these drugs' plasma concentrations.…”

Section: / Switzerlandmentioning

confidence: 99%

“…The vascularization of the SC tissue accounts for around 6% of the cardiac output and reaches lower serum concentrations, but with a longer action time, and higher than that of the IV and IM routes. As a result, pre-systemic clearance by the liver is avoided, resulting in a stable drug serum concentration, preventing undesirable side effects due to plasma peaks (8) . SC therapy encompasses not only the replacement of fluids, but also medicines that were prescribed for this route, such as antimicrobials and analgesics, among others.…”

Section: Introductionmentioning

confidence: 99%

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Nursing knowledge and practices regarding subcutaneous fluid administration

et al. 2017

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Objective: To describe the evidence in the literature regarding the knowledge and practices of the nursing team about subcutaneous administration of drugs and fl uids in adults. Method: Integrative review of the literature using the descriptors "nursing", "hypodermoclysis", "drug administration routes", "adult health," and "knowledge," in English, Spanish, and Portuguese, with no publication deadline. Of the 569 articles found, eight made up the sample. Results: A predominance of international journals (75%) with more than fi ve years of publication (62.5%). The analysis of the methodological characteristics showed a predominance of literature reviews (25%), quantitative studies (62.5%), cross-sectional studies (50%), and nonexperimental studies (50%). Conclusion: Although it is an old technique with proven effi cacy, hypodermoclysis is still little used, a puzzling fact due to its advantages and indications for any age. Descriptors: Nursing; Hypodermoclysis; Drug Administration Routes; Knowledge; Practical Nursing. RESUMO Objetivo: descrever as evidências, na literatura, sobre os conhecimentos e as práticas da equipe de enfermagem na administração de medicamentos e de fl uidos por via subcutânea no adulto. Método: revisão integrativa da literatura utilizando os descritores enfermagem, hipodermóclise, vias de administração de medicamentos, saúde do adulto e conhecimento; nos idiomas inglês, espanhol e português, sem data limite de publicação. Dos 569 artigos encontrados, oito compuseram a amostra. Resultados: predomínio de revistas internacionais (75%) e com mais de cinco anos de publicação (62,5%). Ao analisarem-se as características metodológicas, predominaram: revisões de literatura (25%), estudos quantitativos (62,5%), estudos transversais (50%) e não-experimentais (50%). Conclusão: apesar de se tratar de uma técnica antiga com efi cácia comprovada, a hipodermóclise ainda é pouco utilizada, fato incoerente pelas suas vantagens e suas indicações para qualquer idade.

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Section: Discussionmentioning

confidence: 99%

Section: / Switzerlandmentioning

confidence: 99%

Section: / Switzerlandmentioning

confidence: 99%

Section: / Switzerlandmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing knowledge and practices regarding subcutaneous fluid administration

et al. 2017

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Hipodermóclise: alternativa para infusão de medicamentos em pacientes idosos e pacientes em cuidados paliativos

Figueiró

Milão

2019

PAJAR

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Aim: execute a theoretical review about the use and applicability of subcutaneous therapy and to construct a guide for dilutions and compatibilities between drugs, allowing a safe and effective use by elderly or in need of palliative care patients.Source of data: The research resource used was the search for scientific data in databases such as Lilacs, Medline, Pubmed, and Scielo, to perform a narrative review on the subject, using the terms "Hipodermóclise", "Terapia subcutânea", "Hypodermoclysis" and "Subcutaneous”.Summary of findings: Considering the progressive increase in the elderly population and also in the number of people with chronic or terminal diseases, is important the development of techniques which ensure the comfort and the autonomy of these patients. The Hypodermoclysis or subcutaneous therapy has its therapeutical efficiency proved and it also can be helpful with patients who don´t have the oral way as a possibility for medication administration and hydration. It presents a safe and low-risk way to adverse effects, also acting as relief resource to symptoms such as náusea, vomiting, hard control pain, and dehydration. However, there are some disadvantages such as the impossibility of fast doses and volume adjustment, the limited and infusion speed and the small number of medicine and electrolytes that can be infused.Conclusion: Hypodermoclysis is a safe way of administration, since the clinical characteristics of each patient are considered and, in order to fit the technique, it is necessary to create a database according to the reality of each institution, considering the characteristics of each medicine and the necessary care to promote the quality of life of these patients, so that they can reach their therapeutic goals.

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Percepções de cuidadores familiares sobre o uso da hipodermóclise no domicílio

Martins

Cordeiro

Zillmer

et al. 2019

Revenf

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O objetivo deste estudo é investigar as percepções dos familiares sobre a carga de cuidados de pacientes sobre o uso da hipodermoclise no domicílio. Se você deseja realizar uma investigação qualitativa descritiva em caso de entrevistas semiestruturadas com 10 participantes no serviço de assistência domiciliar brasileira. Os dados são organizados no programa Etnograph e mostram algumas análises de conteúdo de Bardin. Como o principal resultado é obter as pessoas que carregam o cuidado de pacientes expostos e consultados com relação a aceitar a responsabilidade por cuidados médicos com hipodermoclise, indica asocian com o muerte. Sem embargo, com o passo do tempo, reconfigure esse método para facilitar o cuidado e melhorar a comodidade do paciente. Se você concluir que a assistência de profissionais do serviço de saúde pode ajudar os familiares a carregar a carga de cuidados de pacientes se adaptar o uso da hipodermoclise no domicílio.

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Hipodermóclise: Revisão Sistemática Da Literatura

Cited by 13 publications

References 2 publications

Nursing knowledge and practices regarding subcutaneous fluid administration

Nursing knowledge and practices regarding subcutaneous fluid administration

Hipodermóclise: alternativa para infusão de medicamentos em pacientes idosos e pacientes em cuidados paliativos

Percepções de cuidadores familiares sobre o uso da hipodermóclise no domicílio

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