Cuidados de enfermagem aos pacientes com metástases ósseas submetidos à radioterapia: revisão de escopo
DOI:
https://doi.org/10.15253/2175-6783.20232481537Palabras clave:
Cuidados de Enfermagem; Metástase Neoplásica; Osso e Ossos; Radioterapia.Resumen
Objetivo: mapear estudos sobre os cuidados de enfermagem aos pacientes com metástases ósseas submetidos à radioterapia. Métodos: revisão de escopo realizada em nove bases de dados, segundo as diretrizes do Instituto Joanna Briggs. Foram incluídos artigos científicos disponíveis para acesso aberto na íntegra, em qualquer idioma, independentemente do método utilizado. Resultados: foram analisados 13 estudos, com predomínio de revisões de literatura. As temáticas foram: educação em saúde a pacientes e a acompanhantes, sobre os eventos relacionados ao esqueleto; avaliação e manejo da dor; prevenção da fratura patológica; manejo da compressão medular; avaliação da hipercalcemia; garantia da segurança na administração de bifosfonatos orais; avaliação da qualidade de vida; e monitorização do progresso, eventos adversos e resultados terapêuticos. Conclusão: os enfermeiros fornecem importante suporte contínuo aos pacientes, monitoram o progresso, os efeitos colaterais e os resultados terapêuticos, bem como previnem e manejam os eventos relacionados ao esqueleto. Contribuições para a prática: o estudo destacou os principais cuidados de enfermagem aos pacientes com metástases ósseas em tratamento radioterápico, sendo relevante para dar subsídio teórico aos profissionais direcionando sua assistência, especialmente na área da oncologia.
Citas
Fares J, Fares MY, Khachfe HH, Salhab HA, Fares Y. Molecular principles of metastasis: a hallmark of cancer revisited. Signal Transduct Target Ther. 2020;5(1):28. doi: https://dx.doi.org/10.1038/s41392-020-0134-x
Vičić I, Belev B. The pathogenesis of bone metastasis in solid tumors: a review. Croat Med J. 2021;62(3):270-82. doi: http://doi.org/10.3325/cmj.2021.62.270
Hiraga T. Bone metastasis: Interaction between cancer cells and bone microenvironment. J Oral Biosci. 2019;61(2):95-8. doi: https://dx.doi.org/10.1016/j.job.2019.02.002
Drudge-Coates L, Muilekom E, Torre-Montero JC, Leonard K, Oostwaard M, Niepel D. et al Management of bone health in patients with cancer: a survey of specialist nurses. Support Care Cancer. 2020;28(3):1151-62. doi: https://dx.doi.org/10.1007/s00520-019-04858-2
Ma X, Yu J. Role of the bone microenvironment in bone metastasis of malignant tumors - therapeutic implications. Cell Oncol (Dordr). 2020;43(5):751-61. doi: https://dx.doi.org/10.1007/s13402-020-00512-w
Tan H, Wang F, Ni M, Liu F, Wu P. Pain care nursing ameliorates the psychological burden and improves the efficacy in combined treatment of radiotherapy and zoledronic acid for bone metastasis of malignant tumor. Int J Clin Exp Med [Internet]. 2019 [cited Dec. 20, 2022];12(7):8985‐91. Available from: https://www.cochranelibrary.com/es/central/doi/10.1002/central/CN-02010859/full
Saldanha ZO, Sá AMM, Santos MNA, Santana ME. O cuidado de enfermagem para a mulher que vivencia câncer de mama com metástase óssea. Enferm Foco. 2020;11(5):34-9. doi: https://doi.org/10.21675/2357707X.2020.v11.n5.3289
Rapeaud E, Meynard C, Lecante F, Durdux C. Métastases osseuses: efficacité et modalités de prescription de la radiothérapie classique. Cancer Radiother. 2021;25(6-7):707-12. doi: https://doi.org/10.1016/j.canrad.2021.06.021
Aielli F, Ponzetti M, Rucci N. Bone metastasis pain, from the bench to the bedside. Int J Mol Sci. 2019;20(2):280. doi: https://doi.org/10.3390/ijms20020280
Pituskin E, Sneath S, Rabel H, O’Rourke T, Duggleby W, Hunter K, et al. Addressing pain associated with bone metastases: oncology nursing roles in a multidisciplinary rapid-access palliative radiotherapy clinic. Semin Oncol Nurs. 2022;38(2):151279. doi: https://doi.org/10.1016/j.soncn.2022.151279
Cinar D, Yesilbalkan OU, Yildirim Y, Pamuk A. Examining pain and performance status of radiotherapy cancer patients with bone metastasis. Int J Caring Sci [Internet]. 2018 [cited Dec. 18, 2022];11(2):1083-94. Available from: https://www.internationaljournalofcaringsciences.org/docs/51_cinar_ori ginal_10_2.pdf
Munn Z, Pollock D, Khalil H, Alexander L, Mclnerney P, Godfrey CM, et al. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis. JBI Evid Synt. 2022;20(4):950-2. doi: http://dx.doi.org/10.11124/JBIES-21-00483
Lockwood C, Santos KB, Pap R. Practical guidance for knowledge synthesis: scoping review methods. Asian Nurs Res. 2019;13(5):287-94.doi: http://dx.doi.org/10.1016/j.anr.2019.11.002
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D Tricco, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. doi: http://dx.doi.org/10.7326/M18-0850
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:71. doi: https://doi.org/10.1016/j.ijsu.2021.105906
Fitch M, Maxwell C, Ryan C, Löthman H, Drudge-Coates L, Costa L. Bone metastases from advanced cancers: clinical implications and treatment options. Clin J Oncol Nurs. 2009;13(6):701-10. doi: https://doi.org/10.1188/09.CJON.701-710
Beaumont T, Leadbeater M. Treatment and care of patients with metastatic breast cancer. Nurs Stand. 2011;25(40):49-56. doi: https://dx.doi.org/10.7748/ns2011.06.25.40.49.c8566
Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Can Oncol Nurs J. 2012;22(2):84-100. doi: https://doi.org/10.5737/1181912x2228
Farrell C. Bone metastases: assessment, management and treatment options. Br J Nurs. 2013;22(10):4-11. doi: http://doi.org/10.12968/bjon.2013.22.Sup7.S4
Campbell-Baird C, Harrelson S, Frey G, Balakumaran A. Clinical efficacy of denosumab versus bisphosphonates for the prevention of bone complications: implications for nursing. Support Care Cancer. 2015;23(12):3625-32. doi: https://doi.org/10.1007/s00520-015-2887-2
Sharma N, Purkayastha A. Follicular thyroid carcinoma presenting as large solitary vertebral metastasis: report of two unusual cases treated with radiotherapy. Asia Pac J Oncol Nurs. 2017;4(3):269-72. doi: https://doi.org/10.4103/apjon.apjon_26_17
Geerling J, Van Der Linden Y, Mul V, Nijs E, Oudhof M, Raijmakers N, et al. Pain education of patients with painful bone metastases reduces pain; a multicentre randomised trial. Radiother Oncol [Internet]. 2018 [cited Dec. 18, 2022];127. Available from: https://www.cochranelibrary.com/central/doi/10.1002/central/CN-01630624/full
Serçe S, Ovayolu Ö, Pirbudak L, Ovayolu N. The effect of acupressure on pain in cancer patients with bone metastasis: a nonrandomized controlled trial. Integr Cancer Ther. 2018;17(3):728-36. doi: https://doi.org/10.1177/1534735418769153
Pituskin E, Fairchild A. Prostate cancer with bone metastases: addressing chronic pain from the perspective of the radiation oncology nurse practitioner. Semin Oncol Nurs. 2021;37(4):151175. doi: https://doi.org/10.1016/j.soncn.2021.151175
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Rev Rene
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.