Patient guidance during discharge after a tracheostomy: an integrative review

Monique Brito Pitzer; Paula Vanessa Peclat Flores; Marcella dos Santos Lopes da Silva; Ágatha Cappella Dias; Lorena Cupello Lobo dos Santos

doi:10.15253/2175-6783.20232491981

Authors

Monique Brito Pitzer Universidade Federal Fluminense https://orcid.org/0000-0001-6168-5064
Paula Vanessa Peclat Flores Universidade Federal Fluminense https://orcid.org/0000-0002-9726-5229
Marcella dos Santos Lopes da Silva Universidade Federal Fluminense https://orcid.org/0000-0002-1388-0567
Ágatha Cappella Dias Universidade Federal Fluminense https://orcid.org/0000-0002-1425-0516
Lorena Cupello Lobo dos Santos Universidade Federal Fluminense https://orcid.org/0000-0001-5167-1662

DOI:

https://doi.org/10.15253/2175-6783.20232491981

Keywords:

Nursing Care; Hospital to Home Transition; Tracheostomy; Nursing.

Abstract

Objective: to map the orientations provided by nurses for the self-care of patients during the postoperative period of tracheostomy and their transition from hospital to home. Methods: this is an integrative review. We used the PCC acronym, where the Population was adult patients with tracheostomy; the Concept, self-care (education/orientation by the nurse); and the Context, operation periods and home care. The study was based on the question: What guidelines for self-care should the nurse given to patients in the postoperative period of a tracheostomy and in the process of discharge? We carried out a wide search, whose results were reviewed by two researchers and organized around the phenomenon of interest. Results: 1,940 articles were found and 28 were selected. 16 phenomena of interest were organized into three categories: tracheostomy management, airway care, and activities of daily living. Conclusion: Self-care guidance is related to direct care of the stoma, how to act in home emergencies, and psychosocial aspects. Contributions to practice: identifying, summarizing, and organizing evidence about nursing clinical practice creates quality materials that can be implemented fast into clinical practice, especially in regard to preparing patients with tracheostomy for their discharge.

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References

Guimarães MF, Moreira MJS, Lopes L, Moreti F. Letter to Brazilian Association of Mouth and Throat Cancer. CoDAS. 2019;31(3):e20180122. doi: http://doi.org/10.1590/2317-1782/20182018122

Ministério da Saúde (BR). Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2023: incidência de câncer no Brasil [Internet]. 2023 [cited Aug 23, 2023]. Available from: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2023.pdf

Pitzer MB, Flores PVP, Dias AC. Dificuldades vivenciadas pelo paciente e cuidador no pós-operatório de traqueostomia. Rev Recien. 2022;12(39):76-86. doi: https://dx.doi.org/10.24276/rrecien2022.12.39.76-86

Neiva RO, Nogueira MC, Pereira AJ. Consulta pré-operatória de enfermagem e o autocuidado do paciente oncológico com ostomia respiratória. Braz J Enterostomal Ther. 2020;18:e2920. doi: https://doi.org/10.30886/estima.v18.914_PT

Soares THV, Barreiro BA, Franco CM, Reis EDC, Fiorillo GO, Gualter JPT, et al. Traqueostomia: indicações, técnicas, cuidados, complicações e decanulação. REAMed. 2023;23(4):1-7. doi: https://doi.org/10.25248/reamed.e12502.2023

Nascimento TS, Arcanjo ABB, Fernandes MJ. Indicações de traqueostomia em uma unidade de terapia intensiva. Arch Health Sci. 2023;30(1):1-5. doi: https://doi.org/10.17696/2318-3691.30.1.2023.176

Daraie S, Hasanvand S, Goudarzi F, Rassouli M. Gaining experience over time: the family caregivers’ perception of patients with a tracheostomy in home care. Iran J Nurs Midwifery Res. 2021;26(2):137-43. doi: https://dx.doi.org/10.4103/ijnmr.IJNMR_173_20

Amar-Dolan LG, Horn MH, O’Connell B, Parsons SK, Roussin CJ, Weinstocket PH, et al. “This is how hard it is”. Family experience of hospital-to-home transition with a tracheostomy. Ann Am Thorac Soc. 2020;17(7):860-8. doi: https://doi.org/10.1513/AnnalsATS.201910-780OC

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBO Global Wiki. 2020. doi: https://doi.org/10.46658/JBIMES-20-12

American Cancer Society (EUA). Living as a laryngeal or hypopharyngeal cancer survivor [Internet]. 2021 [cited Aug 3, 2023]. Available from: https://www.cancer.org/cancer/laryngeal-and-hypopharyngeal-cancer/after-treatment/follow-up.html

Healthcare Improvement Scotland. Caring for the patient with a tracheostomy [Internet]. 2007 [cited Aug 3, 2023]. Available from: https://www.healthcareimprovementscotland.org/previous_resources/best_practice_statement/caring_for_the_patient_with_a.aspx

Morris L, Afifi S. Tracheostomies: the complete guide. Emerg Nurse. 2011;19(2):9. doi: https://doi.org/10.7748/en.19.2.9.s4

Aguillar OM, Angerami ELS. Avaliação da orientação sistematizada na reabilitação da voz de pacientes laringectomizados. Rev Esc Enferm USP. 1983;17(1):47-60. doi: https://doi.org/10.1590/0080-6234198301700100047

Billington J, Luckett A. Care of the critically ill patient with a tracheostomy. Nurs Stand. 2019;34(2):59-65. doi: https://doi.org/10.7748/ns.2019.e11297

Castro AP, Oikawa SE, Domingues TAM, Hortense FTP, Domenico EBL. Educação em saúde na atenção ao paciente traqueostomizado: percepção de profissionais de enfermagem e cuidadores. Rev Bras Cancerol. 2014;60(4):305-13. doi: https://doi.org/10.32635/2176-9745.RBC.2014v60n4.445

Cherney RL, Pandian V, Ninan A, Eastman D, Barnes B, King E, et al. The trach trail: a systems-based pathway to improve quality of tracheostomy care and interdisciplinary collaboration. Otolaryngol Head Neck Surg. 2020;163(2):232-43. doi: http://doi.org/10.1177/0194599820917427

Choate K, Barbetti, J. Tracheostomy: your questions answered. Aus Nurs J [Internet]. 2003 [cited Aug 3, 2023];10(11):1-4. Available from: https://www.researchgate.net/publication/5287970_Tracheostomy_your_questions_answered

Costa ECL, Rodrigues CF, Matias JG, Bezerra SMG, Rocha DM, Machado RS, et al. Care for the prevention of complications in tracheostomized patients. Rev Enferm UFPE on line. 2019;13(1):169-78. doi: https://doi.org/10.5205/1981-8963-v13i1a238545p169-178-2019

Frace MA. Tracheostomy care on the medical-surgical unit. Med Surg Nurs [Internet]. 2010 [cited Aug 3, 2023];19(1):58-61. Available from: https://go.gale.com/ps/i.o?p=AONE&u=googlescholar&id=GALE|A221270273&v=2.1&it=r&sid=AONE&asid=3d9db91e

Freitas AAS, Cabral IE. O cuidado à pessoa traqueostomizada: análise de um folheto educativo. Esc Anna Nery. 2008;12(1):84-9. doi: https://doi.org/10.1590/S1414-81452008000100013

Gaspar MRF, Massi GA, Gonçalves CGO, Willig MH. A equipe de enfermagem e a comunicação com o paciente traqueostomizado. Rev CEFAC. 2015;17(3):734-44. doi: https://dx.doi.org/10.1590/1982-0216201514214

Karaca T, Altinbas Y, Aslan S. Tracheostomy care education and its effect on knowledge and burden of caregivers of elderly patients: a quasi‐experimental study. Scand J Caring Sci. 2019;33(4):878-84. doi: https://doi.org/10.1111/scs.12684

Léon-Fernández S, Pardal-Refoyo JL. Investigación bibliográfica sobre la atención de enfermería en la laringectomía total. Rev ORL. 2019;10(2):13. doi: https://doi.org/10.14201/orl.19366

Loerzel VW, Crosby WW, Reising E, Sole ML. Developing the tracheostomy care anxiety relief through education and support (T-CARES) program. Clin J Oncol Nurs. 2014;18(5):522-7. doi: https://doi.org/10.1188/14.cjon.522-527

Díaz RRM. Plan de cuidados individualizado al paciente laringuectomizado. Ene [Internet]. 2018 [cited Aug 3, 2023];12(1):701. Available from: https://scielo.isciii.es/pdf/ene/v12n1/1988-348X-ene-12-01-701.pdf

Mitchell RB, Hussey HM, Setzen G, Jacobs IN, Nussenbaum B, Dawson C, et al. Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg. 2012;148(1):6-20. doi: https://doi.org/10.1177/0194599812460376

Myatt R. Nursing care of patients with a temporary tracheostomy. Nurs Stand. 2015;29(26):42-9. doi: https://doi.org/10.7748/ns.29.26.42.e9742

Ramírez WO, González CG, Villasana GJP, Vásquez JAL. Efecto de una intervención educativa para la prevención de reingreso hospitalario por complicación en usuario con traqueostomia. Nure Inv [Internet]. 2020 [cited Aug 3, 2023];17(104):1-6. Available from: https://www.nureinvestigacion.es/OJS/index.php/nure/article/view/1871/903

Regan EN, Dallachiesa L. How to care for a patient with a tracheostomy. Nursing. 2009;39(8):34-9. doi: https://doi.org/10.1097/01.NURSE.0000358572.79112.bd

Serra A. Tracheostomy care. Nurs Stand. 2000;14(42):45-52. doi: http://doi.org/10.7748/ns2000.07.14.42.45.c2872

Shellenbarger T, Narielwala S. Caring for the patient with laryngeal cancer at home. Home Healthc Nurse. 1996;14(2):80-8. doi: https://doi.org/10.1097/00004045-199602000-00002

Tamburri LM. Care of the patient with a tracheostomy. Orthop Nurs. 2000;19(2):49-58. doi: https://doi.org/10.1097/00006416-200019020-00008

Woodrow P. Managing patients with a tracheostomy in acute care. Nurs Stand. 2002;16(44):39-46. doi: https://doi.org/10.7748/cnp.v1.i8.pg42

Wright SE, VanDahm K. Long-term care of the tracheostomy patient. Clin Chest Med. 2003; 24(3):473-87. doi: https://dx.doi.org/10.1016/s0272-5231(03)00054-6

Donoso MTV, Silqueira SMF, Barbosa RCGA, Vasconcelos TRC, Anastácio VLA. Oxigenoterapia e ventilação mecânica em atenção domiciliar [Internet]. 2013 [cited Aug 8, 2023];1-82. Available from: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/4259.pdf

Patton J. Tracheostomy care. Br J Nurs. 2019; 28(16):1060-2. doi: https://dx.doi.org/10.12968/bjon.2019.28.16.1060

Khanum T, Zia S, Khan T, Kamal S, Khoso MN, Alvi J, et al. Assessment of knowledge regarding tracheostomy care and management of early complications among healthcare professionals. Braz J Otorhinolaryngol. 2022;88(2):251-6. doi: https://doi.org/10.1016/j.bjorl.2021.06.011

Pitol SB, Costa AEK, Lohmann PM. Nursing care for tracheostomized patients admitted to a medium-sized hospital in Vale do Taquari-RS-Brazil. Res Soc Develop. 2021;10(5):e27010512606. doi: https://doi.org/10.33448/rsd-v10i5.12606

Bozec A, Boscagli M, Serris M, Chamorey E, Dassonville O, Poissonnet G, et al. Long-term functional and quality of life outcomes in laryngectomized patients after successful voice restoration using tracheoesophageal prostheses. Surg Oncol. 2021;38:101580. doi: https://doi.org/10.1016/j.suronc.2021.101580

Neves WFS, Correa Júnior AJS, Dias ALL, Sonobe HM, Santana ME. Prototipagem de um recurso alternativo de comunicação para a pessoa com câncer de laringe traqueostomia. Res Soc Develop. 2021;10(4):e26410413990. doi: https://doi.org/10.33448/rsd-v10i4.13990

Tres DA, Cipolato FA, Castro ES, Uberti C, Martini RG, Toso BRGO, et al. Tecnologias cuidado-educativas para o cuidado domiciliar de crianças traqueostomizadas: revisão integrativa. Res Soc Develop. 2022;11(2):e2811225210. doi: https://doi.org/10.33448/rsd-v11i2.25210