Loading...
Publication
Otimizar a comunicação da pessoa com cancro da laringe, submetida a laringectomia total – intervenções de enfermagem no período peri-operatório:
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 247.98 KB | Adobe PDF |
Advisor(s)
Abstract(s)
Enquadramento: A pessoa submetida a laringectomia total sofre uma perda abruta da sua capacidade de comunicar oralmente, como consequência da ausência de voz laríngea para falar, resultante da completa ablação da laringe. Para além de ter a sua comunicação limitada com os demais, o que por si só tem um profundo impacto, a pessoa vê limitada a sua capacidade para comunicar sintomas, expressar as suas necessidades e sentimentos, questionar ou solicitar cuidados, o que interfere, entre outros aspetos, com a qualidade e segurança dos cuidados prestados. Objetivo: identificar a evidência científica disponível na literatura sobre as intervenções promotoras de uma comunicação eficaz, da pessoa submetida a Laringectomia Total, no período peri-operatório. Metodologia: Foi efetuada uma Scoping Review que seguiu protocolo preconizado pelo Joanna Briggs Institute e que teve por base a questão de pesquisa “Quais as intervenções de enfermagem promotoras da comunicação eficaz da pessoa com cancro da laringe, submetida a laringectomia total, no período peri-operatório?” Foi realizada pesquisa nas bases de dados eletrónicas CINAHL® e MEDLINE® entre 1 a 16 de fevereiro de 2019. Foram incluídos artigos de estudos primários, estudos de caso, teóricos e revisões da literatura, em inglês, espanhol e português, publicados entre 2000 e 2019. Resultados: Foram identificados 20 artigos publicados entre 2000 e 2019. Conclusões: Esta Scoping Review permitiu responder à pergunta de pesquisa inicial, identificando uma grande variedade de intervenções direcionadas para a otimização da comunicação da pessoa laringectomizada ou que podem ser adaptadas a estas pessoas. A utilização da mimica labial; gestos; sinais; expressões faciais, bem como a escrita foram as estratégias mais vezes mencionadas, seguidos da utilização de perguntas simples e do uso de dispositivos geradores de fala. As condições ambientais; as competências dos profissionais de saúde; a incorporação da família e a prestação de apoio emocional emergiram como condições e recursos para o cuidado otimizador da comunicação.
ABSTRACT: Backgroud: The person undergoing total laryngectomy suffers an abrupt loss of ability to communicate orally, as a consequence of the lack of voice to speak resulting from complete laryngeal ablation. In addition to having limited communication with others, which in itself has a profound impact, the person is limited in her capacity to communicate symptoms, express their needs and feelings, question or request care, which interferes, among other things, with the quality and safety of the care provided. Objective: To identify the scientific evidence available in the literature on the interventions that promote effective communication of the person undergoing Total Laryngectomy in the peri-operative period. Methodology: A Scoping Review was carried out following the protocol recommended by the Joanna Briggs Institute and based on the research question “Which nursing interventions promoting effective communication of the person with laryngeal cancer undergoing total laryngectomy in the period peri-operative? “A research was conducted in the electronic databases CINAHL® and MEDLINE® between the 1st and the 16th of February 2019. Articles from primary studies, case studies, theoretical and literature reviews in English, Spanish and Portuguese, published between 2000 and 2019 were included. Results: Between 2000 and 2019 were identified 20 published articles. Conclusions: This Scoping Review enabled us to respond to the initial research question by identifying a wide variety of interventions aimed at optimizing the laryngectomized person communication or that can be adapted to these people. The use of lip mimics; gestures; signals; facial expressions as well as writing were the most frequently mentioned strategies, followed by the use of simple questions and the use of speech generating devices. The environmental conditions; the skills of health professionals; family incorporation and emotional support emerged as conditions and resources for optimizing communication care.
ABSTRACT: Backgroud: The person undergoing total laryngectomy suffers an abrupt loss of ability to communicate orally, as a consequence of the lack of voice to speak resulting from complete laryngeal ablation. In addition to having limited communication with others, which in itself has a profound impact, the person is limited in her capacity to communicate symptoms, express their needs and feelings, question or request care, which interferes, among other things, with the quality and safety of the care provided. Objective: To identify the scientific evidence available in the literature on the interventions that promote effective communication of the person undergoing Total Laryngectomy in the peri-operative period. Methodology: A Scoping Review was carried out following the protocol recommended by the Joanna Briggs Institute and based on the research question “Which nursing interventions promoting effective communication of the person with laryngeal cancer undergoing total laryngectomy in the period peri-operative? “A research was conducted in the electronic databases CINAHL® and MEDLINE® between the 1st and the 16th of February 2019. Articles from primary studies, case studies, theoretical and literature reviews in English, Spanish and Portuguese, published between 2000 and 2019 were included. Results: Between 2000 and 2019 were identified 20 published articles. Conclusions: This Scoping Review enabled us to respond to the initial research question by identifying a wide variety of interventions aimed at optimizing the laryngectomized person communication or that can be adapted to these people. The use of lip mimics; gestures; signals; facial expressions as well as writing were the most frequently mentioned strategies, followed by the use of simple questions and the use of speech generating devices. The environmental conditions; the skills of health professionals; family incorporation and emotional support emerged as conditions and resources for optimizing communication care.
Description
Keywords
Cancro da laringe comunicação comprometida Estratégias alternativas Intervenções de enfermagem Laringectomia total
Citation
Frade, A. I., Miguel, S. S., & Ferreira, Óscar M. (2019). Otimizar a comunicação da pessoa com cancro da laringe, submetida a laringectomia total – intervenções de enfermagem no período peri-operatório: scoping review. Pensar Enfermagem, 23(2), 43–56. https://doi.org/10.56732/pensarenf.v23i2.162