Igestsaúde – a autogestão dos sintomas na pessoa em tratamento de quimioterapia: uma revisão integrativa da literatura
Palavras-chave:
Enfermagem, Anorexia, Dor, Diarreia e ObstipaçãoResumo
O tratamento de quimioterapia provoca um conjunto de sintomas adversos, com repercussões significativas no bem-estar e qualidade de vida da pessoa, fazendo emergir necessidades específicas em cuidados de saúde.
Objetivo: Identificar a produção científica sobre as orientações terapêuticas de suporte à autogestão dos sintomas anorexia, dor, diarreia e obstipação, associados ao tratamento de quimioterapia.
Método: Realizou-se uma revisão integrativa de artigos das bases de dados MEDLINE® e CINAHL®, alargando a pesquisa a fontes de informação secundária.
Apresentação dos resultados e discussão: Com base nos critérios de inclusão e exclusão, foram incluídos na revisão 50 estudos/documentos, publicados entre 2008 e 2018. As orientações terapêuticas identificadas centram-se no aconselhamento nutricional, a introdução de modificações dietéticas, a prática de exercício, as terapias alternativas, como a acupuntura, e as terapias cognitivo-comportamentais.
Conclusão: As orientações terapêuticas identificadas nesta revisão podem contribuir para a aquisição de conhecimentos e habilidades que permitam à pessoa assegurar o seu autocuidado, empoderando-a no processo de autogestão dos sintomas anorexia, dor, diarreia e obstipação, associados ao tratamento de quimioterapia.
Downloads
Referências
American Cancer Society. Managing Cancer-related Side Effects [Em linha]. 2015 [consult. 2018-03-26]. Disponível em: https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects.
Andreyev, J., Ross, P., Donnellan, C., Lennan, E., Leonard, P., Waters, C., Ferry, D. (2014). Guidance on the management of diarrhoea during cancer chemotherapy. The Lancet. Oncology, 15 (10), 447-460. doi: 10.1016/S1470-2045(14)70006-3.
Arends, J., Bachmann, P., Baracos, V., Barthelemy, N., Bertz, H., Bozzetti, F., Preiser, J. C. (2017). ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition (Edinburgh, Scotland), 36 (1), 11-48. doi: 10.1016/j.clnu.2016.07.015.
Bilgiç, Ş., & Acaroğlu, R. (2017). Effects of Listening to Music on the Comfort of Chemotherapy Patients. Western Journal of Nursing Research, 39 (6), 745-762. doi: 10.1177/0193945916660527.
Bonassa, E. & Santana, T. (2005). Enfermagem em terapêutica oncológica. São Paulo: Editora Atheneu.
British Columbia Cancer Agency. Symptom Management Guidelines: ANOREXIA and CACHEXIA [Em linha]. 2014a [consult. 2018-03-26]. Disponível em:
http://www.bccancer.bc.ca/nursing-site/Documents/2.%20Anorexia%20and%20Cachexia.pdf.
British Columbia Cancer Agency. Symptom Management Guidelines: CONSTIPATION [Em linha]. 2014b [consult. 2018-03-26]. Disponível em:
http://www.bccancer.bc.ca/nursing-site/Documents/3.%20Constipation.pdf.
British Columbia Cancer Agency. Symptom Management Guidelines: CANCER – RELATED DIARRHEA [Em linha]. 2014c [consult. 2018-03-26]. Disponível em:
http://www.bccancer.bc.ca/nursing-site/Documents/4.%20Diarrhea.pdf.
British Columbia Cancer Agency. Symptom Management Guidelines: PAIN [Em linha]. 2014d [consult. 2018-03-26]. Disponível em: http://www.bccancer.bc.ca/nursing-site/Documents/13.%20Pain.pdf.
Calixto-Lima, L., Andrade, M. E., Gomes, A. P., Geller, M. & Siqueira-Batista, R. (2012). Dietetic management in gastrointestinal complications from antimalignant chemotherapy. Nutricion Hospitalaria, 27 (1), 65-75. doi: 10.1590/S0212-16112012000100008.
Charalambous, A., Giannakopoulou, M., Bozas, E., Marcou, Y., Kitsios, P. & Paikousis, L. (2016). Guided Imagery And Progressive Muscle Relaxation as a Cluster of Symptoms Management Intervention in Patients Receiving Chemotherapy: A Randomized Control Trial. Plos One, 11 (6), 0156911. doi:
1371/journal.pone.0156911.
Cherny, N. I. (2008). Evaluation and management of treatmentrelated diarrhea in patients with advanced cancer: a review. Journal Of Pain And Symptom Management, 36 (4), 413-423. doi: 10.1016/j.
jpainsymman.2007.10.007.
Chiu, H. Y., Hsieh, Y. J. & Tsai, P. S. (2017). Systematic review and metaanalysis of acupuncture to reduce cancer-related pain. European Journal Of Cancer Care, 26 (2), e12457.doi: 10.1111/ecc.12457.
Dy, S. M., Lorenz, K. A., Naeim, A., Sanati, H., Walling, A. & Asch, S. M. (2008). Evidence-based recommendations for cancer fatigue, anorexia, depression, and dyspnea. Journal of Clinical Oncology, 26 (23), 3886-3895. doi: 10.1200/JCO.2007.15.9525.
Faiman, B. (2016). Diarrhea in Multiple Myeloma: A Review of the Literature. Clinical Journal Of Oncology Nursing, 20 (4), E100-E105. doi: 10.1188/16.CJON.E100-E105.
Fujii, A., Yamada, Y., Takayama, K., Nakano, T., Kishimoto, J., Morita, T. & Nakanishi, Y. (2017). Longitudinal assessment of pain management with the pain management index in cancer outpatients receiving chemotherapy. Supportive Care In Cancer: Official Journal Of The Multinational Association
Of Supportive Care In Cancer, 25 (3), 925-932. doi: 10.1007/s00520-016-3482-x.
Garcia, M. K., McQuade, J., Haddad, R., Patel, S., Lee, R., Yang, P., Cohen, L. (2013). Systematic review of acupuncture in cancer care: a synthesis of the evidence. Journal Of Clinical Oncology: Official Journal Of The American Society Of Clinical Oncology, 31 (7), 952-960. doi: 10.1200/JCO.2012.43.5818.
Greenlee, H., Balneaves, L. G., Carlson, L. E., Cohen, M., Deng, G., Hershman, D. & Tripathy, D. (2014). Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. Journal Of The National Cancer Institute. Monographs, 2014 (50), 346-358.
doi: 10.1093/jncimonographs/lgu041.
Griffith, K., Wenzel, J., Shang, J., Thompson, C., Stewart, K., Mock, V., … Mock, V. (2009). Impact of a walking intervention on cardiorespiratory fitness, self-reported physical function, and pain in patients undergoing treatment for solid tumors. Cancer, 115 (20), 4874-4884. doi: 10.1002/cncr.24551.
Guimarães, R. C. R., Gonçalves, R. P. F., Lima, C. A., Torres, M. R. & Silva, C. S. O. (2015). Nursing actions facing reactions to chemotherapy in oncological patients. Revista de Pesquisa: Cuidado e Fundamental, 7 (2), 2440-2452. doi: 10.9789/2175-5361.2015.v7i2.2440-2452.
Hanai, A., Ishiguro, H., Sozu, T., Tsuda, M., Arai, H., Mitani, A. & Tsuboyama, T. (2016). Effects of a self-management program on antiemetic-induced constipation during chemotherapy among breast cancer patients: a randomized controlled clinical trial. Clinical Journal Of Oncology Nursing, 12
(2), 317-337. doi: 10.1188/08.CJON.317-337.
Heering, H. & Holle, N. Constipation in Patients with Cancer: Managing [Em linha]. 2017 [consult. 2018-01-15]. Disponível em: http://web.a.ebscohost.com/nrc/pdf?vid=11&sid=538f4ce9-95c7-47ab-b17a-33ecdc72ab94%40sdc-v-sessmgr05.
Holle, M. N., Plgrim, J. Anorexia and Cachexia in Cancer Patients: Managing [Em linha]. 2017 [consult. 2018-01-15]. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&db=nrc&AN=T707117&lang=pt-br&site=nrc-live.
Joanna Briggs Institute. JBI Reviewer’s Manual [Em linha]. 2017 [consult. 2018-01-10]. Disponível em: https://wiki.joannabriggs.org/display/MANUAL/Joanna+Briggs+Institute+Reviewer%27s+Manual.
Kwekkeboom, K. L., Abbott-Anderson, K. & Wanta, B. (2010). Feasibility of a patient-controlled cognitive-behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Oncology Nursing Forum, 37 (3), E151-E159. doi: 10.1188/10.ONF.E151-E159.
Kwekkeboom, K. L., Abbott-Anderson, K., Cherwin, C., Roiland, R., Serlin, R. C. & Ward, S. E. (2012). Pilot randomized controlled trial of a patientcontrolled cognitive-behavioral intervention for the pain, fatigue, and sleep disturbance symptom cluster in cancer. Journal Of Pain And Symptom Management, 44 (6), 810-822. doi: 10.1016/j.jpainsymman.2011.12.281.
Lu, W. & Rosenthal, D. S. (2013). Acupuncture for cancer pain and related symptoms. Current Pain And Headache Reports, 17 (3), 321. doi:10.1007/s11916-013-0321-3.
Magalhães, B., Fernandes, C., Santos, C. & Martínez-Galiano, J. (2020). The Use of Mobile Applications for Managing Care Processing During Chemotherapy Treatments: A Systematic Review. Cancer Nurs. doi: 10.1097/NCC.0000000000000823.
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. & The PRISMA Group. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med, 6 (7), e1000097. Retirado de https://doi.org/10.1371/journal.pmed.1000097.
Muehlbauer, P. M., Thorpe, D., Davis, A., Drabot, R., Rawlings, B. L. & Kiker, E. (2009). Putting evidence into practice: evidence-based interventions to prevent, manage, and treat chemotherapy- and radiotherapy-induced diarrhea. Clinical Journal Of Oncology Nursing, 13 (3), 336-341. doi:
1188/09.CJON.336-341.
National Cancer Institute. Chemotherapy and You [Em linha] 2011 [consult. 2018-01-10]. Disponível em: https://www.cancer.gov/publications/patient-education/chemotherapy-and-you.pdf.
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology – Adult Cancer Pain, version I. 2018 [Em linha] 2018 [consult. 2018-02-26]. Disponível em: https://www.nccn.org/professionals/physician_gls/pdf/pain_basic.pdf.
Paley, C. A., Johnson, M. I., Tashani, O. A. & Bagnall, A. M. (2015). Acupuncture for cancer pain in adults. The Cochrane Database of Systematic Reviews (10). doi: 10.1002/14651858.CD007753.pub3.
Raphael, J. Hester, J., Ahmedzai, S., Barrie, J., Farqhuar-Smith, P., Williams, J., Duarte, R. (2010). Cancer pain: part 2: physical, interventional and complimentary therapies; management in the community; acute, treatment-related and complex cancer pain: a perspective from the British Pain Society endorsed by the UK Association of Palliative Medicine and theRoyal College of general practitioners. Pain Medicine, 11 (6), 872-896. doi: 10.1111/j.1526-4637.2010.00841.x.
Schub, T. & Heering, H. Diarrhea, Chemotherapy-Induced: Managing [Em linha]. 2017 [consult. 2018-01-15]. Disponível em:
http://search.ebscohost.com/login.aspx?direct=true&db=nrc&AN=T707076&lang=ptbr&site=nrc-live.
Scialdone, L. (2012). Overview of supportive care in patients receiving chemotherapy: antiemetics, pain management, anemia, and neutropenia. Journal Of Pharmacy Practice, 25 (2), 209-221.
doi: 10.1177/0897190011431631.
Shaw, C. & Taylor, L. (2012). Treatment-related diarrhea in patients with cancer. Clinical Journal Of Oncology Nursing, 16 (4), 413-417. doi: 10.1188/12.CJON.413-417.
Shin, J. & Park, H. (2018). Effects of Auricular Acupressure on Constipation in Patients With Breast Cancer Receiving Chemotherapy: A Randomized Control Trial. Western Journal Of Nursing Research, 40 (1), 67-83. doi: 10.1177/0193945916680362.
Singh, P. & Chaturvedi, A. (2015). Complementary and Alternative Medicine in Cancer Pain Management: A Systematic Review. Indian Journal of Palliative Care, 21 (1), 105-115. doi: 10.4103/0973-1075.150202.
Stacey, D., Ballantyne, B., Carley, M., Chapman, K., Cummings, G., Green, G., … Truant, T. Remote Symptom Practice Guides for Adults on Cancer Treatments Of the Pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Team [Em linha]. 2016 [consult. 2018-02-06]. Disponível
em: https://ktcanada.ohri.ca/costars/Research/docs/COSTaRS_Pocket_Guide_March2016.pdf.
Warrington, L., Absolom, K., Conner, M., Kellar, I., Clayton B., Ayres, M. & Velikova, G. (2019). Electonic Systems for Patients to Report and Manage Side Effects of Cancer Treatment: Systematic Review. Journal of Medical Internet Research 21 (1). doi: 10.2196/10875.
Witham, G. (2013). Nutrition and cancer: issues related to treatment and survivorship. British Journal of Community Nursing. 20-24. doi: 10.12968/bjcn.2013.18.sup10.s20.
Woolery, M., Bisanz, A., Lyons, H. F., Gaido, L., Yenulevich, M., Fulton, S. & McMillan, S. C. (2008). Putting evidence into practice: evidence-based interventions for the prevention and management of constipation in patients with cancer. Clinical Journal Of Oncology Nursing, 12 (2), 317-337.
doi: 10.1188/08.CJON.317-337.
World Health Organization. Innovative Care for Chronic Conditions: Building Blocks for Action [Em linha]. 2002 [consult. 2018-12-28]. Disponível em: https://apps.who.int/iris/handle/10665/42500.
Yoon, S. L., Grundmann, O., Williams, J. J. & Carriere, G. (2015). Novel intervention with acupuncture for anorexia and cachexia in patients with gastrointestinal tract cancers: a feasibility study. Oncology Nursing Forum, 42 (2), E102-E109. doi: 10.1188/15.ONF.E102-E109.
Downloads
Publicado
Como Citar
Edição
Secção
Licença
Direitos de Autor (c) 2022 Carla Sousa, Bruno Magalhães, Marisa Rafael, Carla Fernandes, Célia Santos
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-CompartilhaIgual 4.0.
(CINAHL Ultimate database)
