Lima Vivian Cristina Gama Souza, Soares Raquel de Souza, Santos Willian Alves Dos, Alves Paulo, Fuly Patricia Dos Santos Claro
Academic Program in Health Care Sciences, Fluminense Federal University, Niterói - RJ, Brazil.
National Cancer Institute, Rio de Janeiro, Brazil.
JMIR Cancer. 2022 Nov 25;8(4):e39012. doi: 10.2196/39012.
The needs of patients with cancer must be met, especially in times of crisis. The advent of the pandemic triggered a series of strategic actions by the nursing team to preserve the health of patients and professionals-hence the importance of studies on nursing care actions provided to patients with cancer during the COVID-19 pandemic. It is known that these patients are susceptible to severe COVID-19. However, no previous review has summarized the findings of scientific studies on nursing for COVID-19 in patients with cancer.
This study aims to map the topics addressed in scientific studies on nursing for COVID-19 in patients with cancer.
A scoping review was conducted using the methodology described in the Joanna Briggs Institute Reviewers' Manual 2015. The research question was elaborated using the population, concept, and context framework: What topics have been studied in nursing publications about COVID-19 in adult patients with cancer? The searches were carried out in 8 databases between April and November 2021 without time restrictions.
In total, 973 publications were identified using the search strategies in the databases, and 12 papers were retrieved by consulting the references. A total of 31 (3.2%) publications were included in the final analysis, generating 4 thematic categories on the subject: "restructuring the services: how oncology nursing was adapted during the pandemic," "experiences of patients and performance of the nursing team during the COVID-19 pandemic," "protocols and recommendations for dealing with the COVID-19 pandemic," and "challenges and the role of oncology nurses facing the COVID-19 pandemic."
Several strategies used by oncology nurses to face the COVID-19 pandemic in the international scenario were identified. Reports about the restructuring of services and the team's reactions to the pandemic predominated. However, there is a lack of reports regarding emotional support strategies for health care professionals. Another gap identified was the scarcity of clinical studies on the activities developed by oncology nurses. Therefore, there is a need for clinical research in the oncology area and emotional coping strategies to support oncology nurses.
癌症患者的需求必须得到满足，尤其是在危机时期。疫情的出现引发了护理团队的一系列战略行动，以保护患者和医护人员的健康——因此，研究在新冠疫情期间为癌症患者提供的护理行动具有重要意义。众所周知，这些患者易感染重症新冠病毒。然而，此前尚无综述总结关于癌症患者新冠护理的科学研究结果。
本研究旨在梳理癌症患者新冠护理科学研究中涉及的主题。
采用《乔安娜·布里格斯循证卫生保健中心2015年评审手册》中描述的方法进行范围综述。使用人群、概念和背景框架阐述研究问题：关于成年癌症患者新冠护理的护理出版物研究了哪些主题？于2021年4月至11月期间在8个数据库中进行检索，无时间限制。
通过数据库中的检索策略共识别出973篇出版物，通过查阅参考文献又检索到12篇论文。最终分析纳入了31篇（3.2%）出版物，生成了该主题的4个主题类别：“服务重组：疫情期间肿瘤护理如何调整”“新冠疫情期间患者的经历及护理团队的表现”“应对新冠疫情的方案和建议”以及“肿瘤护士在新冠疫情面前面临的挑战及角色”。
确定了国际上肿瘤护士应对新冠疫情所采用的几种策略。关于服务重组和团队对疫情反应的报告占主导。然而，缺乏关于医护人员情感支持策略的报告。另一个发现的差距是肿瘤护士开展活动的临床研究稀缺。因此，肿瘤领域需要开展临床研究，并制定情感应对策略以支持肿瘤护士。
