Universidade Federal de Ciências da Saúde de Porto Alegre, Departamento de Enfermagem, Porto Alegre, RS, Brazil.
Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brazil.
Rev Esc Enferm USP. 2024 Sep 30;58:e20240017. doi: 10.1590/1980-220X-REEUSP-2024-0017en.
: To map the nursing care recommended for adult patients undergoing chest drainage.
: Scoping review. Included studies in Portuguese, English and Spanish, with no time frame, which answered the research question: what nursing care is indicated for adult patients with chest drainage admitted to intensive care? Selection in the MEDLINE/PubMed, Embase/Elsevier, Web of Science/Clarivate, Scopus/Elsevier, CINAHL/Ebsco and LILACS/BVS databases. No data from gray literature was included.
: Of the 973 articles identified, 21 were selected. The most frequently cited precautions included: filling the collection bottle with distilled water or saline solution, leaving the distal end of the stem submerged 1.5 to 2.5 centimeters; monitoring vital signs; pain management; and proper positioning of the system. There were differences in the indication for clamping the system and milking the drain/drainage system.
: 60 nursing tasks were mapped, 13 of which were carried out prior to inserting the drain, nine during insertion and 38 after insertion of the chest drain.
绘制接受胸腔引流的成年患者推荐的护理内容图。
范围综述。纳入了葡萄牙语、英语和西班牙语的研究，没有时间限制，回答了研究问题：接受重症监护的有胸腔引流的成年患者需要哪些护理？在 MEDLINE/PubMed、Embase/Elsevier、Web of Science/Clarivate、Scopus/Elsevier、CINAHL/Ebsco 和 LILACS/BVS 数据库中进行选择。未纳入灰色文献中的数据。
在确定的 973 篇文章中，选择了 21 篇。引用最多的预防措施包括：将集液瓶装满蒸馏水或生理盐水，将管干的远端浸入 1.5 至 2.5 厘米；监测生命体征；疼痛管理；以及正确放置系统。夹闭系统和抽吸引流/引流系统的指征存在差异。
共绘制了 60 项护理任务，其中 13 项在插入引流管之前进行，9 项在插入过程中进行，38 项在插入胸腔引流管后进行。
