de Souza Maciel Ferreira José Erivelton, Rocha de Oliveira Lidia, Galvao Pereira Karoline, Marques Frota Natasha, Frota Cavalcante Tahissa, Santos Monte Alana, Lopes Chaves Anne Fayma
Universidade da Integrado Internacional da Lusofonia Afro-Brasileira, Redencao (CE), Brasil. Email:
Universidade da Integrado Internacional da Lusofonia Afro-Brasileira, Redencao (CE), Brasil. Email: karoline
Rev Cuid. 2022 Oct 17;13(2):e13. doi: 10.15649/cuidarte.2323. eCollection 2022 May-Aug.
Health systems were challenged to develop organizational strategies for the delivery of surgical care.
to present the strategies of health services with regard to surgical care practices in times of the COVID-19 pandemic.
An integrative review was conducted following six stages; the search for articles was performed using the Virtual Health Library, SciELO, PubMed, and ScienceDirect. The science descriptors adopted were "Surgicenters" and "Coronavirus Infections," according to the DeCS-MeSH terms system. We selected 60 articles from 405 studies found.
The main strategies used by the health services were to suspend and postpone elective surgeries during waves of disease transmission and careful screening of patients with COVID-19 before and after surgery.
The suspension and postponement of elective surgeries should be carefully evaluated by the health team, individually for each patient since non-urgent clinical situations may worsen over time, increasing the chances of morbidity and mortality in these patients.
screening patients and health professionals for COVID-19, according to the reality of surgical units, centers or outpatient clinics, is an important strategy to avoid contamination of these subjects. The suspension and postponement of elective surgeries, during the waves of contagion by COVID-19, is recommended to increase the capacity of beds available for critically ill patients hospitalized for this disease. This recommendation also helps in the reassignment of professionals in this sector to the units with the highest demand for health care.
卫生系统面临着制定提供外科护理的组织战略的挑战。
介绍在新冠疫情期间卫生服务机构在外科护理实践方面的策略。
按照六个阶段进行综合综述；使用虚拟健康图书馆、科学电子图书馆、医学期刊数据库和科学Direct数据库检索文章。根据医学主题词表（DeCS-MeSH）术语系统，采用的科学描述词为“外科中心”和“冠状病毒感染”。我们从找到的405项研究中筛选出60篇文章。
卫生服务机构采用的主要策略是在疾病传播高峰期暂停和推迟择期手术，以及在手术前后对新冠患者进行仔细筛查。
卫生团队应针对每位患者单独仔细评估择期手术的暂停和推迟情况，因为非紧急临床情况可能随时间恶化，增加这些患者发病和死亡的几率。
根据外科病房、中心或门诊诊所的实际情况，对患者和卫生专业人员进行新冠病毒筛查，是避免这些人群受到感染的重要策略。建议在新冠疫情传播高峰期暂停和推迟择期手术，以增加用于收治该病重症患者的床位数量。这一建议还有助于将该领域的专业人员重新调配到医疗需求最高的科室。
