Atención de enfermería a pacientes adultos con epilepsia: una revisión integrativa
DOI:
https://doi.org/10.62827/eb.v23i4.4022Palabras clave:
Epilepsia; atención de enfermería; capacitación profesional.Resumen
Introducción: la epilepsia afecta entre el 1% y el 2% de la población y es más prevalente en los países de bajos ingresos. Su diagnóstico y tratamiento requieren un abordaje multidisciplinario. El papel de la enfermería en la prestación de cuidados centrados en el paciente con epilepsia es fundamental para las buenas prácticas y la educación en el autocuidado. Sin embargo, aún existe un vacío en cuanto a la intervención de enfermería en este ámbito. Objetivo: analizar el conocimiento y el impacto de los cuidados de enfermería al paciente adulto con epilepsia. Métodos: revisión integrativa realizada en las bases de datos PubMed, Science Direct, LILACS, incluyendo artículos publicados desde enero/2013 hasta mayo/2023. Se utilizaron los siguientes términos: Nursing Management ou Nursing Care Patients AND Epilepsy. Resultados: de los 550 artículos identificados, se incluyeron 27. La muestra de pacientes osciló entre 3 y 821, y de enfermeros, entre 10 y 583. Más del 60% de los profesionales tenían conocimientos sobre el cuidado del paciente con epilepsia. Hubo impacto de los cuidados de enfermería en la ayuda al diagnóstico, la adherencia al tratamiento, la satisfacción del paciente y el control de sus crisis, sin aumentar los costos, pero sin influir en la duración de la estancia hospitalaria y la tasa de mortalidad. Conclusión: el conocimiento de enfermería fue importante tanto para la orientación de pacientes con epilepsia como para la atención centrada en la persona.
Referencias
Thijs RD, Surges R, O'Brien TJ, Sander JW. Epilepsy in adults. Lancet. 2019; 393(10172):689-701. doi: 10.1016/S0140-6736(18)32596-0.
Falco-Walter J. Epilepsy-Definition, Classification, Pathophysiology, and Epidemiology. Semin Neurol. 2020; 40(6):617-623. doi: 10.1055/s-0040-1718719.
GBD 2016 Epilepsy Collaborators. Global, regional, and national burden of epilepsy, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019; 18(4):357-375. doi: 10.1016/S1474-4422(18)30454-X.
Fisher RS, Acevedo C, Arzimanoglou A, Bogacz A, Cross JH, Elger CE, et al. ILAE official report: a practical clinical definition of epilepsy. Epilepsia. 2014;55(4):475-82. doi: 10.1111/epi.12550.
Costa LL de O, Brandão EC, Marinho Segundo LM de B. Atualização em epilepsia: revisão de literatura. Rev. Med. (São Paulo) [Internet]. 24 de abril de 2020 [citado 24 de julho de 2023];99(2):170-81. Disponível em: https://www.revistas.usp.br/revistadc/article/view/157412
Fisher RS, Cross JH, French JA, Higurashi N, Hirsch E, Jansen FE, et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia. 2017;58(4):522-530. doi: 10.1111/epi.13670.
Riney K, Bogacz A, Somerville E, Hirsch E, Nabbout R, Scheffer IE, et al. International League Against Epilepsy classification and definition of epilepsy syndromes with onset at a variable age: position statement by the ILAE Task Force on Nosology and Definitions. Epilepsia. 2022;63(6):1443-1474. doi: 10.1111/epi.17240.
Garcia TR, Nóbrega MM. Nursing Process: from theory to the practice of care and research. Esc Anna Nery. 2009;13(1):188-193. doi.org/10.1590/S1414-81452009000100026.
Serigatti EG, Padula MPC, Waters C. Assistência de enfermagem ao paciente com diagnóstico de epilepsia: pesquisa bibliográfica / Nursing care for patients diagnosed with epilepsy: bibliographic research. Braz. J. Hea. Rev. [Internet]. 2021 Mar. 9 [cited 2023 Jul. 24];4(2):4858-79. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/25977.
Moreira, Gabriela Carrion Degrande. Assistência de enfermagem à pessoa com epilepsia e seus cuidadores na perspectiva da saúde mental [tese]. Ribeirão Preto: Escola de Enfermagem de Ribeirão Preto; 2017 [citado 2023-07-24]. doi:10.11606/T.22.2018.tde-28032018-164733.
Santos CMV, Pimenta CAM, Nobre MRC. A estratégia PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-Am Enfermagem 2007;15(3):508-11. DOI: http://dx.doi.org/10.1590/S0104-11692007000300023.
Schiavenato M, Chu F. PICO: What it is and what it is not. Nurse Educ Pract. 2021;56:103194. doi: 10.1016/j.nepr.2021.103194.
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021;372:n160. doi: 10.1136/bmj.n160.
Paul P, Agarwal M, Bhatia R, Vishnubhatla S, Singh MB. Nurse-led epilepsy follow-up clinic in India: is it feasible and acceptable to patients? A pilot study. Seizure. 2014;23(1):74-6. doi: 10.1016/j.seizure.2013.09.001.
Dayapoğlu N, Tan M. Clinical nurses' knowledge and attitudes toward patients with epilepsy. Epilepsy Behav. 2016;61:206-209. doi: 10.1016/j.yebeh.2016.05.009.
Kinnunen UM, Kivekäs E, Paananen P, Kälviäinen R, Saranto K. Testing of Triggers by Data Mining of Epilepsy Patients' Structured Nursing Records. Stud Health Technol Inform. 2016;225:461-5. PMID: 27332243.
Pfäfflin M, Schmitz B, May TW. Efficacy of the epilepsy nurse: Results of a randomized controlled study. Epilepsia. 2016;57(7):1190-8. doi: 10.1111/epi.13424.
DeVries-Rizzo M; Canadian Epilepsy Nursing Group. A description of Canadian epilepsy monitoring units: An initial step toward developing nursing practice consensus guidelines. Epilepsy Behav. 2016;57(Pt A):145-150. doi: 10.1016/j.yebeh.2016.02.012.
Holland C, Edward KL, Giandinoto JA. Nursing and Focal Dyscognitive Seizures: A Clinical Update When Managing Risk Using Advanced Nursing Skills. J Neurosci Nurs. 2017;49(3):164-168. doi: 10.1097/JNN.0000000000000276.
Williams J, Petrov G, Kennedy U, Halpenny J, Doherty CP. Moving evidence based guidelines for seizures into practice in the emergency department: What's stopping us? Epilepsy Behav. 2017;72:72-77. doi: 10.1016/j.yebeh.2017.04.022.
Miranda VC, Flores LS, Rangel MGG, Hernández FM, Alvarenga JCL. Benefits of personalised nurse counselling in neurological patients - Beneficios de la consejería personalizada de enfermería en pacientes neurológicos. Revista Científica de la Sociedad Española de Enfermería Neurológica. 2017; 46:18-25. doi: 10.1016/j.sedeng.2017.07.002.
Cámara MP. Most frequent nursing diagnoses in patients admitted to the Epilepsy Unit. Diagnósticos enfermeros en pacientes ingresados en la Unidad de Epilepsia. Revista Científica de la Sociedad Española de Enfermería Neurológica. 2017; 46:6-10. doi: 10.1016/j.sedeng.2016.05.001.
Higgins A, Downes C, Varley J, Tyrell E, Normand C, Doherty CP, et al. Patients with epilepsy care experiences: Comparison between services with and without an epilepsy specialist nurse. Epilepsy Behav. 2018;85:85-94. doi: 10.1016/j.yebeh.2018.05.038.
Buelow J, Miller W, Fishman J. Development of an Epilepsy Nursing Communication Tool: Improving the Quality of Interactions Between Nurses and Patients With Seizures. J Neurosci Nurs. 2018;50(2):74-80. doi: 10.1097/JNN.0000000000000353.
Ring H, Howlett J, Pennington M, Smith C, Redley M, Murphy C, et al. Training nurses in a competency framework to support adults with epilepsy and intellectual disability: the EpAID cluster RCT. Health Technol Assess. 2018;22(10):1-104. doi: 10.3310/hta22100.
Yildiz E, Saraç E. Investigation of knowledge and attitudes of military nurses about epilepsy. Epilepsy Behav. 2020;102:106680. doi: 10.1016/j.yebeh.2019.106680.
Higgins A, Downes C, Varley J, Doherty CP, Begley C, Elliott N. Supporting and empowering people with epilepsy: Contribution of the Epilepsy Specialist Nurses (SENsE study). Seizure. 2019;71:42-49. doi: 10.1016/j.seizure.2019.06.008.
Pennington M, Ring H, Howlett J, Smith C, Redley M, Murphy C, et al. The impact of an epilepsy nurse competency framework on the costs of supporting adults with epilepsy and intellectual disability: findings from the EpAID study. J Intellect Disabil Res. 2019;63(12):1391-1400. doi: 10.1111/jir.12679.
Edward KL, Cook M, Stephenson J, Giandinoto JA. The impact of brief lifestyle self-management education for the control of seizures. Br J Nurs. 2019;28(6):348-354. doi: 10.12968/bjon.2019.28.6.348.
Locatelli G. The multifaceted role of the Epilepsy Specialist Nurse: Literature review and survey study on patient and medical Staff Perceptions. Prof Inferm. 2019;72(1):34-41. English. doi: 10.7429/pi.2019.720134.
John K, Tailor S, Anderson J, Lawthom C. Managing epilepsy in austerity -Evaluating the utility and value of the epilepsy specialist nurse in an open access model of service delivery. Aneurin Bevan Epilepsy Specialist Team (A.B.E.S.T.). Seizure. 2019;65:98-100. doi: 10.1016/j.seizure.2019.01.007.
Unsar S, Özdemir Ö, Erol Ö, Bıkmaz Z, Yenici Bulut E. Evaluation of nursing students' epilepsy-related knowledge and attitudes. Epilepsy Behav. 2020;111:107167. doi: 10.1016/j.yebeh.2020.107167.
Shawahna R, Jaber M. Assessing knowledge and attitudes of Palestinian undergraduate nursing students toward epilepsy and patients with epilepsy: Across-sectional study. Epilepsy Behav. 2020;102:106811. doi: 10.1016/j.yebeh.2019.106811.
Pranboon S, Tiamkao S, Chainirun N, Sawanyawisuth K; Integrated Epilepsy Research Group. A Fast-Track Care by a Nursing Case Management Concept Improved Status Epilepticus Outcomes. J Neurosci Nurs. 2020;52(4):200-204. doi: 10.1097/JNN.0000000000000522.
Côté J, Beaudet L, Auger P, Rouleau G, Chicoine G, Léger V, et al. Evaluation of a web-based virtual nursing intervention to support self-management among adults with epilepsy: A mixed-methods study. Epilepsy Behav. 2021;114(Pt A):107581. doi: 10.1016/j.yebeh.2020.107581.
Aksoy M, Büyükbayram Z. Evaluating the knowledge of and attitudes toward epilepsy among Turkish undergraduate nursing students: A cross-sectional study. Epilepsy Behav. 2022;126:108477. doi: 10.1016/j.yebeh.2021.108477.
Pugh JD, McCoy K, Needham M, Jiang L, Giles M, McKinnon E, Heine K. Evaluation of an Australian neurological nurse-led model of postdischarge care. Health Soc Care Community. 2022;30(4):e962-e973. doi: 10.1111/hsc.13498.
Locatelli G, Ausili D, Stubbings V, Di Mauro S, Luciani M. The epilepsy specialist nurse: A mixed-methods case study on the role and activities. Seizure. 2021;85:57-63. doi: 10.1016/j.seizure.2020.12.013.
Asadi-Pooya AA, Hosseini SA, Hashemizadeh Fard Haghighi L, Asadi-Pooya H. Seizure first aid for people with epilepsy: opinions and knowledge of caregivers and healthcare professionals. Seizure. 2022;102:1-5. doi: 10.1016/j.seizure.2022.09.007.
Hutchinson K, Ryder T, Coleman H, Nullwala R, Herkes G, Bleasel A, et al. Determining the role and responsibilities of the community epilepsy nurse in the management of epilepsy. J Clin Nurs. 2023;32(13-14):3730-3745. doi: 10.1111/jocn.16582.
Prevos-Morgant M, Leavy Y, Chartrand D, Jurasek L, Osborne Shafer P, Shinnar R, et al. Benefits of the epilepsy specialist nurses (ESN) role, standardized practices and education around the world. Rev Neurol (Paris). 2019;175(3):189-193. doi: 10.1016/j.neurol.2018.10.003.
Ministério da Saúde. PORTARIA CONJUNTA Nº 17, DE 21 DE JUNHO DE 2018. Protocolo Clínico e Diretrizes Terapêuticas da Epilepsia.
Machado, Maria Helena (Coord.). Perfil da enfermagem no Brasil: relatório final. Rio de Janeiro, NERHUS - DAPS - ENSP/Fiocruz, 2017, 750 p.
Jesus MBP de, Nogueira V de O. Assistência de enfermagem aos pacientes sob investigação de epilepsia submetidos ao Vídeo-EEG prolongado. J epilepsy clin neurophysiol [Internet]. 2008;14(4):171–5. doi: 10.1590/S1676-26492008000400006.
Koerich, Cintia; dos Santos, Fabiana Cristine; Guedes dos Santos, José Luís; Lorenzini Erdmann, Alacoque; Pauli, Carla; Mendes Marinho, Monique. Cuidados de enfermagem ao paciente no perioperatório de cortico-amigdalo-hipocampectomía. Avances en Enfermería. 2015; 33(1), 142-150. doi: 10.15446/av.enferm.v33n1.48085.
Correia Ana Isabel; Pedro, Adriano. Intervenções de enfermagem à pessoa com crise convulsiva no serviço de urgência: scoping review. Revista Ibero-Americana de Saúde e Envelhecimento. 2023; 9(2):48-64. Disponível em: <http://www.revistas.uevora.pt/index.php/saude_envelhecimento/article/view/594>. Acesso em: 05 Set. 2023. doi:10.60468/r.riase.
Barbosa S de P, Oliveira AD de. Epilepsia na estratégia saúde da família: a assistência ofertada pelo serviço de saúde sob a ótica do portador. R. Enferm. Cent. O. Min. [Internet]. 25º de janeiro de 2013 [citado 5º de setembro de 2023];. Disponível em: http://www.seer.ufsj.edu.br/recom/article/view/229
Beghi E. The Epidemiology of Epilepsy. Neuroepidemiology. 2020;54(2):185-191. doi: 10.1159/000503831.
Moon HJ, Lee H, Yoon D, Koo YS, Shin JY, Lee SY. Premature Mortality and Causes of Death Among People With Epilepsy: A Nationwide Population-Based Incident Cohort Study. Neurology. 2023;100(20):e2060-e2070. doi: 10.1212/WNL.0000000000207212.
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2024 Kênia Cristina Marques, Rose Mary Ferreira Lisboa da Silva, Ana Paula Gonçalves (Autor)
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Autores que publicam nesta revista concordam com os seguintes termos:
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.