Assistência de enfermagem nas doenças reumatológicas: revisão integrativa

• Autor(a) principal: Albrecht, Gabriel de Souza
• Data de Publicação: 2018
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
• Texto Completo: http://www.repositorio.ufc.br/handle/riufc/38462
• topic: Enfermagem; Reumatologia; Artrite Reumatoide; Cuidados de Enfermagem

Rheumatoid arthritis is an inflammatory autoimmune disease of unknown etiology, characterized by symmetrical peripheral polyarthritis leading to deformity and destruction of the joints, due to bone and cartilage erosion, and associated systemic manifestations. Traditionally, the people affected by this disease are monitored periodically in medical consultations, however favorable results are evidenced when this follow up is also carried out by nurses. The objective was to identify the scientific evidence about nursing care for patients with rheumatologic diseases. Integrative review conducted in October and November 2018 in the Scopus, CINAHL, LILACS and Web of Science databases, as well as in PubMed, using the controlled and uncontrolled descriptors: nursing, nursing care, rheumatology, rheumatoid arthritis and rheumatic diseases. Two evaluators, independently, carried out the reading of the title and a summary of 563 studies. A total of 63 articles were selected for the whole text reading stage, and the use of the Mendeley reference manager to conduct this review is highlighted. The final sample consisted of 34 randomized, non-randomized, cohort, case-control, descriptive, and qualitative trials, with level of evidence II, III, IV, VI, respectively. It was found that nursing care in rheumatologic diseases can be divided into actions of patient education, cost-effectiveness of rheumatology clinics led by nurses, and disease management with joint counts and pain control. In summary, the research analyzed identified strong (level II) and increasing evidence regarding nursing care for rheumatologic patients in the North American, European and Asian continents. It showed the role of the nurse in the context of the multidisciplinary team and listed the care that is available for the management of these patients. Also, it brought the comparison between cost benefit and care provided by nurses as a leader in rheumatology clinics.