Extravasation of antineoplastic drugs: assessment of the nursing team knowledge

Detalhes bibliográficos
Autor(a) principal: Schneider, Franciane
Data de Publicação: 2011
Outros Autores: Pedrolo, Edivane
Tipo de documento: Artigo
Idioma: por
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50351
Resumo: Local dermatologic toxicity due to extravasation of antineoplastic drugs is one of the main adverse effects of antineoplastic therapy and it is considered an oncologic emergency. Its prevention is vital since it is a source of stress to the nursing team and it may cause irreparable harm to the patient. This study aimed to evaluate the knowledge of the nursing staff at an Adult Outpatient Chemotherapy Unit about antineoplastic drugs extravasation. It is an exploratory, descriptive and quantitative research carried out in a philantropic referral hospital for oncology in Curitiba (PR). The sample consisted of nine nursing staff employees (33% nurses and 67% practical nurses). The most cited extravasation signs and symptoms were "o edema" (89%), " hyperaemia "(78%), "pain" (67%), and"burnings/stinging" (33%). Regarding the risk factors for extravasation, the most cited were "puncture site" (44%), "punctured limb condition" (33%), and "sclerosed veins" (33%).There was no consensus on the correct order to veinipuncture previous to the chemotherapy performance. Extravasation prevention is a constant concern in the nurses clinical practice.This study shows the importance of nursing care refresher training and the elaboration of clinical guidelines, so that professionals can identify patients at higher risk of extravasavion aiming at preventing its occurrence instead of treating it afterwards.
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spelling Extravasation of antineoplastic drugs: assessment of the nursing team knowledgeExtravasación de drogas antineoplásicas: evaluación del conocimiento del equipo de enfermeríaExtravasamento de drogas antineoplásicas: avaliação do conhecimento da equipe de enfermagemenfermagemantineoplásicosconhecimentoextravasamento de materiais terapêuticos e diagnósticosenfermeríaagentes antienoplásicosconocimientoextravasación de materiales terapéuticos y diagnósticosnursingantineoplasticknowledgeextravasation of diagnostic and therapeutic materialsLocal dermatologic toxicity due to extravasation of antineoplastic drugs is one of the main adverse effects of antineoplastic therapy and it is considered an oncologic emergency. Its prevention is vital since it is a source of stress to the nursing team and it may cause irreparable harm to the patient. This study aimed to evaluate the knowledge of the nursing staff at an Adult Outpatient Chemotherapy Unit about antineoplastic drugs extravasation. It is an exploratory, descriptive and quantitative research carried out in a philantropic referral hospital for oncology in Curitiba (PR). The sample consisted of nine nursing staff employees (33% nurses and 67% practical nurses). The most cited extravasation signs and symptoms were "o edema" (89%), " hyperaemia "(78%), "pain" (67%), and"burnings/stinging" (33%). Regarding the risk factors for extravasation, the most cited were "puncture site" (44%), "punctured limb condition" (33%), and "sclerosed veins" (33%).There was no consensus on the correct order to veinipuncture previous to the chemotherapy performance. Extravasation prevention is a constant concern in the nurses clinical practice.This study shows the importance of nursing care refresher training and the elaboration of clinical guidelines, so that professionals can identify patients at higher risk of extravasavion aiming at preventing its occurrence instead of treating it afterwards.La toxicidad dermatológica local resultante de la extravasación de drogas antineoplásicas consiste en uno de los principales efectos adversos de la terapia antineoplásica y se la considera una auténtica emergencia oncológica. La prevención de esta complicación es una medida importante puesto que esta grave intercurrencia genera estrés en el equipo de enfermería y puede causar daños irreparables al paciente. Se ha buscado evaluar el conocimiento del equipo de enfermería de un Dispensario de Quimioterapia Adulto sobre la extravasación de drogas antineoplásicas. Se trata de una investigación exploratoria descriptiva de naturaleza cuantitativa, desarrollada en un hospital filantrópico de referencia en oncología en la ciudad de Curitiba (PR). La muestra estuvo compuesta por 9 integrantes del equipo de enfermería (33% enfermeros y 67% técnicos en enfermería). Las señales y los síntomas del extravasación más nombrados fueron: edema (89%), hiperemia (78%), dolor (67%) y ardor (33%). En lo relativo a los factores de riesgo para la extravasación, los más nombrados fueron "sitio de la punción" (44%), "condiciones del miembro puncionado" (33%) y "venas esclerosadas" (33%). No hubo consenso sobre la orden de punción correcta de las venas para la realización de quimioterapia. La prevención de la extravasación es una preocupación constante en la práctica clínica de los enfermeros. El presente estudio expone la importancia de un perfeccionamiento en el servicio y de la elaboración de una directiva clínica, con la finalidad de que los profesionales identifiquen a los pacientes con mayor riesgo de extravasación, para que traten de evitarla, en lugar de apenas tratarla después de que ocurra.A toxicidade dermatológica local decorrente do extravasamento de drogas antineoplásicas consiste em um dos principais efeitos adversos da terapia antineoplásica, sendo considerada uma autêntica emergência oncológica. Dado o exposto, a prevenção dessa complicação é uma importante medida, uma vez que gera estresse na equipe de enfermagem e pode causar danos irreparáveis ao paciente. O objetivo foi avaliar o conhecimento da equipe de enfermagem de um Ambulatório de Quimioterapia Adulto sobre o extravasamento de drogas antineoplásicas. Esta é uma pesquisa exploratório-descritiva, de natureza quantitativa, desenvolvida em um hospital filantrópico, referência em oncologia na cidade de Curitiba-PR. A amostra foi composta por nove funcionários da equipe de enfermagem (33% enfermeiros e 67% técnicos de enfermagem). Os sinais e sintomas do extravasamento mais citados foram edema (89%), hiperemia (78%), dor (67%) e queimação/ardor (33%). Com relação aos fatores de risco para o extravasamento, os mais citados foram "local da punção" (44%), "condições do membro puncionado" (33%) e "veias esclerosadas" (33%). Não houve consenso quanto à correta ordem de punção das veias para a realização de quimioterapia. A prevenção do extravasamento é uma preocupação constante na prática clínica dos enfermeiros. Neste estudo, traz-se a importância de um aperfeiçoamento em serviço e a elaboração de uma diretriz clínica, a fim de que os profissionais identifiquem os pacientes com maior risco de extravasamento, procurando evitá-lo, em vez de apenas tratá-lo após ocorrido.Universidade Federal de Minas Gerais2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/50351REME-Revista Mineira de Enfermagem; Vol. 15 No. 4 (2011)REME-Revista Mineira de Enfermagem; Vol. 15 Núm. 4 (2011)REME-Revista Mineira de Enfermagem; v. 15 n. 4 (2011)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporhttps://periodicos.ufmg.br/index.php/reme/article/view/50351/41877https://periodicos.ufmg.br/index.php/reme/article/view/50351/41878Copyright (c) 2011 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessSchneider, FrancianePedrolo, Edivane2024-01-24T15:18:34Zoai:periodicos.ufmg.br:article/50351Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T15:18:34Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
Extravasación de drogas antineoplásicas: evaluación del conocimiento del equipo de enfermería
Extravasamento de drogas antineoplásicas: avaliação do conhecimento da equipe de enfermagem
title Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
spellingShingle Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
Schneider, Franciane
enfermagem
antineoplásicos
conhecimento
extravasamento de materiais terapêuticos e diagnósticos
enfermería
agentes antienoplásicos
conocimiento
extravasación de materiales terapéuticos y diagnósticos
nursing
antineoplastic
knowledge
extravasation of diagnostic and therapeutic materials
title_short Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
title_full Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
title_fullStr Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
title_full_unstemmed Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
title_sort Extravasation of antineoplastic drugs: assessment of the nursing team knowledge
author Schneider, Franciane
author_facet Schneider, Franciane
Pedrolo, Edivane
author_role author
author2 Pedrolo, Edivane
author2_role author
dc.contributor.author.fl_str_mv Schneider, Franciane
Pedrolo, Edivane
dc.subject.por.fl_str_mv enfermagem
antineoplásicos
conhecimento
extravasamento de materiais terapêuticos e diagnósticos
enfermería
agentes antienoplásicos
conocimiento
extravasación de materiales terapéuticos y diagnósticos
nursing
antineoplastic
knowledge
extravasation of diagnostic and therapeutic materials
topic enfermagem
antineoplásicos
conhecimento
extravasamento de materiais terapêuticos e diagnósticos
enfermería
agentes antienoplásicos
conocimiento
extravasación de materiales terapéuticos y diagnósticos
nursing
antineoplastic
knowledge
extravasation of diagnostic and therapeutic materials
description Local dermatologic toxicity due to extravasation of antineoplastic drugs is one of the main adverse effects of antineoplastic therapy and it is considered an oncologic emergency. Its prevention is vital since it is a source of stress to the nursing team and it may cause irreparable harm to the patient. This study aimed to evaluate the knowledge of the nursing staff at an Adult Outpatient Chemotherapy Unit about antineoplastic drugs extravasation. It is an exploratory, descriptive and quantitative research carried out in a philantropic referral hospital for oncology in Curitiba (PR). The sample consisted of nine nursing staff employees (33% nurses and 67% practical nurses). The most cited extravasation signs and symptoms were "o edema" (89%), " hyperaemia "(78%), "pain" (67%), and"burnings/stinging" (33%). Regarding the risk factors for extravasation, the most cited were "puncture site" (44%), "punctured limb condition" (33%), and "sclerosed veins" (33%).There was no consensus on the correct order to veinipuncture previous to the chemotherapy performance. Extravasation prevention is a constant concern in the nurses clinical practice.This study shows the importance of nursing care refresher training and the elaboration of clinical guidelines, so that professionals can identify patients at higher risk of extravasavion aiming at preventing its occurrence instead of treating it afterwards.
publishDate 2011
dc.date.none.fl_str_mv 2011-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50351
url https://periodicos.ufmg.br/index.php/reme/article/view/50351
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50351/41877
https://periodicos.ufmg.br/index.php/reme/article/view/50351/41878
dc.rights.driver.fl_str_mv Copyright (c) 2011 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2011 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 15 No. 4 (2011)
REME-Revista Mineira de Enfermagem; Vol. 15 Núm. 4 (2011)
REME-Revista Mineira de Enfermagem; v. 15 n. 4 (2011)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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