Pacientes oncológicos sob cuidados paliativos: ocorrências relacionadas à punção venosa e hipodermóclise

• Autor(a) principal: Bolela, Fabiana
• Data de Publicação: 2022
• Outros Autores: Lima, Roberta de, Souza, Ana Carolina de, Moreira, Michele Rocha, Lago, Ana Julia de Oliveira, Simino, Giovana Paula Rezende, Araújo, Jakeline Silva de
• Tipo de documento: Artigo
• Idioma: eng; por; spa
• Título da fonte: Revista Latino-Americana de Enfermagem (Online)
• DOI: 10.1590/1518-8345.5825.3623
• Texto Completo: https://www.revistas.usp.br/rlae/article/view/201120
• topic: Palliative Care; Hypodermoclysis; Subcutaneous Infusions; Peripheral Catheterization; Medical Oncology; Nursing.; Cuidados Paliativos; Hipodermoclisis; Infusiones Subcutáneas; Cateterismo Periférico; Oncología Médica; Enfermería.; Cuidados Paliativos; Hipodermóclise; Infusões Subcutâneas; Cateterismo Periférico; Oncologia; Enfermagem.

Objective: to identify the occurrences related to peripheral venipuncture and hypodermoclysis among patients hospitalized in a general hospital and in an exclusive hospital institution for the care of patients in palliative cancer care. Method: an observational, descriptive and multicenter study. The consecutive and non-probabilistic sample consisted of 160 cancer patients hospitalized in Palliative Care. The outcome variable corresponded to the occurrences and complications related to each type of puncture. A questionnaire containing the sociodemographic and clinical variables and a structured script for monitoring and daily evaluation of the puncture were used. Descriptive statistics were employed for data analysis. Results: the occurrences related to venipuncture at a general hospital were blood soiling at catheter insertion (17.4%) and expired use period (15.8%), while at a specific service for the care of patients under palliative care they were expired use period (32%) followed by infiltration (18.9%). As for hypodermoclysis, there were two subcutaneous punctures with phlogistic signs (1.0%) at the general hospital and a hematoma at the catheter insertion site (0.5%). At the specific service for the care of patients under palliative care there were three subcutaneous punctures with phlogistic signs (5.7%). Conclusion: the number of occurrences related to peripheral venipuncture was higher than those related to hypodermoclysis.