Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) poses a substantial burden on health systems due to its chronic nature and the frequency of acute episodes requiring hospitalization. Effective prevention and treatment of this disease are possible and crucial. Nursing interventions can play a vital role in improving patients' functional and emotional capacity, encouraging self-management, treatment adherence, and the adoption of healthy behaviors.
Objective: To synthesize the scientific evidence on the impact that nursing interventions have on the hospital readmission rate of people with COPD.
Methodology: Systematic literature review according to the Joanna Briggs Institute methodology. Inclusion criteria and Boolean search were defined at EBSCOhost and TripDatabase.
Results: Five articles were included for the purpose of this review. The studies portray the components of educational support and empowerment of the person for self-management of the disease and therapeutic regimen by nurses. These interventions have a positive impact on the quality of life of people with COPD and, consequently, on a reduction in the length of hospital stay and hospital readmissions.
Conclusion: The research revealed a variety of effective approaches implemented by specialist nurses. The results indicate that nursing interventions play a crucial role in intervention programs for patients with COPD, suggesting a potential improvement in quality of life and a reduction in hospital readmissions.
References
Global Initiative for Chronic Obstructive Lung Disease. GOLD Pocket Guide to COPD Diagnosis, Management, and Prevention - A Guide for Health Care Professionals. 2020 edition. Gold; 2020. Disponível em: https://goldcopd.org/wp-content/uploads/2020/03/GOLD-2020-POCKET-GUIDE-ver1.0_FINAL-WMV.pdf
Cordeiro MCO, Menoita ECPC. Manual de Boas Práticas na Reabilitação Respiratória – Conceitos, Princípios e Técnicas. 1ª edição. Loures: Lusociência; 2012.
Santos AC. 13o Relatório do Observatório Nacional das Doenças Respiratórias 2016/2017: Panorama das doenças respiratórias em Portugal. Retrato da saúde 2018-O estado da Saúde em Portugal. 2018. Disponível em: http://respirarmelhor.pt/wp-content/uploads/2019/08/Relat%C3%B3rio-do-Observat%C3%B3rio-Nacional-de-Doen%C3%A7as-Respirat%C3%B3rias-ONDR-2018.pdf
Dressler Garske CC, de Borba Schneiders P, Gonçalves da Silva AL, Carvalho LL. Custo de exacerbações em pacientes com doença pulmonar obstrutiva crônica submetidos a um programa de reabilitação pulmonar. Revista De Epidemiologia E Controle De Infecção. 2018;8(3):204-209. Disponível em: https://doi.org/10.17058/reci.v8i3.11093
Araújo, A. M. S. D. de. DPOC: estamos a tratar os doentes conforme o estado da arte? Revista Portuguesa De Medicina Geral E Familiar. 2016;32(3):222–6. Disponível em: https://doi.org/10.32385/rpmgf.v32i3.11795
Direção-Geral da Saúde [DGS]. Programa Nacional para as Doenças Respiratórias 2012-2016. 2ª edição: novembro de 2013 (Revisão da 1ª edição de abril de 2012). 1–18. Disponível em: https://nocs.pt/programa-nacional-doencas-respiratorias/
Direção-Geral da Saúde [DGS]. Norma Clínica no 005/2019: Diagnóstico e Tratamento da Doença Pulmonar Obstrutiva Crónica no Adulto. Diagnóstico e Tratamento Da Doença Pulmonar Obstrutiva Crónica No Adulto. 2019;1-18. Disponível em: https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas/norma-n-0052019-de-260820191.aspx
Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI, 2020. [Internet]. 2020. [cited 2023 Jul 14]. Available from: https://synthesismanual.jbi.global. ISBN:978-0-6488488-0-6. Disponivel em: https://doi.org/10.46658/JBIMES-20-01
Descritores em Ciências da Saúde: DeCS. ed. 2017. São Paulo (SP): BIREME/OPAS/OMS. [Internet]. 2017. Disponível em: http://decs.bvsalud.org
Aromataris E, Fernandez R, Godfrey C, Holly C, Kahlil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an Umbrella review approach. Int J Evid Based Healthc. 2015;13(3):132-40.
Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Chapter 3: Systematic reviews of effectiveness. In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI. 2020. Disponível em: https://synthesismanual.jbi.global
Joanna Briggs Institute. JBI Levels of Evidence: Developed by the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation Working Party October 2013. The Joanna Briggs Institute. 2014;1–5. Disponível em: https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf
Wang Y, Zang XY, Bai J, Liu SY, Zhao Y, Zhang Q. Effect of a Health Belief Model-based nursing intervention on Chinese patients with moderate to severe chronic obstructive pulmonary disease: A randomised controlled trial. Journal of Clinical Nursing. 2013 Sep 19;23(9-10):1342–53. Disponível em: https://doi.org/10.1111/jocn.12394
Kargiannakis M, Fitzsimmons DA, Bentley CL, Mountain GA. Does Telehealth Monitoring Identify Exacerbations of Chronic Obstructive Pulmonary Disease and Reduce Hospitalisations? An Analysis of System Data. JMIR Medical Informatics. 2017;5(1):e8. Disponível em: https://doi.org/10.2196/medinform.6359
Xu W, Hu H, Mao Y. Questionnaire Survey-Based Quantitative Assessment of the Impact of Transitional Care on Self-Management of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease. Computational and Mathematical Methods in Medicine. 2021. Disponível em: https://doi.org/10.1155/2021/3634548
Fitzsimmons DA, Thompson J, Hawley M, Mountain GA. Preventative tele-health supported services for early stage chronic obstructive pulmonary disease: a protocol for a pragmatic randomized controlled trial pilot. Trials. 2011;12:6. Disponível em: https://doi.org/10.1186/1745-6215-12-6
Yang F, Xiong ZF, Yang C, Li L, Qiao G, Wang Y, Zheng T, He H, Hu H. Continuity of Care to Prevent Readmissions for Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2017;14(2):251–261. Disponível em: https://doi.org/10.1080/15412555.2016.1256384
Iupati SPM, Ensor BR. Do community hospice programmes reduce hospitalisation rate in patients with advanced chronic obstructive pulmonary disease? Internal Medicine Journal. 2016;46(3):295–300. Disponível em: https://doi.org/10.1111/imj.12947
Gonzales RIC, Casarin SNA, Caliri MHL, Sassaki CM, Monroe AA, Villa TCS. Gerenciamento de caso: um novo enfoque no cuidado à saúde. Artigos de Revisão. Rev. Latino-Am. Enfermagem. 2013;11(2):227-231. Disponível em: https://doi.org/10.1590/S0104-11692003000200013
Zander K. Nursing case management in the 21st century: intervening where margin meets mission. Nurs Adm Q. 2002;26(5):58-67. Disponível em: https://doi.org/10.1097/00006216-200210000-00009
Sousa APPA de, Santos CSVB, Ferreira MMRS. Construir a confiança para o parto: avaliação de um programa de intervenção em enfermagem. Revista de Enfermagem Referência. 2019;Série IV - n.º 20 - JAN./FEV./MAR. ISSNe: 2182.2883 | ISSN p: 0874.0283:27-36. Disponível em: https://doi.org/10.12707/RIV18073
Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: an emerging middle-range theory. ANS. Advances in nursing science. 2000;23(1):12–28. Disponível em: https://doi.org/10.1097/00012272-200009000-00006
Swanson JO, Vogt V, Sundmacher L, Hagen TP, Moger TA. Continuity of care and its effect on readmissions for COPD patients: A comparative study of Norway and Germany. Health policy (Amsterdam, Netherlands). 2018;122(7):737–745. Disponível em: https://doi.org/10.1016/j.healthpol.2018.05.013
Ridwan ES, Hadi H, Wu Y-L, Tsai P-S. Effects of Transitional Care on Hospital Readmission and Mortality Rate in Subjects With COPD: A Systematic Review and Meta-Analysis. Respiratory Care. 2019;64(9):1146–1156. Disponível em: https://doi.org/10.4187/respcare.06959
Bamforth RJ, Chhibba R, Ferguson TW, Sabourin J, Pieroni D, Askin N, Tangri N, Komenda P, Rigatto C. Strategies to prevent hospital readmission and death in patients with chronic heart failure, chronic obstructive pulmonary disease, and chronic kidney disease: A systematic review and meta-analysis. PLoS ONE. 2021;16(4):1–26. Disponível em: http://10.0.5.91/journal.pone.0249542
Ordem dos Enfermeiros [OE]. Padrões de Qualidade dos Cuidados de Enfermagem: Enquadramento Conceptual, Enunciados Descritivos. Conselho de Enfermagem. Ordem dos Enfermeiros. 2001. Disponível em: https://www.ordemenfermeiros.pt/media/8903/divulgar-padroes-de-qualidade-dos-cuidados.pdf
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