CONSTRUÇÃO DE ALGORITMO DE CONDUTAS DE SINAIS E SINTOMAS NAS FERIDAS NEOPLÁSICAS MALIGNAS EM ADULTOS

Arielly Rosa Dantas Furtado; Tais dos Passos Sagica; Marcos José Risuenho Brito Silva; Clarissa Porfírio Mendes; Alzinei Simor; Odenilce Vieira Pereira; Adams Brunno Silva; Aline Maria Pereira Cruz Ramos

Authors

Arielly Rosa Dantas Furtado Universidade do Estado do Pará – Belém (PA), Brazil. https://orcid.org/0000-0002-1105-4640
Tais dos Passos Sagica Universidade do Estado do Pará – Belém (PA), Brazil. https://orcid.org/0000-0002-6871-0100
Marcos José Risuenho Brito Silva Universidade do Estado do Pará – Belém (PA), Brazil. https://orcid.org/0000-0002-4229-8808
Clarissa Porfírio Mendes Universidade do Estado do Pará – Belém (PA), Brazil. https://orcid.org/0000-0001-6488-718X
Alzinei Simor Universidade do Estado do Pará – Belém (PA), Brazil. https://orcid.org/0000-0002-3848-5467
Odenilce Vieira Pereira Hospital Universitário João de Barros Barreto – Belém (PA), Brazil. https://orcid.org/0000-0002-4698-6413
Adams Brunno Silva Hospital Ophir Loyola – Belém (PA), Brazil. https://orcid.org/0000-0002-9628-3644
Aline Maria Pereira Cruz Ramos Universidade Federal do Pará – Belém (PA), Brazil. https://orcid.org/0000-0001-8812-2923

Abstract

Objective: To build an algorithm of conducts to control signs and symptoms of malignant neoplastic wounds in adults. Method: Methodological research, of an exploratory nature, for the construction-production of a clinical algorithm based on the scoping review. Results: A total of 107 studies was found in the databases, nine of which were included in this review. Four studies are randomized experimental studies, four are case studies and one is retrospective documentary observational study. Odor was the most addressed sign, followed by exudate, bleeding, infection, moisture-associated dermatitis, and pain. Conclusion: Gaps were observed, such as the need for more original and experimental studies, in addition to the lack of a specific descriptor for malignant neoplastic wound. However, it was possible to build an algorithm that offers conducts that are based on the literature for greater theoretical support and nursing safety in relation to cancer patients.

Downloads

Download data is not yet available.

References

Furka, A, Sinkó C, Kostyál L, Szabó I, Valikovics A, Fekete G, Tornyi I, Oross E, Révész J. Treatment algorithm for cancerous wounds: a systematic review. Cancers. 2022;14(5):1203. https://doi.org/10.3390%2Fcancers14051203

Tsichlakidou A, Govina O, Vasilopoulos G, Kavga A, Vastardi M, Kalemikerakis I. Intervention for symptom management in patients with malignant fungating wounds-a systematic review. J BUON [Internet]. 2019 [acessado em 3 maio 2022];24(3):1301-8. Available at: https://pubmed.ncbi.nlm.nih.gov/31424694/

Probst S, Arber A, Faithfull S. Malignant fungating wounds–the meaning of living in an unbounded body. Eur J Oncol Nurs. 2013;17(1):38-45. https://doi.org/10.1016/j.ejon.2012.02.001

Freitas MS, Pacheco PQ, Souza SR. A qualidade de vida do paciente portador de feridas neoplásicas: uma revisão integrativa. Rev Enferm Atual In Derme. 2019;88(26):1-10. https://doi.org/10.31011/reaid-2019-v.88-n.26-art.438

Bernardinho LL, Matsubara MG. Construção de um instrumento para avaliação do conhecimento sobre ferida neoplásica maligna. Rev Bras Cancerol. 2022;68(1):e-061377. https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1377

Woo KY, Sibbald RG. Local wound care for malignant and palliative wounds. Adv Skin Wound Care. 2010;23(9):417-28.

Salbego C, Nietsche EA, Ramos TK, Girardon-Perlini NM, Lacerda MR, Ferreira T. Concepções sobre tecnologias do cuidar e educar na práxis do enfermeiro hospitalar. R Pesq Cuid Fundam Online. 2021;13:150-7. https://doi.org/10.9789/2175-5361.rpcfo.v13.8669

Barbosa SL, Abud AC, Souza CA, Torres RC, Lima LS, Santos AP. Algoritmos utilizados para o tratamento de feridas. Rev Enferm Atual In Derme. 2019;90(28):1-8. https://doi.org/10.31011/reaid-2019-v.90-n.28-art.523

Pinheiro RV, Salomé GM, Miranda FD, Alves JR, Reis FA, Mendonça AR. Algoritmos para prevenção e tratamento de lesão por fricção. Acta Paul Enferm. 2021;34:eAPE03012. https://doi.org/10.37689/acta-ape/2021AO03012

Firmino F. Pacientes portadores de feridas neoplásicas em serviços de cuidados paliativos: contribuições para a elaboração de protocolos de intervenções de enfermagem. Rev Bras Cancerol. 2005;51(4):347-59. https://doi.org/10.32635/2176-9745.RBC.2005v51n4.1941

Teixeira E (org.). Desenvolvimento de tecnologias cuidativo-educacional. Porto Alegre: Moriá; 2020. v. 2.

Munn Z, Pollock D, Khalil H, Alexander L, Mcinerney P, Godfrey CM, Peters M, Tricco AC. What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis. JBI Evid Synth. 2022;20(4):950-2. https://doi.org/10.11124/jbies-21-00483

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-3. https://doi.org/10.7326/m18-0850

Harrison H, Griffin SJ, Kuhn I, Usher-Smith JA. Software tools to support titleand abstract screening for systematic reviews in healthcare: na evaluation. BMC Med Res Methodol. 2020;20(1):1-12. https://doi.org/10.1186/s12874-020-0897-3

Lo SF, Hsu MY, Hu WY. Using wound bed preparation to heal a malignant fungating wound: a single case study. J Wound Care. 2007;16(9):373-6. https://doi.org/10.12968/jowc.2007.16.9.27867

Lund-Nielsen B, Adamsen L, Kolmos HJ, Rørth M, Tolver A, Gottrup F. The effect of honey-coated bandages compared with silver-coated bandages on treatment of malignant wounds—a randomized study. Wound Rep Reg. 2011;19(6):664-70. https://doi.org/10.1111/j.1524-475X.2011.00735.x

Kalemikerakis J, Vardaki Z, Fouka G, Vlachou E, Gkovina U, Kosma E, Dionyssopoulos A. Comparison of foam dressings with silver versus foam dressings without silver in the care of malodorous malignant fungating wounds. J BUON [internet]. 2012 [acessed on 28 jan. 2023];17(3):560-4. Available at: https://europepmc.org/article/med/23033299

Lian SB, Xu Y, Goh SL, Aw FC. Comparing the effectiveness of green tea versus topical metronidazole powder in malodorous control of fungating malignant wounds in a controlled randomised study. Proc Singap Healthc. 2014;23(1):3-12. https://doi.org/10.1177/201010581402300102

Silva KR, Bontempo PS, Reis PE, Vasques CI, Gomes IP, Simino GP. Intervenções terapêuticas em feridas tumorais: relato de casos. Rev Bras Cancerol. 2015;61(4):373-9. https://doi.org/10.32635/2176-9745.RBC.2015v61n4.232

Peng L, Dai Y. Effect of metronidazole combined with autolytic debridement for the management of malignant wound malodor. J Int Med Res. 2020;48(4). https://doi.org/10.1177/0300060519889746

Nicodème M, Dureau S, Chéron M, Kriegel I, Trenchand M, Bauer P, Fromantin I. Frequency and management of hemorrhagic malignant wounds: a retrospective, single-center, observational study. J Pain Symptom Manag. 2021;62(1):134-40. https://doi.org/10.1016/j.jpainsymman.2020.11.031

You M, Zhang S, Ma X, Liu H, Lu Y, Li Y. Nursing of a Non-Hodgkin’s Lymphoma patient with a facial malignant fungating wound. Asia Pac J Oncol Nurs. 2021;8(5):581-5. https://doi.org/10.4103/apjon.apjon-2119

Luo B, Xiao Y, Jiang M, Wang L, Ge Y, Zheng M. Successful management of exudate and odor using a pouch system in a patient with malignant facial wound: A case report. Asia Pac J Oncol Nurs. 2022;9(4):236-41. https://doi.org/10.1016/j.apjon.2022.02.006

Santos WA, Fuly PS, Souto MD, Santos ML, Beretta LL. Associação entre odor e isolamento social em pacientes com feridas tumorais malignas: estudo piloto. Enferm Glob [Internet]. 2019 [acessado em 24 fev. 2023];18(1):19-65. Available at: https://scielo.isciii.es/pdf/eg/v18n53/pt_1695-6141-eg-18-53-19.pdf

Mokra D, Joskova M, Mokry J. Therapeutic effects of dreen tea polyphenol (–)-epigallocatechin-3-gallate (EGCG) in relation to molecular pathways controlling inflammation, oxidative stress, and apoptosis. Int J Mol Sci. 2023;24(1):340. https://doi.org/10.3390/ijms24010340

Villela-Castro DL, Santos VL, Woo K. Polyhexanide versus metronidazole for odor management in malignant (fungating) wounds: a double-blinded, randomized, clinical trial. J Wound Ostomy Continence Nurs. 2018;45(5):413-8. https://doi.org/10.1097/won.0000000000000460

Ntow-Boahene W, Papandronicou I, Miculob J, Good L. Fungal cell barriers and organelles are disrupted by polyhexamethylene biguanide (PHMB). Sci Rep. 2023;13(1):2790. https://doi.org/10.1038/s41598-023-29756-w

Borges MS, Peres FI, Moure-Oliveira D, Silva AA, Hori JI. Utilização do mel como terapia complementar: uma revisão sobre as propriedades biológicas associadas ao mel. Braz Appl Sci Rev. 2021;5(2):1027-45. https://doi.org/10.34115/basrv5n2-030

Garcia TF, Silva PG, Barcelos BJ, Miranda MG, Alonso CS, Abreu MN, Borges EL. Critérios para avaliação da qualidade de coberturas de alginato no tratamento de feridas. Rev Bras Enferm. 2021;74(4):e20201091. https://doi.org/10.1590/0034-7167-2020-1091