Dados do Trabalho

Título

Perioperative Nursing Care Mediating the Care of Myasthenic patients submitted to timectomy: an integrative review

Resumo

The pathology of Myasthenia gravis (MG) is of idiopathic cause, resulting in alteration in the neuromuscular junction by the presence of Anti-Acetylcholine receptor (AChRs), preventing the physiological action of this chemical mediator resulting in several clinical forms of this disease: neonatal MG, congenital MG, MG of drug origin and autoimmune MG. Objectives: This study aimed to highlight the importance of perioperative nursing care as a mediator in the qualification of care to be provided in myasthenic patients submitted to thimectomy. Methods: This is an integrative review bibliographic study that resulted in an active search in the VHL Regional Portal and Scielo Research Portal with selected titles between 2008 and 2021. Thirty publications that met the proposed objectives were selected and grouped, categorized, synthesized, and described in thematic axes according to the similarity of the subjects treated. Results: In the analyzed articles, it was observed that the patient who needs myasthenia presents generalized weakness and, in this condition, besides the ocular muscles, there is an impairment of the muscles of the limbs and the trunk, that may affect the muscles of the oropharynx and muscles involved with breathing, making the use of the Perioperative Nursing Care Systematization (PNCS) a valuable tool in the dynamization of nursing care through the three phases of the surgical experience: the immediate and mediate preoperative, intra- or transoperative and immediate postoperative. Conclusions: It is concluded that the knowledge about MG aligned to PNCS will corroborate with the delineation of actions involving the care planning to be directed to the patient, from clinical judgment supporting evidence of signs and symptoms.

Palavras Chave

Myasthenia gravis, Timectomy, Nursing Care, Treatment