Examinando por Materia "Terminally"

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Nursing care to reduce complications in pediatric oncologic patients with Porth catheters
(Universidad Privada Norbert Wiener, 2018-07-08) Dueñas Retamozo, Edith Noemi; Jerí Potocino, Avilio; Avila Vargas Machuca, Jeannette Giselle
Materials and Methods: Observational and retrospective systematic review that synthesizes the results of multiple primary studies. They are an essential part of evidence-based nursing due to their rigorous methodology. In the final selection, 10 articles were chosen, of which 20% (2) correspond to Spain, 20% (2) to Mexico, and 60% to Cuba (1), Portugal (1), USA (1), Germany (1), Korea (1), Japan (1), respectively. The majority of studies were descriptive, with 40%, mainly from Spain and Mexico. Results: Identifying relevant studies, 90% of the 10 reviewed articles agree that if basic and appropriate care is provided to the port catheter, complications are reduced by 90%. The search was restricted to full-text articles, and the selected articles underwent critical reading using the GRADE system to assign the strength of the recommendation. Conclusions: The systematic review of the 10 scientific articles directed at nurses mostly agrees that the essential care includes: proper asepsis, heparinization of the catheter port, use of the catheter between 7 and 15 days post-placement, dressing changes every 7 days, the port catheter prevents peripheral vascular injuries. The procedure should be performed by a trained professional in the field.