Abstract
This integrative review aimed to analyze the available evidence in the literature regarding nursing care in the perioperative period for patients who underwent bariatric surgery. The search for primary studies was carried out in the US National Library of Medicine National Institutes of Health, Cumulative Index to Nursing and Allied Health Literature and Latin American and Caribbean Health Sciences Literature databases. The sample was comprised of 11 primary studies, published between January 2002 and July 2013, and grouped in two categories. The main nursing care activities identified were: bed mobility, ambulation at 12 hours, thromboembolic prophylaxis using compression devices, antibiotic prophylaxis, care for surgical drains, catheters and wound dressings, and guidance for patients regarding pre and postoperative preparation. The difficulties experienced by nurses and the team in the care provided were also discussed.
Highlights
Because of its high prevalence, obesity is considered a public health problem, in addition to being characterized as a clinical-epidemiological occurrence with high mortality, due to the comorbidities associated with it, such as diabetes mellitus, dyslipidemia, sleep apnea, and cardiac and neurological diseases[1].It is a complex morbidity determined by genetic, social, economic and cultural factors, as well as inappropriate eating habits
The guiding question for the integrative review was: What is the evidence available in the literature regarding the nursing care in the perioperative period provided to patients undergoing bariatric surgery?
The primary studies included in the integrative review were grouped in two categories, namely: Nursing care in the perioperative period; and Human and material resources, equipment, and physical structure
Summary
Because of its high prevalence, obesity is considered a public health problem, in addition to being characterized as a clinical-epidemiological occurrence with high mortality, due to the comorbidities associated with it, such as diabetes mellitus, dyslipidemia, sleep apnea, and cardiac and neurological diseases[1]. It is a complex morbidity determined by genetic, social, economic and cultural factors, as well as inappropriate eating habits. The severity of the obesity is divided by Body Mass Index into grade I (30-34.9 kg/m2), grade II (35-39.9 kg/m2) and grade III - or morbid obesity (≥40 kg/m2)(3)
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