Intervenções não farmacológicas para efeitos colaterais da quimioterapia antineoplásica priorizados pelos pacientes: revisão sistemática

Autores

DOI:

https://doi.org/10.15649/cuidarte.3612

Palavras-chave:

Terapias Complementares, Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos, Oncologia Integrativa, Sinais e Sintomas

Resumo

Introdução: Diferentes intervenções não farmacológicas têm sido estudadas para o manejo dos sintomas decorrentes da quimioterapia, mas sua eficácia é desconhecida. Objetivo: Descrever intervenções não farmacológicas para o manejo dos sintomas secundários à quimioterapia antineoplásica em adultos.   Materiais e Métodos: Revisão sistemática de estudos analíticos experimentais e observacionais (2021 a 2023). A seleção dos estudos e a extração dos dados foram realizadas paralelamente. As discrepâncias foram resolvidas com um terceiro revisor. O risco de viés foi avaliado por meio das ferramentas Risk Of Bias (RoB) e Newcastle-Ottawa Scale (NOS). A síntese da literatura foi realizada de forma descritiva por desfecho priorizado. Resultados: Os desfechos priorizados foram neutropenia, dor, neuropatia, náuseas, vômitos, alopecia, anorexia e distúrbios do sono. Foram encontradas 7.520 referências, 62 incluídas para análise. A acupressão mostrou possível efeito no controle de sintomas como náuseas e vômitos. A intervenção fria no couro cabeludo mostrou diferenças nos estágios de gravidade da alopecia. As demais intervenções apresentaram heterogeneidade.   Discussão: Intervenções não farmacológicas têm sido amplamente descritas em estudos observacionais e experimentais no controle dos efeitos colaterais da quimioterapia, porém há homogeneidade e alto risco de viés. Conclusão:  Acupressão, massagem muscular, musicoterapia, escalda-pés, entre outras, são as intervenções que têm sido estudadas para náuseas, vômitos, distúrbios do sono, neutropenia, alopecia, anorexia, dor e neuropatia como sintomas secundários priorizados pelos pacientes. É necessário padronizar tanto as intervenções quanto a forma de medir os resultados.

Como citar este artigo: Gómez-Neva María Elizabeth, Pulido Ramirez Edwin, Ibañez Rodriguez Leidy Johana, Caroprese Oscar, Buitrago-Lopez Adriana. Intervenciones no farmacológicas para efectos secundarios a la quimioterapia antineoplásica priorizados por pacientes: revisión sistemática. Revista Cuidarte. 2024;15(3):e3612.  https://doi.org/10.15649/cuidarte.3612

Biografia do Autor

María Elizabeth Gómez-Neva, Pontificia Universidad Javeriana, Facultad de Enfermería. Bogotá, Colombia.

Pontificia Universidad Javeriana, Facultad de Enfermería. Bogotá, Colombia.

Edwin Pulido Ramirez, Pontificia Universidad Javeriana. Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina. Bogotá, Colombia.

Pontificia Universidad Javeriana. Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina. Bogotá, Colombia.

Leidy Johana Ibañez Rodriguez, Hospital Universitario San Ignacio. Bogotá, Colombia.

Hospital Universitario San Ignacio. Bogotá, Colombia.

Oscar Caroprese, Subred Integrada de Servicios de Salud Norte. Bogotá, Colombia.

Subred Integrada de Servicios de Salud Norte. Bogotá, Colombia.

Adriana Buitrago-Lopez, Pontificia Universidad Javeriana, Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina. Bogotá, Colombia.

Pontificia Universidad Javeriana, Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina. Bogotá, Colombia.

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2024-10-11

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Gómez-Neva ME, Pulido Ramirez E, Ibañez Rodriguez LJ, Caroprese O, Buitrago-Lopez A. Intervenções não farmacológicas para efeitos colaterais da quimioterapia antineoplásica priorizados pelos pacientes: revisão sistemática. Revista Cuidarte [Internet]. 11º de outubro de 2024 [citado 28º de outubro de 2024];15(3). Disponível em: https://revistas.udes.edu.co/cuidarte/article/view/3612

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