NURSING CARE TO SEPSIS SURVIVORS AFTER ICU DISCHARGE
DOI:
https://doi.org/10.47820/recima21.v4i9.4063Keywords:
Sepsis. Intensive Care Unit. Nursing Care. Hospital Discharge.Abstract
Sepsis is defined as an organ dysfunction caused by a dysregulated answer to an infection, and it is configured as a global health issue. Septic patients frequently require Intensive Care Unit (ICU) stay to obtain proper support to the affected functions. After discharge, post-sepsis effects added to ICU stay leave patient vulnerable to complications. Nursing care to survivors of sepsis after ICU discharge is not yet widely described in literature. Considering that context, a systematic review was proposed with the objective to synthesize evidence about nursing care provided to patients discharged from the ICU after an episode of sepsis. Searches were done on the following databases: Cochrane Library, Cinahl, Embase, Lilacs, PubMed and Scopus. All steps were performed by two independent reviewers. 1012 articles were identified, from which 6 were selected for meeting the eligibility criteria. The results of this review showed that survivors of sepsis present different levels of impairment after ICU discharge, including decreased physical, cognitive and psychic functionality. Nursing care provided to survivors of sepsis after discharge were poorly described and were mostly related to assistance in daily activities. It is observed that further studies are relevant to comprehend post-sepsis and post-ICU morbidity, as well as to define effective care programs for reduction of readmission and mortality.
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