Tecnologías de comunicación implementadas para la atención de pacientes críticos y no críticos: revisión del alcance

Autores/as

DOI:

https://doi.org/10.33448/rsd-v12i4.41259

Palabras clave:

Telemedicina; Telesalud; Unidad de Cuidados Intensivos; Casa de ancianos; Comunicación.

Resumen

Objetivo: analizar la evidencia científica disponible sobre el uso de las tecnologías de la comunicación para facilitar la interacción entre familiares y pacientes hospitalizados en UCI e ILP. Método: revisión de alcance, realizada según el modelo propuesto por el Instituto Joanna Briggs, a través de la revisión de las bases de datos: MEDLINE (PubMed), LILACS, EMBASE, CINAHL, SCOPUS, WEB OF SCIENCE y PSYCINFO. Todo tipo de diseño metodológico, publicado en inglés, español y portugués, que involucre tecnologías de comunicación en salud aplicadas a la atención de pacientes críticos y no críticos (por ejemplo: videollamadas, videoconferencias, etc.) de larga estancia. Resultados: se incluyeron 15 estudios que verificaron la videollamada como estrategia principal y los siguientes beneficios: mejora en la comunicación y vínculo entre médicos, pacientes y sus familias, disminución de la sedación, agitación, delirio, depresión, tiempo en coma y estancia en la UCI y los efectos negativos del aislamiento y la soledad. Conclusión: a pesar de la calidad metodológica variable de los estudios, el uso de las tecnologías de la comunicación en ambientes donde el paciente necesita estar aislado de su familia tiene beneficios, mayores que sus desventajas o limitaciones para la recuperación clínica de los pacientes.

Citas

Anantham, D., Chai-Lim, C., Zhou, J. X., & Phua, G. C. (2020). Operationalization of critical care triage during a pandemic surge using protocolized communication and integrated supportive care. Journal of Intensive Care, 8(1), 59. https://doi.org/10.1186/s40560-020-00475-y

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Bains, J., Greenwald, P. W., Mulcare, M. R., Leyden, D., Kim, J., Shemesh, A. J., Bodnar, D., Farmer, B., Steel, P., Tanouye, R., Kim, J. W., Lame, M., & Sharma, R. (2021). Utilizing Telemedicine in a Novel Approach to COVID-19 Management and Patient Experience in the Emergency Department. Telemedicine and E-Health, 27(3), 254–260. https://doi.org/10.1089/tmj.2020.0162

Bowman, B. A., Back, A. L., Esch, A. E., & Marshall, N. (2020). Crisis Symptom Management and Patient Communication Protocols Are Important Tools for All Clinicians Responding to COVID-19. Journal of Pain and Symptom Management, 60(2), e98–e100. https://doi.org/10.1016/j.jpainsymman.2020.03.028

Craig, J. W., Glick, C., Phillips, R., Hall, S. L., Smith, J., & Browne, J. (2015). Recommendations for involving the family in developmental care of the NICU baby. Journal of Perinatology, 35(S1), S5–S8. https://doi.org/10.1038/jp.2015.142

Curtis, J. R., Patrick, D. L., Shannon, S. E., Treece, P. D., Engelberg, R. A., & Rubenfeld, G. D. (2001). The family conference as a focus to improve communication about end-of-life care in the intensive care unit: Opportunities for improvement. Critical Care Medicine, 29(Supplement), N26–N33. https://doi.org/10.1097/00003246-200102001-00006

de Havenon, A., Petersen, C., Tanana, M., Wold, J., & Hoesch, R. (2015). A pilot study of audiovisual family meetings in the intensive care unit. Journal of Critical Care, 30(5), 881–883. https://doi.org/10.1016/j.jcrc.2015.05.027

Epstein, E. G., Arechiga, J., Dancy, M., Simon, J., Wilson, D., & Alhusen, J. L. (2017). Integrative Review of Technology to Support Communication With Parents of Infants in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(3), 357–366. https://doi.org/10.1016/j.jogn.2016.11.019

Epstein, E. G., Sherman, J., Blackman, A., & Sinkin, R. A. (2015). Testing the Feasibility of Skype and FaceTime Updates With Parents in the Neonatal Intensive Care Unit. American Journal of Critical Care, 24(4), 290–296. https://doi.org/10.4037/ajcc2015828

Estella, Á. (2020). Compassionate Communication and End-of-Life Care for Critically Ill Patients with SARS-CoV-2 Infection. The Journal of Clinical Ethics, 31(2), 191–193. https://doi.org/10.1086/JCE2020312191

Freeman-Sanderson, A., Rose, L., & Brodsky, M. B. (2020). Coronavirus disease 2019 (COVID-19) cuts ties with patients’ outside world. Australian Critical Care, 33(5), 397–398. https://doi.org/10.1016/j.aucc.2020.08.001

Henrich, N. J., Dodek, P., Heyland, D., Cook, D., Rocker, G., Kutsogiannis, D., Dale, C., Fowler, R., & Ayas, N. (2011). Qualitative analysis of an intensive care unit family satisfaction survey*. Critical Care Medicine, 39(5), 1000–1005. https://doi.org/10.1097/CCM.0b013e31820a92fb

Kentish-Barnes, N., Chevret, S., & Azoulay, E. (2018). Guiding intensive care physicians’ communication and behavior towards bereaved relatives: study protocol for a cluster randomized controlled trial (COSMIC-EOL). Trials, 19(1), 698. https://doi.org/10.1186/s13063-018-3084-7

Kleinpell, R. M. (2014). Improving communication in the ICU. Heart & Lung, 43(2), 87. https://doi.org/10.1016/j.hrtlng.2014.01.008

Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared Decision-Making in Intensive Care Units. Executive Summary of the American College of Critical Care Medicine and American Thoracic Society Policy Statement. American Journal of Respiratory and Critical Care Medicine, 193(12), 1334–1336. https://doi.org/10.1164/rccm.201602-0269ED

Long, A. C., & Curtis, J. R. (2014). Quality of dying in the ICU: understanding ways to make it better. Intensive Care Medicine, 40(11), 1793–1793. https://doi.org/10.1007/s00134-014-3512-4

Low, J. A., Beins, G., Lee, K. K., & Koh, E. (2013). Last moments of life: Can telemedicine play a role? Palliative and Supportive Care, 11(4), 353–355. https://doi.org/10.1017/S1478951512000995

Marra, A., Ely, E. W., Pandharipande, P. P., & Patel, M. B. (2017). The ABCDEF Bundle in Critical Care. Critical Care Clinics, 33(2), 225–243. https://doi.org/10.1016/j.ccc.2016.12.005

Münch, U., Müller, H., Deffner, T., von Schmude, A., Kern, M., Kiepke-Ziemes, S., & Radbruch, L. (2020). Empfehlungen zur Unterstützung von belasteten, schwerstkranken, sterbenden und trauernden Menschen in der Corona-Pandemie aus palliativmedizinischer Perspektive. Der Schmerz, 34(4), 303–313. https://doi.org/10.1007/s00482-020-00483-9

Negro, A., Mucci, M., Beccaria, P., Borghi, G., Capocasa, T., Cardinali, M., Pasculli, N., Ranzani, R., Villa, G., & Zangrillo, A. (2020). Introducing the Video call to facilitate the communication between health care providers and families of patients in the intensive care unit during COVID-19 pandemia. Intensive and Critical Care Nursing, 60, 102893. https://doi.org/10.1016/j.iccn.2020.102893

Nelson, J. E. (2006). Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback. Quality and Safety in Health Care, 15(4), 264–271. https://doi.org/10.1136/qshc.2005.017707

Nelson, J. E., Meier, D. E., Oei, E. J., Nierman, D. M., Senzel, R. S., Manfredi, P. L., Davis, S. M., & Morrison, R. S. (2001). Self-reported symptom experience of critically ill cancer patients receiving intensive care. Critical Care Medicine, 29(2), 277–282. https://doi.org/10.1097/00003246-200102000-00010

Noone, C., McSharry, J., Smalle, M., Burns, A., Dwan, K., Devane, D., & Morrissey, E. C. (2020). Video calls for reducing social isolation and loneliness in older people: a rapid review. Cochrane Database of Systematic Reviews, 2020(7). https://doi.org/10.1002/14651858.CD013632

Pun, B. T., Balas, M. C., Barnes-Daly, M. A., Thompson, J. L., Aldrich, J. M., Barr, J., Byrum, D., Carson, S. S., Devlin, J. W., Engel, H. J., Esbrook, C. L., Hargett, K. D., Harmon, L., Hielsberg, C., Jackson, J. C., Kelly, T. L., Kumar, V., Millner, L., Morse, A., … Ely, E. W. (2019). Caring for Critically Ill Patients with the ABCDEF Bundle. Critical Care Medicine, 47(1), 3–14. https://doi.org/10.1097/CCM.0000000000003482

Ribeiro C. G., Silva C. V. N. S., & Miranda, M. M. (2005). O paciente crítico em uma unidade de terapia intensiva: uma revisão da literatura. . Revista Mineira de Enfermagem, 9(4)(1415–2762), 371–377.

Rosa, R. G., Tonietto, T. F., da Silva, D. B., Gutierres, F. A., Ascoli, A. M., Madeira, L. C., Rutzen, W., Falavigna, M., Robinson, C. C., Salluh, J. I., Cavalcanti, A. B., Azevedo, L. C., Cremonese, R. V., Haack, T. R., Eugênio, C. S., Dornelles, A., Bessel, M., Teles, J. M. M., Skrobik, Y., & Teixeira, C. (2017). Effectiveness and Safety of an Extended ICU Visitation Model for Delirium Prevention. Critical Care Medicine, 45(10), 1660–1667. https://doi.org/10.1097/CCM.0000000000002588

Tan, E., Song, J., Deane, A. M., & Plummer, M. P. (2021). Global Impact of Coronavirus Disease 2019 Infection Requiring Admission to the ICU. Chest, 159(2), 524–536. https://doi.org/10.1016/j.chest.2020.10.014

The Cochrane Consumers & Communication Review Group. (2016). Cochrane Consumers and Communication. Data Extraction Template for Included Studies. Cochrane Database of Systematic Reviews.

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

Valley, T. S., Schutz, A., Nagle, M. T., Miles, L. J., Lipman, K., Ketcham, S. W., Kent, M., Hibbard, C. E., Harlan, E. A., & Hauschildt, K. (2020). Changes to Visitation Policies and Communication Practices in Michigan ICUs during the COVID-19 Pandemic. American Journal of Respiratory and Critical Care Medicine, 202(6), 883–885. https://doi.org/10.1164/rccm.202005-1706LE

Van der Ploeg, E. S., Eppingstall, B., & O’Connor, D. W. (2016). Internet video chat (Skype) family conversations as a treatment of agitation in nursing home residents with dementia. International Psychogeriatrics, 28(4), 697–698. https://doi.org/10.1017/S1041610215001854

Webb, H., Parson, M., Hodgson, L. E., & Daswani, K. (2020). Virtual visiting and other technological adaptations for critical care. Future Healthcare Journal, 7(3), e93–e95. https://doi.org/10.7861/fhj.2020-0088

Wood G.J., Chaitin E., & Arnold R.M. (2020). Communication in the ICU: holding a family meeting. UpToDate.

Wu, Z., & McGoogan, J. M. (2020). Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China. JAMA, 323(13), 1239. https://doi.org/10.1001/jama.2020.2648

Yager, P. H., Clark, M., Cummings, B. M., & Noviski, N. (2017). Parent Participation in Pediatric Intensive Care Unit Rounds via Telemedicine: Feasibility and Impact. The Journal of Pediatrics, 185, 181-186.e3. https://doi.org/10.1016/j.jpeds.2017.02.054

Publicado

18/04/2023

Cómo citar

SILVA, D. F. da .; SOUZA, M. G. de .; GOMES, J. B. . Tecnologías de comunicación implementadas para la atención de pacientes críticos y no críticos: revisión del alcance. Research, Society and Development, [S. l.], v. 12, n. 4, p. e26612441259, 2023. DOI: 10.33448/rsd-v12i4.41259. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41259. Acesso em: 26 nov. 2024.

Número

Sección

Ciencias de la salud