title: Intervention of the Specialist Nurse in Rehabilitation Nursing in the Preoperative Consultation for Individuals Scheduled for Abdominal Surgery
Creators: name: De Abreu Pereira, Soraia Cristina
name: Marques, Raquel
name: Ventura-Silva, João
name: Da Silva Topa, Paula Maria Cardoso
Publisher: name: OSF Registries
Year: 2024
Subjects: subject: Medicine and Health Sciences
subject: Nursing
subject: FOS: Health sciences
subject: Abdominal Surgery
subject: Laparotomy
subject: Postoperative Complications
subject: Preoperative Rehabilitation
subject: Rehabilitation Nursing

description: Individuals undergoing abdominal surgery experience various changes and complications resulting from the surgical process. These can be classified as inevitable, related to structural bodily functions, and avoidable, which negatively impact the patient's recovery. In a preoperative consultation, by correctly assessing and identifying the needs of the individual scheduled for abdominal surgery, a unique and ideal opportunity for intervention may arise to optimize various functions while awaiting surgery.
The objective was defined to map the scientific evidence on the interventions of the Specialist Nurse in Rehabilitation Nursing (SNRN) during the preoperative consultation for individuals proposed for abdominal surgery in a hospital setting. This is a Scoping Review guided by the methodology of the Joanne Briggs Institute. The research was conducted from September 8, 2023, to October 19, 2023, and was carried out in the databases Medical Literature Analysis and Retrieval System Online (Medline) via PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOHost, and Latin American and Caribbean Health Sciences Literature (LILACS). Published and unpublished studies in Portuguese, English, and Spanish were considered, with no time restrictions, as well as studies with quantitative, qualitative, or mixed designs, systematic reviews, and guidelines.
Eligibility criteria were defined using the PCC mnemonic: Population (individuals proposed for abdominal surgery), Concept (rehabilitation interventions in the preoperative consultation), and Context (hospital). For data processing, two independent reviewers identified articles that met the eligibility criteria by reading titles and abstracts. Divergent cases were resolved with the help of a third reviewer.
Thirty-one articles were included, grouped into three thematic areas: optimization of respiratory function/strengthening of respiratory muscles, motor training and strengthening of upper and lower limbs, and educational interventions for behavior change.
Identifying rehabilitation interventions directed at individuals in the preoperative period is crucial, contributing to the prevention of postoperative complications, potentially influencing the duration and costs of hospitalization, and promoting the quality of nursing care provided. Furthermore, it provides essential support for the creation and systematization of a preoperative rehabilitation consultation for individuals proposed for abdominal surgery, enhancing the visibility of the rehabilitation nursing role within the multidisciplinary team. It is expected that this review will pave the way for future research studies focused on evaluating the effectiveness of the nursing interventions mapped in this review.