Proposta de livro prático sobre terapia nutricional em pacientes cirúrgicos

Abstract

BACKGROUND: In Brazil, 39% of hospitalized surgical patients present some degree of malnutrition. The deleterious effect of malnutrition associated with metabolic changes that occur in the perioperative period may increase the risk of complications such as infection, metabolic and hemodynamic disorders, increased hospital stay, increased hospital costs, reduced quality of life, and patient survival. One way to prevent or reduce these effects is to identify patients early and initiate appropriate nutritional management, but the medical decisions regarding nutritional behavior are still insipient, due to several factors. Thus, tools that can help in a practical way in the search for knowledge and decision making benefit not only the professional but also the patient. OBJECTIVE: To prepare a book for quick consultation for the assistance of health team professionals in the care of the surgical patient in nutritional therapy. Specifics objectives: To investigate in the scientific literature recommendations on nutritional therapy in surgical patients; analyze and select the information found in the scientific literature; organize the content for writing the book. METHOD: This is a methodological study that includes an integrative review, with a documentary and retrospective analysis that covers the five years of scientific publication. It was used as search sites: Scientific Electronic Library Online - Scielo, Public Medline - PubMed, Web of Science, COCHRANE Liberty, and the database of relevant scientific societies. RESULTS: We found 836 articles of which 90 were selected. The articles were compiled by topic addressed to the definition of content resulting in 11 chapters of the book. For the preparation of the chapters, new information pertinent to the subject has been integrated. CONCLUSION: It was possible to elaborate the book, containing the themes compiled from the analysis and selection of the articles found in the review.