Hospital discharge of liver transplantation patient: an integrative review

Abstract

Objective

To analyze evidence available in the literature to support the planning of hospital discharge of the patient who has undergone liver transplantation.

Method

Integrative review from the bases Scopus, LILACS, ScieELO, MEDLINE/PubMed, CINAHL, BDENF, Web of Science. The keywords Liver transplant and Hospital discharge were used in English, Spanish, and Portuguese, being identified 1,152 articles, and the sample consisting of 13 articles.

Results

Publications are concentrated between 2014 (n = 4; 30.7%) and 2016 (n = 3; 23%), originating in Brazil (n = 5; 38.4%) and the United States (n = 3; 23%). The results were organized into the categories: Warning signs for possible changes that may arise at home; Recommendations for the use of medicines – promoting self-management and adherence to treatment; Daily activities and care at home – support and self-confidence; Changes in body image and daily life – the importance of support network.

Conclusion

Discharging the patient who has undergone liver transplantation is a challenge, given the complexity of the procedure. The findings show care directed at health education to minimize complications, support the multidisciplinary team and patient in self-care, especially regarding the signs and symptoms of complications, care with the use of medication, and the changes that occur when returning home.

Keywords:
Liver Transplantation; Nursing Care; Health Education; Patient Care Team