Nursing care of surgically treated pediatric patients with tetralogy of Fallot: a scoping review

Introduction: Children with tetralogy of Fallot face great challenges during their postoperative stage, so nurses must recognize the mechanisms involved in this process, to help them reach an integrated physiological and psychosocial level of adaptation.Objective: The objective of the study was to establish nursing interventions for children following palliative or corrective surgery for tetralogy of Fallot.Materials and methods: Using the methodology proposed by Fawcett et al. and the Joanna Briggs Institute, we searched 10 databases and search engines for articles published from 2014 to 2019 using 2 formulas: Pediatric AND Tetralogy of Fallot AND Post-operative and Pediatric AND Tetralogy of Fallot AND Postoperative AND Psychosocial Adaptation.Results: 1.901 studies were obtained, of which 56 met all eligibility criteria.The results were structured according to the nursing care plan and were framed within the modes of adaptation and needs of Callista Roy's adaptation model.With the information obtained, 12 NANDA diagnoses corresponding to the physiological mode of adaptation and 11 to the psychosocial mode were constructed.Conclusion: There is relevant information to establish care interventions within the nursing scope of practice in this pediatric intensive care unit context, as interventions were obtained to address all the needs proposed by the epistemological model.