Nursing Care in the Rehabilitation of People With Limb Amputation: Integrative Review

Authors

DOI:

https://doi.org/10.36489/nursing.2025v29i323p10738-10751

Keywords:

Amputation, Rehabilitation, Nursing care, Nursing, Integrative review.

Abstract

Objective: to identify nursing care in the scientific literature aimed at the rehabilitation of people with limb amputation. Method: Integrative literature review conducted in the LILACS, MEDLINE/PubMed, SciELO and Scopus databases. Original studies, available in full, that addressed nursing care for amputees were included. The selection followed the PRISMA guidelines and the data were analyzed descriptively. Results: The sample resulted in seven articles. Nursing care involved pain control, prevention of complications, emotional support, encouragement of self-care and coordination with the care network. The main weaknesses were the lack of specific protocols and discontinuity of care. Conclusion: Nursing has a strategic role in the rehabilitation of people with limb amputation, requiring the systematization of care and the strengthening of evidence-based practice.

Author Biographies

Lia, Federal University of Paraíba – UFPB

PhD student in Nursing at the Postgraduate Program in Nursing at the Federal University of Paraíba – UFPB; Master in Nursing at the Federal University of Paraíba – UFPB; Nurse at the Federal University of Paraíba – UFPB

Maria Cristina Lins de Oliveira Frazão, Federal University of Paraíba – UFPB

PhD student in Nursing at the Postgraduate Program in Nursing at the Federal University of Paraíba – UFPB; Master in Nursing at the Federal University of Paraíba – UFPB; Nurse at the Federal University of Paraíba – UFPB

Sthephanie de Abreu Freitas, Federal University of Paraíba – UFPB

PhD student in Nursing at the Postgraduate Program in Nursing at the Federal University of Paraíba – UFPB; Master in Nursing at the Federal University of Paraíba – UFPB; Nurse at the Federal University of Paraíba – UFPB

Hebe Janayna Mota Duarte Beserra, Federal University of Paraíba – UFPB

PhD student in Nursing at the Postgraduate Program in Nursing at the Federal University of Paraíba – UFPB; Master in Human Health and Environment from the Federal University of Pernambuco; Nurse at the Santa Emília de Rodat College;

Kátia Neyla de Freitas Macedo Costa, Federal University of Paraíba – UFPB

Associate Professor IV of the Undergraduate Nursing Course and the Postgraduate Nursing Program at the Federal University of Paraíba – UFPB; PhD from the Federal University of Ceará; Master's degree from the Federal University of Ceará; Nurse from the Federal University of Ceará;

References

Rodrigues DF, Castanheira FSFM, Carvalho ALRF, Pinto CMCB. Intervenções de enfermagem para empoderar o cuidador familiar de pessoa com amputação de membro inferior: revisão de escopo. Rev Bras Enferm. 2024;77(1):e20230264.

National Limb Loss Resource Center. Limb Loss Statistics. Amputee Coalition. 2021. Disponível em: https://www.amputee-coalition.org/limb-loss-resource-center/resources-for-the-media/limb-loss-statistics/.

Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV). Brasil bate recorde de amputações de pés e pernas em decorrência do diabetes. 2023. Disponível em: https://sbacv.org.br/brasil-bate-recorde-de-amputacoes-de-pes-e-pernas-em-decorrencia-do-diabetes/.

Mariano D, Leal SMC, Soares JSF, Souza GKC. Nursing in the rehabilitation of patients undergoing amputation. Enferm Foco. 2014;5(1/2):21–24.

Godoy G, Godoy M, Souza NL, Alves MP, Souza JAS. Importância do cuidado psicológico e emocional aos pacientes que sofrem amputação: uma revisão de literatura. Rev Ibero-Am Humanid Ciênc Educ. 2022;8(2):1148–1155.

Lima NKG, Silva JC, Rebouças CBA, Coura AS, Félix NDC, França ISX. Amputação por complicações do diabetes: protocolo de cuidados de enfermagem. Enferm Foco. 2022;13(1):90–96.

Ferreira ML, Lima FET, Damasceno MMC, Freitas MC, Lima LK, Araújo TL. Network care for people with amputation: nursing actions from a bioethical perspective. Texto Contexto Enferm. 2018;27(2):e2820016.

Biz MCP, Santos MC, Reis F, Nicolau SM, Furtado JP. Centros Especializados em Reabilitação: avaliando os desafios à implementação do modelo biopsicossocial nas práticas assistenciais à pessoa com deficiência. Interface (Botucatu). 2024; 28: e230178.

Mota PHS, Bousquat A. Desafios para a implementação da Rede de Cuidados à Pessoa com Deficiência em uma região de saúde: um olhar a partir das dimensões política, organização e estrutura. Saúde Soc. 2023;32(2):e220608pt.

Mendes KDS, Silveira RCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019;28:e20170204.

Polit DF, Beck CT. Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. Porto Alegre: Artmed; 2018.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. A declaração PRISMA 2020: uma diretriz atualizada para relatar revisões sistemáticas. BMJ. 2021;372:n71.

Attalla HR, El-Sayad HE. Effectiveness of rehabilitation nursing protocol on phantom pain and lifestyle modification in patients with lower limb amputation. Biomedicine and Nursing. 2020;6(3).

Santos I, Sousa P. Rehabilitation of people with major amputation of vascular etiology: exploratory study. Rev Investig Inov Saúde. 2022;5(1):9–22. https://doi.org/10.37914/riis.v5i1.173.

Negreiros RV, Silva CRL, Lima Júnior FJ, Lima ACC, Cavalcante RM, Araújo MF. Nursing process in an elderly patient with transmetatarsal amputation: a case report. Braz J Dev. 2021;7(10):98374–98386.

Santos BK, Araújo MFM, Freitas RWJF, Almeida PC, Damasceno MMC, Landim JMM. Performance of the multidisciplinary team in the care of amputees: contextualizing services and hospital protocols. Cad Bras Ter Ocup. 2018;26(3):527–537.

Spyrou JM, Minns Lowe C. An exploration of specialist clinicians' experiences and beliefs about inpatient amputee rehabilitation as a pathway option for adult primary amputees. Disabil Rehabil. 2021;1–12. https://doi.org/10.1080/09638288.2021.1970830.

Dorneles LD, dos Santos AM. Personalidade e qualidade de vida em pacientes com amputação transtibial e transfemoral. Conjecturas. 2022;22(2):958–973.

Bezerra KMG, Leal MCC, Souza YP, Oliveira Marques AP, Carvalho Leandro AC, Brito MGJP, et al. Condições clínicas de saúde em idosos submetidos à amputação de membros superiores e inferiores. Research, Society and Development. 2021;10(12):e533101220890.

Clark D. Cicely Saunders: a life and legacy. Oxford: Oxford University Press; 2018.

Kolcaba K. Comfort theory and practice: a vision for holistic health care and research. 1st ed. New York: Springer Publishing Company; 2003.

Moreira KR, Amorim PB, Santos AGS, Lopes LV. Prevalência da dor fantasma em pacientes submetidos à amputação: uso da terapia do espelho. RECIMA21. 2021;2(9):e29725. https://doi.org/10.47820/recima21.v2i9.725.

Vieira TW, Cecagno D, Moraes JG, Oliveira MMC, Amestoy SC. Validation methods of nursing care protocols: an integrative review. Rev Bras Enferm. 2020;73(Suppl 5):e20200050. https://doi.org/10.1590/0034-7167-2020-0050.

Hyung B, Wiseman-Hakes C. A comprehensive review of current non-pharmacological treatment modalities for phantom limb pain in amputees. Disabil Rehabil. 2021. https://doi.org/10.1080/09638288.2021.1948116.

Published

2025-06-10

How to Cite

Ferreira, G. R. S., Lia Raquel de Carvalho, Cristina Lins de Oliveira Frazão, M., Freitas, S. de A., Beserra, H. J. M. D., & Costa, K. N. de F. M. (2025). Nursing Care in the Rehabilitation of People With Limb Amputation: Integrative Review. Nursing Edição Brasileira, 29(323), 10738–10751. https://doi.org/10.36489/nursing.2025v29i323p10738-10751

Issue

Section

Integrative Review

Categories