Impactos da pandemia da covid-19 no cuidado ao paciente infantojuvenil com diagnóstico de doença oncológica

Abstract

Introduction: The COVID-19 pandemic caused several impacts in all scenarios of individuals' lives, in addition to the need for a rapid reorganization of health services, which culminated in adjustments in the care of children and adolescents (0-19) years old with oncological disease . Objective: To identify the impact of the COVID-19 pandemic on the care and attention to child and adolescent patients diagnosed with an oncological disease. Method: Scoping review - The methodological framework of the Joanna Briggs Institute (JBI) was used as a basis. For the formulation of the research question, the PCC strategy was used, which represents the acronym Population, Concept and Context, being P (Child and adolescent patients diagnosed with oncological disease), C (impact of the pandemic on the care/care of patients diagnosed with oncological disease) and C (all the changes that occurred during the pandemic that impacted the treatment, diagnosis, research related to children and adolescents diagnosed with oncological disease). Using the descriptors cancer, children, adolescents, pandemic, COVID- 19, oncology, child, adolescent, neoplasm, searches were carried out in the BVS, CINAHL, SCOPUS, LILACS and PUBMED databases in August 2022. The selection of studies using Rayyan software following Prisma recommendations. For the analysis of the studies, the Content Analysis method proposed by Laurence Bardin was used. Results: Two categories were obtained with this study, Category 1, where the impacts of COVID-19 on patients diagnosed with oncological disease, without a diagnosis of COVID-19, are described. In this scenario, the pandemic had an impact on care, on the daily lives of children, adolescents and their families, and on specialized health institutions. Category 2, where the impacts of COVID- 19 on patients diagnosed with oncological disease and who had a diagnosis of COVID-19 concomitantly are described. In this context, the impacts are related to the complications caused by the diagnosis of COVID-19, and related to the influence on treatment, care and family distancing. Final Considerations: Carrying out this study enabled us to understand the impacts that the COVID-19 pandemic caused on children and adolescents with oncological disease without a diagnosis of COVID, which were: impacts on care, on the daily lives of children, adolescents and their families and on specialized institutions of health, and in the category of impacts of COVID-19 on patients diagnosed with cancer and COVID-19 concomitantly were: impacts related to the complications caused by the diagnosis of COVID-19, and related to the influence on treatment, care and family distancing, as well as how to visualize the need for further research on the impacts caused on the survival of these patients.