Manejo assistencial de enfermagem ao paciente com acidente vascular cerebral isquêmico no ambiente hospitalar

Abstract

Introduction: Stroke is one of the leading causes of morbidity and mortality worldwide, constituting a major public health problem. In this context, nursing plays an essential role in early identification, monitoring, and management of care. The use of standardized protocols and operational procedures contributes to the organization and uniformity of care, promoting greater safety and quality in healthcare delivery. Objective: To develop a Standard Operating Procedure (SOP) for nursing care management in patients with ischemic stroke, aiming to optimize hospital care. Methodology: This is a methodological study with a qualitative approach, based on an integrative literature review. The guiding research question was developed using the PCC strategy. Searches were conducted in the LILACS, MEDLINE, and BDENF databases via PubMed, SciELO, Web of Science, and Scopus, including studies published between 2021 and 2026 in Portuguese, English, and Spanish. Study selection was carried out in three stages: screening of titles and abstracts, full-text reading, and final sample definition. Data were analyzed using descriptive and thematic approaches, supporting the development of the SOP. Results: The findings showed that nursing care for patients with ischemic stroke undergoing thrombolysis involves systematized interventions, such as rigorous clinical monitoring, continuous neurological assessment, safe administration of rt-PA, and prevention of complications. The implementation of structured protocols and organized care pathways contributes to reduced care time, improved clinical outcomes, and increased patient safety. The importance of professional training, standardization of practices, and multidisciplinary collaboration was also highlighted. As a result, an SOP was developed for the nursing team, based on scientific evidence. Conclusion: The development of an SOP represents a fundamental strategy for organizing nursing care for patients with ischemic stroke, promoting standardized care, reducing complications, and enhancing patient safety. Further studies are recommended to validate its applicability and effectiveness.