Prevention and treatment of pressure injuries at the risk of impaired skin integrity: integrative review

Authors

DOI:

https://doi.org/10.62827/eb.v23i1.r541

Keywords:

pressure injury; prevention; treatment; nursing; elderly; hospital discharge.

Abstract

Objective: to identify evidence in the scientific literature on the prevention and treatment of pressure injuries in patients at risk of impaired skin integrity. Methods: integrative review, carried out in 2020, with a search carried out in the databases of the Virtual Health Library (VHL), CAPES/MEC and Scientific Electronic Library Online (SciELO) journals, from 2015 to 2019, considering productions in Portuguese, Spanish and English. To describe the collected data, illustrative tables were created with the relevant information. The analysis was carried out descriptively. Results: 12,955 publications were identified in the databases and the sample consisted of 10 articles and a Guideline, the majority of which had level 1 evidence. In the analysis of the studies, the thematic categories “Prevention and Treatment of PI” and “Nutritional Treatment of PI” emerged, with associated subcategories. Conclusion: There is evidence in the scientific literature on the prevention and treatment of pressure injuries in patients at risk of impaired skin integrity, with positive results in dressings, topical products, use of natural products, changes in posture, among others, grouping subsidies for guidance to patients, families and caregivers.

Author Biographies

  • Elisandra Leites Pinheiro, Associação Hospitalar Moinhos de Vento

    Enfermeira, Mestre em Enfermagem, Docente da Graduação da Faculdade de Ciências da Saúde Moinhos de Vento, Supervisora Assistencial da Associação Hospitalar Moinhos de Vento, Porto Alegre, RS, Brasil 

  • Sandra Maria Cezar Leal, UNISINOS

    Enfermeira, Doutora em Enfermagem, Docente da Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo, RS, Brasil 

  • Patrícia Pedroso Silva, Associação Hospitalar Moinhos de Vento

    Enfermeira, Especialista em Urgência e Emergência, Associação Hospitalar Moinhos de Vento, Porto Alegre, RS, Brasil 

     

  • Luisa Juliana Silva Pavinatto, Associação Hospitalar Moinhos de Vento

    Enfermeira, Supervisora Assistencial da Associação Hospitalar Moinhos de Vento, Porto Alegre, RS, Brasil 

  • Isabella Santos Coppola, Associação Hospitalar Moinhos de Vento

    Enfermeira Assistencial da Associação Hospitalar Moinhos de Vento, Especialista em Auditoria em Saúde e Enfermagem em Dermatologia, Porto Alegre, RS, Brasil 

  • Daniela Tenroller Oliveira, Faculdade de Ciências da Saúde Moinhos de Vento

    Enfermeira, Docente da Graduação da Faculdade de Ciências da Saúde Moinhos de Vento, Porto Alegre, RS, Brasil 

References

European Pressure Ulcer Advisory Panel NPIAP and PPPIA. National Pressure Injury Advisory Panel [Internet]. 3rd ed. Haesler E, editor. EPUAP/NPIAP/PPPIA. 2019 [cited 2020 Mar 27]. Available from: https://npiap.com/404.aspx?404;http://www.npuap.org:80/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressureulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/

Mazzo A, Miranda FBG, Meska MHG, Bianchini A, Bernardes RM, Pereira Junior GA. Teaching of pressure injury prevention and treatment using simulation. Escola Anna Nery. 2017 Dec 7;22(1)

Krauzer IM, Dall’Agnoll CM, Gelbcke FL, Lorenzini E, Ferraz L, Krauzer IM, et al. A construção de protocolos assistenciais no trabalho em Enfermagem. Reme: Revista Mineira de Enfermagem [Internet]. 2018 [cited 2023 Nov 30]; 22:1087. Available from: http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S1415-27622018000100215&lng=pt&nrm=iso&tlng=pt

de Melo Buriti Vasconcelos J, Helena Larcher Caliri M, Anna E. Ações de enfermagem antes e após um protocolo de prevenção de lesões por pressão em terapia intensiva. Escola Anna Nery [Internet]. 2017 Jan 16 [cited 2023 Nov 30];21(1):e20170001. Available from: https://www.scielo.br/j/ean/a/f66m674NhqxSCMhrFwy6DDR/?lang=pt

Campanili TCGF, Santos VLCDG, Strazzieri-Pulido KC, Thomaz PDBM, Nogueira PC. Incidência de úlceras por pressão em pacientes de Unidade de Terapia Intensiva Cardiopneumológica. Revista da Escola de Enfermagem da USP [Internet]. 2015 [cited 2023 Nov 30];49(SpecialIssue):7–14. Available from: https://www.scielo.br/j/reeusp/a/xbJY6BTYkSp4xgVNxMvh4NC/?lang=pt

Medeiros LNB de, Silva DR da, Guedes CDF da S, Souza TKC de, Neta BP de AA. Prevalence of pressure ulcers in intensive care units. Revista de Enfermagem UFPE online [Internet]. 2017 Jun 12 [cited 2023 Nov 30];11(7):2697–703. Available from: https://periodicos.ufpe.br/revistas/index.php/revistaenfermagem/article/view/23442

Macedo ABT, Mello DB, Graciotto A, Cortelini CLS, Souza E, Picetti N. Pressure injuries in adults with multi resistant germs: a cohort study. Saude Coletiva [Internet]. 2021 [cited 2023 Dec 13];11(69):8353–8. Available from: https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=18063365&AN=153483887&h=CNlwSapgOiwhUkeBE9wPZ32lIlfImz0M6eyrswlPEjlCdbSC8w4xXqR%2FVgynoUZADMR%2Bg4B8jIK4gZMvU9k4PA%3D%3D&crl=c

Poli D, Beck CR. Fundamentos de Pesquisa em Enfermagem: Avaliação de Evidências para a Prática da Enfermagem [Internet]. 9a ed. Artmed. Porto Alegre: Artmed; 2018 [cited 2023 Dec 12]. Available from: https://www.amazon.com.br/Fundamentos-Pesquisa-Enfermagem-Avalia%C3%A7%C3%A3o-Evid%C3%AAncias/dp/8582714890

Zocche DAZ, Zanatta EA, Adamy EK, Vendruscolo C, Trindade L de L. Construção de um protocolo de revisão integrativa: contribuições para fundamentação teórica e qualificação das práticas em saúde. 13o Congresso Internacional Rede Unida [Internet]. 2018 Feb 27 [cited 2023 Dec 12]; Available from: http://conferencia2018.redeunida.org.br/ocs2/index.php/13CRU/13CRU/paper/view/4985

Santos CMDC, Pimenta CADM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Lat Am Enfermagem [Internet]. 2007 Jun [cited 2020 Jul 24];15(3):508–11. Available from: www.eerp.usp.br/rlae

Melnyk B, Fineout-overhold E. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. Lippincott Williams & Wilkins. 2011. 599 p

Almeida ÍLS, Garces TS, Oliveira GYM de, Moreira TMM. Escalas para prevenção de lesão por pressão em unidades de terapia intensiva: revisão integrativa. Revista RENE [Internet]. 2020 [cited 2023 Dec 12];21:e42053. Available from: http://repositorio.ufc.br/handle/riufc/50006

Moore ZEH, Webster J. Dressings and topical agents for preventing pressure ulcers. Cochrane Database of Systematic Reviews [Internet]. 2018 Dec 6 [cited 2023 Dec 12];2018(12). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD009362.pub3/full

Hekmatpou D, Mehrabi F, Rahzani K, Aminiyan A. The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: A randomized triple-blind clinical trial. BMC Complement Altern Med [Internet]. 2018 Sep 29 [cited 2023 Dec 12];18(1):1–11. Available from: https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-018-2326-2

Martínez Mateo M, García Herrera D. ?Qué es más eficaz para la prevención de úlceras por presión: cambios posturales o superficies de apoyo? Gerokomos (Madr, Ed impr) [Internet]. 2018 [cited 2023 Dec 12];138–40. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2018000300138&lng=es&nrm=iso&tlng=es

Bharucha J, Seaman L, … MPJ of W, 2018 undefined. A prospective randomized clinical trial of a novel, noninvasive perfusion enhancement system for the prevention of hospital-acquired sacral pressure injuries. Journal of Wound, Ostomy and Continence Nursing [Internet]. 2018 [cited 2023 Dec 12];45(4):310–8. Available from: https://journals.lww.com/jwocnonline/FullText/2018/07000/A_Prospective_Randomized_Clinical_Trial_of_a.5.aspx

Shi C, Dumville JC, Cullum N. Support surfaces for pressure ulcer prevention: A network meta-analysis. PLoS One. 2018 Feb 1;13(2)

Holanda OQ de, Oliveira VA, Fernandes FECV, Xavier SB, Mola R. Efetividade do protocolo para prevenção de lesões por pressão implantado em unidade de terapia intensiva. Espaço para a Saúde [Internet]. 2018 Dec 23 [cited 2023 Dec 12];19(2):64–74. Available from: https://espacoparasaude.fpp.edu.br/index.php/espacosaude/article/view/609

Oliveira KDL, Haack A, Fortes RC. Terapia nutricional na lesão por pressão: revisão sistemática. Revista Brasileira de Geriatria e Gerontologia [Internet]. 2017 Aug [cited 2023 Dec 12];20(4):562–70. Available from: https://www.scielo.br/j/rbgg/a/GPGTJnQL8Xzd9FF8xZWJfKc/?lang=pt

Kalowes P, Messina V, Li M. Five-Layered Soft Silicone Foam Dressing to Prevent Pressure Ulcers in the Intensive Care Unit. American Journal of Critical Care [Internet]. 2016 Nov 1 [cited 2023 Dec 12];25(6):e108–19. Available from: http://dx.doi.org/10.4037/ajcc2016875

Tayyib N, Coyer F. Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review. Worldviews Evid Based Nurs [Internet]. 2016 Dec 1 [cited 2023 Dec 12];13(6):432–44. Available from: https://pubmed.ncbi.nlm.nih.gov/27712030/

Buffon MR, Severo IM, Barcellos R de A, Azzolin K de O, Lucena A de F. Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload. Rev Bras Enferm. 2022;75

Published

2024-05-24

How to Cite

Prevention and treatment of pressure injuries at the risk of impaired skin integrity: integrative review. (2024). Enfermagem Brasil, 23(1), 1524-1534. https://doi.org/10.62827/eb.v23i1.r541