Pressure injury prevention scales in intensive care units: an integrative review

Authors

DOI:

https://doi.org/10.15253/2175-6783.20202142053

Keywords:

Pressure Ulcer; Prevention & Control; Intensive Care Units; Nursing.

Abstract

Objective: to describe the constituent elements of nursing care present in the pressure injury risk assessment scales used in intensive care units. Methods: this is an integrative literature review based on LILACS, MEDLINE, SCIELO and BDENF. The descriptors used for the search were Pressure Ulcer; Decubitus Ulcer; Prevention and control; Prevention; Intensive Care Units. The final sample consisted of 13 scientific articles. Results: the Braden scale was the most used scale among the analyzed studies. The constituent elements highlighted were structured risk assessment, skin and tissue assessment, preventive skin care, nutrition, repositioning in bed, support surfaces, and care with medical device. Conclusion: the prevention of incontinence-related injuries, nutritional assessment, nutritional interventions aimed at preventing injuries and care with medical devices are constituent elements of nursing care still poorly explored or absent in the evaluated scales.

References

Moraes J, Borges E, Lisboa C, Cordeiro D, Rosa E, Rocha N. Conceito e classificação de lesão por pressão: atualização do National Pressure Ulcer Advisory Panel. Enferm Cent O Min 2016; 6(2):2292-306. doi: http://dx.doi.org/10.19175/recom.v6i2.1423

Silva R, Figueiredo N, Meireles I, Costa M, Silva C. Feridas: fundamentos e atualizações em enfermagem. São Caetano do Sul: Yendis; 2013.

Barbosa T, Beccaria L, Poletti N. Pressure ulcer risk assessment in intensive care unit: preventive nursing care. Rev Enferm UERJ [Internet]. 2014 [cited Jun 15, 2019];22(3):353-8. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/13724

Inoue K, Matsuda L. Cost-effectiveness of two types of dressing for prevention of pressure ulcer. Acta Paul Enferm. 2015; 28(5):415-19. doi: http://dx.doi.org/10.1590/1982-0194201500070

Lima A, Castilho V. Body mobilization for prevention of pressure ulcers: direct labor costs. Rev Bras Enferm. 2015; 68(5):930-6. doi: http://dx.doi.org/10.1590/0034-7167.2015680523i

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: quick reference guide. Australia: Cambridge Media; 2014.

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005; 52(5):546-53.doi:http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x

Mendes K, Silveira R, Galvão C. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008; 17(4):758-64. doi: http://dx.doi.org/10.1590/S0104-07072008000400018.

Mendes K, Silveira R, Galvão C. Use of the bi- bliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019; 28:e20170204. doi: http://dx.doi.org/10.1590/1980-265x-tce-2017-0204

Fineout-Overholt E, Stillwell SB. Asking compelling, clinical questions. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2011.

Louro M, Ferreira M, Póvoa P. Avaliação de protocolo de prevenção e tratamento de úlceras de pressão. Rev Bras Ter Intensiva. 2007; 19(3):337-41. doi: http://dx.doi.org/10.1590/S0103-507X2007000300012

Elliott R, McKinley S, Fox V. Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit. Am J Crit Care [Internet]. 2008 [cited Jun 15, 2019];17(4):328-34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18593831

Pasek T, Geyser A, Sidoni M, Harris P, Warner J, Spence A, et al. Skin care team in the pediatric intensive care unit: a model for excellence. Am J Crit Care [Internet]. 2008 [cited Jun 15, 2019];28(2):125-35. Available from: http://ccn.aacnjournals.org/content/28/2/125.full

Coloma S, Ayllon-Garrido N, Latorre-García K. Evolution of pressure ulcers incidence after the improvement of a prevention protocol in intensive care. GEROKOMOS [Internet]. 2008 [cited Jun 11, 2019];19(4):207-12. Available from: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2008000400007

Bereta R, Zborowski I, Simão C, Anselmo A, Ribeiro S, Magnani L. Protocolo assistencial para prevenção de úlcera por pressão em clientes críticos. CuidArte Enferm Internet]. 2010 [citado 2019 jun. 19]; 4(2):80-6. Disponível em: http://www.fundacaopadrealbino.org.br/facfipa/ner/pdf/CuidArte%20Enfermagem%20v.%204%20n.%202%20jul.dez%202010.pdf

Jackson M, McKenney T, Drumm J, Merrick B, LeMaster T, VanGilder C. Pressure Ulcer Prevention in High-Risk Postoperative Cardiovascular Patients. Crit Care Nurse. 2011; 31(4):44-53. doi: http://dx.doi.org/10.4037/ccn2011830

Epstein N, McGuinness J, Persaud-Roberts S, Marra S, Ramos J, Toscano D, et al. How to reduce hospital-acquired pressure ulcers on a neuroscience unit with a skin and wound assessment team. Surg Neurol Int. 2012; 3(1):138. doi: http://dx.doi.org/10.4103/2152-7806.103645

Rogenski N, Kurcgant P. The incidence of pressure ulcers after the implementation of a prevention protocol. Rev Latino-Am Enfermagem. 2012; 20(2):333-9. doi: http://dx.doi.org/10.1590/S0104-11692012000200016

Visscher M, King A, Nie A, Schaffer P, Taylor T, Pruitt D, et al. A Quality-Improvement Collaborative Project to Reduce Pressure Ulcers in PICUs. Pediatrics. 2013; 131(6):e1950-e1960. doi: http://dx.doi.org/10.1542/peds.2012-1626

Zepeda E, Martín C. Giving a nutritional FAST HUG in the Intensive Care Unit. Nutr Hosp. 2015; 31(5):2212-9. doi: http://dx.doi.org/10.3305/nh.2015.31.5.8668

Cooper D, Jones S, Currie L. Against all odds: preventing pressure ulcers in high-risk cardiac surgery patients. Crit Care Nurse. 2015; 35(5):76-82. doi: http://dx.doi.org/10.4037/ccn2015434

Swafford K, Culpepper R, Dunn C. Use of a comprehensive program to reduce the incidence of hospital-acquired pressure ulcers in an intensive care unit. Am J Crit Care. 2016; 25(2):152-5. doi: http://dx.doi.org/10.4037/ajcc2016963

Mendonça P, Loureiro M, Frota O, Souza A. Prevention of pressure injuries: actions prescribed by intensive care unit nurses. Texto Contexto Enferm. 2018; 27(4):e4610017. doi: http://dx.doi.org/10.1590/0104-07072018004610017

Published

2020-02-10

How to Cite

Almeida, Ítalo L. S. de ., Garces, T. S., Oliveira, G. Y. M. de ., & Moreira, T. M. M. . (2020). Pressure injury prevention scales in intensive care units: an integrative review. Rev Rene, 21, e42053. https://doi.org/10.15253/2175-6783.20202142053

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Section

Review Article

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