Medical adhesive-related skin injury in adult intensive care unit: scoping review

Rabelo, Ariana Luiza; Bordonal, Jéssica; Almeida, Tobias Skrebsky de; Oliveira, Patrícia Peres de; Moraes, Juliano Teixeira

doi:10.1590/0034-7167-2021-0926

Cited by 5 publications

(4 citation statements)

References 15 publications

(26 reference statements)

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“…Entretanto, a informação sobre como prevenir lesões cutâneas relacionadas com adesivos médicos deve ser amplamente disponibilizada a todos os níveis de profissionais de saúde e aos doentes. O profissional deve saber identificar as lesões de pele associadas associadas aos adesivos médicos e as principais estratégias para sua prevenção (RABELO et al, 2022).…”

Section: Resultsunclassified

Práticas Clínicas De Enfermagem Nas Lesões Cutâneas Relacionadas a Adesivos Médicos (Marsi) Entre Pacientes

Silva,

Araujo,

Carvalho

2024

Rev. Contemp.

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Objetivo: Verificar quais as medidas preventivas e as boas práticas clínicas de enfermagem para reduzir as MARSI, garantindo a segurança do paciente. Método: Trata-se de um estudo descritivo do tipo reflexivo construído com base na leitura crítica de estudos científicos. Resultados: A amostra é constituída de 11 artigos, com a seguinte categorização: Conhecimento sobre a pele e prevenção da MARSI; Fatores de riscos para lesões cutâneas por adesivos médicos e Conduta clínica da equipe de enfermagem na redução da MARSI. Considerações Finais: Observou-se uma cobrança dos estudiosos em relação a educação dos profissionais de saúde, desde a principal formação, assim como, a educação permanente dos profissionais sobre gestão de feridas e cuidados com a pele. Ainda sobre o processo educacional, a educação de boa qualidade aos pacientes sobre autocuidado melhora os resultados e aumenta a eficiência dos serviços de enfermagem. A avaliação, os cuidados com a pele e as estratégias de prevenção são aspectos fundamentais dos cuidados ao doente.

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Section: Resultsunclassified

Práticas Clínicas De Enfermagem Nas Lesões Cutâneas Relacionadas a Adesivos Médicos (Marsi) Entre Pacientes

Silva,

Araujo,

Carvalho

2024

Rev. Contemp.

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“…Cancer patients with wet PICC indwelling site are prone to MARSI.When the skin surface is exposed to substances such as exudate, sweat, and disinfectants, the increased permeability of the skin's stratum corneum and decreased skin resistance may lead to in ammatory reactions, thereby augmenting the risk of MARSI [21,22]. Studies [23] have been conducted to carry out continuing education activities for physicians, physician assistants, nurse practitioners and nurses interested in skin and wound care, providing information on super cial skin problems related to moisture related skin injuries, medical adhesive related skin injuries and skin tears, so as to reduce the incidence of MARSI.Future studies should delve into the speci c mechanisms through which a humid environment affects the permeability and resistance of the skin's stratum corneum, facilitating the development of more effective protective measures.Cancer patients with a history of skin allergies are at a higher risk of developing MARSI.…”

Section: Discussionmentioning

confidence: 99%

Nomogram prediction for the risk of medical adhesive-related skin injury at the peripherally inserted central catheter insertion site in patients with cancer

hu,

wang,

sun

et al. 2024

Preprint

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Objective To establish a nomogram graph model to accurately predict the risk of medical adhesive-related skin injury(MARSI) at the peripherally inserted central catheter(PICC) insertion site in patients with cancer. Methods Based on data from patients with cancer in Hospital of China, the independent risk factors of MARSI at the PICC insertion site were identified by the logistic univariable and multivariable analysis and were integrated to construct a nomogram, which was validated externally.The predictive effectiveness of the nomogram was evaluated by the receiver operating characteristic curve (ROC) and calibration curve. Results A total of 352 cancer patients were included for analysis.The nomogram incorporated independent MARSI risk factors at the PICC insertion site including delayed cycle of catheter maintenance, moist skin, history of skin allergy, activated partial thromboplastin time(APTT). The C-index of the nomogram model was 0.917 and 0.864 in the training and validation cohort, respectively, demonstrating good discriminative power. The calibration plots of the nomogram revealed excellent agreement between the predicted and actual probabilities. Conclusions We established and validated a novel nomogram for predicting the risk of MARSI at the PICC insertion site in patients with cancer. The nomogram model could precisely estimate the MARSI risk at the PICC insertion siteof cancer patients and identify high-risk patients who are in need of a specific treatment strategy.

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“…Briefly, in this review, the main strategies identified in the studies for MARSI prevention in an adult ICU correspond to skin assessment, identification of patients at risk, selection of the appropriate adhesive product, proper technique for medical adhesive application and removal, education of professionals and patients 14 .…”

Section: Methodsmentioning

confidence: 99%

Bundle: Medical Adhesive-Related Skin Injury Prevention in Adult Intensive Care

Rabelo

Moraes

2022

Texto contexto - enferm.

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Objective to build and validate a bundle for medical adhesive-related skin injury prevention in adult intensive care. Method this is a methodological study, carried out in three stages: development of a Scoping Review, bundle construction and content validity. This scoping review followed the JBI recommendations, and the content validity process was performed using the Delphi technique. Six expert judges participated in this process. For content validity analysis, the Content Validity Coefficient and binomial test were calculated. Items that reached a coefficient ≥0.80 and an agreement proportion of 80% among judges were considered valid for the binomial test. Results the bundle structure had 21 recommendations, grouped into categories: skin assessment, identification of patients at risk, product selection, skin preparation, adhesive application technique, adhesive removal technique and health professionals’ education. The criteria established for assessment achieved satisfactory levels of assessment, being considered adequate by judges. In Delphi I, the assessed items obtained a Content Validity Coefficient ≥0.83 and in Delphi II, ≥0.97. Conclusion in this study, it was allowed to construct and validate a bundle for medical adhesive-related skin injury prevention in adult intensive care.

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Medical adhesive-related skin injury in adult intensive care unit: scoping review

Cited by 5 publications

References 15 publications

Práticas Clínicas De Enfermagem Nas Lesões Cutâneas Relacionadas a Adesivos Médicos (Marsi) Entre Pacientes

Práticas Clínicas De Enfermagem Nas Lesões Cutâneas Relacionadas a Adesivos Médicos (Marsi) Entre Pacientes

Nomogram prediction for the risk of medical adhesive-related skin injury at the peripherally inserted central catheter insertion site in patients with cancer

Bundle: Medical Adhesive-Related Skin Injury Prevention in Adult Intensive Care

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