Estudos clínicos sobre úlcera por pressão

Abstract

Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão Estudos clínicos sobre úlcera por pressão ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACT The present study aimed at providing a synthesis of clinical studies on pressure ulcer (UP). An integrative review was made by searching the database of MEDLINE, Portal de Evidências, and LILACS for articles, and the Joanna Briggs Institute (JBI) periodical, a reference in clinical trials in Nursing, from 2004Nursing, from -2009. 14 articles were selected and their analysis made it possible to identify four areas of interest involving the characterization of the studies, the sample, the interventions used, as well as the results and conclusions obtained. We found that the studies reviewed have focused on prevention and that there are few studies of this kind in our country. It is important to recognize these limitations and try to overcome them in order to provide advancements and enhance the development of research based on strong clinical evidence to support the professional nursing practice. K K K K Key wor ey wor ey wor ey wor ey words: ds: ds: ds: ds: Clinical research; Pressure ulcer; Nursing. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN El estudio tuvo como objetivo sintetizar los estudios clínicos sobre úlcera por presión (UP). Fue elaborada una revisión integradora a través de búsqueda de artículos en las bases de datos MEDLINE, Portal de Evidencias, LILACS, y el periódico Joanna Briggs Institute (JBI), referencia en el área de ensayos clínicos en Enfermería, en el periodo de [2004][2005][2006][2007][2008][2009]. Se seleccionaron 14 artículos y el análisis de los mismos permitió la identificación de cuatro categorías temáticas envolviendo la caracterización de los estudios, de la muestra, de las intervenciones utilizadas, bien como de los resultados y conclusiones alcanzados. Los resultados indicaron esencialmente el enfoque de estudios direccionados a la temática de la prevención y la ausencia de este tipo de estudio en nuestro país. Reconocer las limitaciones envueltas en este aspecto y buscar superarlas, proporcionará avanzos e impulsará el desarrollo de investigaciones con fuertes evidencias clínicas que subsidien la práctica profesional de la enfermería.

Fatores Associados À Ocorrência de Úlcera Por Pressão em Lesados Medulares

“…De uma forma geral, aproximadamente 40% dos pacientes com lesões medulares que completam o seu tratamento desenvolvem as úlceras por pressão, ainda hospitalizados, o que é um grande problema de saúde, representando desconforto físico, aumento de custos no tratamento e na morbidade, cuidados intensivos, internação hospitalar prolongada, uso de aparelhagens onerosas, aumento do risco para o desenvolvimento de complicações adicionais, tratamento cirúrgico e efeitos na taxa de mortalidades 19,20 . Neste estudo não foram observados registros da sistematização da assistência de enfermagem, principalmente as relacionadas aos protocolos de prevenção e tratamentos das UPs, já muito evidenciados na literatura e que exigiriam a participação de um especialista no corpo de profissionais do serviço 21,22 .…”

<b>Risk assessment of ulcer development by pressure in elderly institutionalized in Brazil

“…The scale offers subsidy for objective identification of patients at risk of developing PU. The scale consists of six domains: sensory perception, moisture, activity, mobility, nutrition, friction and shear (Paranhos & Santos, 1999;Souza et al, 2010).…”

“…The North American National Pressure Ulcer Long-Term Care Study (NPULS) on prevalence of PU in residents of long term care facilities nationwide, found a prevalence rate of 29% (Posthauer, Banks, Dorner, & Schols, 2015). In Brazil there are few studies that support for an estimated prevalence of PU in institutionalized elderly (Souza, Maciel, Méier, Danski, & Lacerda, 2010). Exploratory studies are needed, especially in developing countries, until the issue of prevalence of PU and quality of care of the elderly in LTI are effectively addressed at the national level.…”

Assessment of the risk of pressure ulcer development among hospitalized HIV/Aids patients

“…The delivery of comprehensive care to people living with HIV/Aids and respect for their rights and dignity, alongside prevention actions and wide-scale access to treatment, are the main reasons for the gains in life expectancy and quality life experienced by these patients (6) . Given the risk of pressure ulcer development among these patients due to the lengthy period of treatment, changes in quality of life associated with the diagnosis, follow-up procedures, and likelihood of comorbidities that lead to long hospital stays, nurses must continually be aware of research and the scientific basis for care and its importance to nursing practice (7) .…”