Prevenção de úlceras por pressão no calcanhar com filme transparente de poliuretano

Abstract

Objective: Evaluate the effectiveness of transparent polyurethane film in prevention of pressure ulcer of the calcaneus. Methods: A sample of 100 patients enrolled in a non-randomized controlled trialreceived a paired analysis of both calcaneus areas; each received the experimental intervention on the left heel and the control intervention on the right heel (clinical guideline only), constituting a total of 200 heel sites for analysis. Results: The incidence of pressure ulcers was 32%, with 6% occurring in the experimental intervention, 18% in the control intervention, and 8% bilaterally, with significant incidence in the first 15 days of hospitalization. The length of time without pressure ulcers occurrence with the experimental intervention was 19.2 days, with a 95% confidence interval. Conclusion: It was concluded that the transparent polyurethane film associated with the pressure ulcers clinical guideline was effective in the prevention of heel pressure ulcer. ResumoObjetivo: Avaliar a efetividade do filme transparente de poliuretano na prevenção de úlceras por pressão no calcâneo. Métodos: Uma amostra de 100 pacientes inscritos em um ensaio controlado não-randomizado recebeu uma análise pareada de ambas as áreas do calcâneo; cada um deles recebeu a intervenção experimental (filme transparente poliuretano) no calcanhar esquerdo e a intervenção controle no calcanhar direito (somente diretrizes clínicas), constituindo um total de 200 áreas de calcanhar para análise. Resultados: A incidência de úlceras por pressão foi de 32%, com 6% ocorrendo na intervenção experimental, 18% na intervenção de controle e 8% bilateralmente, com incidência significante nos primeiros 15 dias de hospitalização. A duração de tempo sem ocorrências de úlceras por pressão na intervenção experimental foi de 19,2 dias, com um intervalo de confiança de 95%. Conclusão: Foi concluído que o filme transparente de poliuretano associado às diretrizes clínicas das úlceras por pressão foi efetivo na prevenção da úlcera por pressão no calcanhar.Clinical Trials Registry: REQ: 284

Variables associated with pressure injury prevention: knowledge for nursing care

“…Semantic analysis of the meaning of knowledge as the understanding of a science, art or technique; ability to apply in the process; certainty about oneself and others 31 allowed the characterization of three dimensions: self-evaluation, technical-scientific and competences and skills to evaluate and prevent PLL (Chart 1). This result is in line with the literature 32,33 . The explanation of Chart 1 made it possible to observe a greater predominance of variables associated with the "scientific technical" dimension that are associated with the use of pressure relief procedures.…”

“…Of the 18 articles analyzed, 13 were exclusively elaborated by nurses [10][11][12][13][16][17][18][19][20][21][22]24,[26][27] . This result may corroborate the fact that the prevention of pressure injuries is offered in nursing care.…”

“…This fact is probably due to factors related to preventive techniques, since the pressure exerted on the skin is the most significant cause of the increase in injuries, and the nursing staff is committed to objective and constant care 18 . It is important to emphasize that nursing through specific instruction determines goals, employs predictive risk assessment scales and institutes measures for the prevention and treatment of LPP, in addition to determining an ongoing and evaluative process to maintain skin integrity 33 . Regarding the dimension "self-assessment", the literature emphasizes that personal knowledge is a continuous process that leads to change and growth, expressed by the deliberate actions and choices that professionals make in their daily lives 35 .…”

Eficácia Do Curativo Hidrocolóide Em Relação Ao Filme Transparente Na Prevenção De Lesões Por Pressão

“…Para elaboração da questão de pesquisa, utilizou-se a estratégia PICO (10) , em que P refere-se ao problema (Lesões do hidrocolóide e filme transparente para prevenção de lesões, se intensificaram nos últimos 10 anos (11) . (3) .…”

Prevention of pressure injury in the operating room: Heels operating room pressure injury trial

“…Based on the reality of the hospital under study, in which transparent polyurethane film is used in the heels of patients at high risk of developing PI, this was one of the chosen dressings. Moreover, it is effective in the prevention of PI in heels 24 and seems to be more cost‐effective than other dressings in the prevention of these injuries 25,26 …”