Nursing strategies for pressure injury prevention in surgical patients

Abstract

Objective: To identify in the literature the strategies used by nursing teams to prevent pressure injury in surgical patients. Methods: Integrative review, using the PICo strategy, with the guiding question: “What are the strategies used by the nursing team to prevent pressure injury in surgical patients?” The searches were performed in the Web of Science, MEDLINE via PubMed, CINAHL, Cochrane, Scopus and LILACS bibliographic index via VHL, from where 12 studies were analyzed. Results: Brazil stood out with four publications and cohort studies, with level of evidence IV, prevailed in six articles. Technological interventions for the prevention of Pressure Injury in the operating room were pressure distribution mattresses, a device to reduce pressure on the calcaneus, specific validated instruments for the classification of the risk of Pressure Injury in surgical patients, in addition to support surfaces containing polymer viscoelastic and other tools to relieve pressure from weight and medical devices. Regarding educational interventions, protocols, training and realistic simulation stood out. Conclusion: It was observed that these strategies reduced the incidence of pressure injury, in addition to reducing costs and ensuring patient satisfaction.

Fatores associados ao desenvolvimento de lesão por pressão em cirurgia cardíaca

“…Além das LP serem danosas aos pacientes, o custo do tratamento é alto, portanto, deve-se investir na prevenção (El Genedy et al, 2020;Bezerra et al, 2020).…”

Lesão por Pressão relacionada a Dispositivos Médicos em Unidade de Terapia Intensiva

“…As LPRDM f oram incluídas no ano de 2016 pelo National Pressure Ulcer Advisory Painel (NPUAP) em suas novas diretrizes def inindo-as of icialmente como lesões resultantes do uso de dispositivos projetados para f ins diagnósticos e terapêuticos, apresentando -se no f ormato do dispositivo envolvido (EDSBERG LE, et al, 2016). Essas lesões são ocasionadas pelo uso prolongado de dispositivos médicos em contato direto com a pele ou mucosas com pressões maiores que 32mmHg capazes de resultar em uma oclusão do f luxo sanguíneo gerando alterações isquêmicas (ASTI E, et al, 2017;BEZERRA SMG, et al, 2020).…”