RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS

Authors

  • Andressa Renata Instituto do Câncer do Estado de São Paulo − São Paulo (SP), Brazil.
  • Camila Ribeiro Instituto do Câncer do Estado de São Paulo − São Paulo (SP), Brazil.
  • Paula Cristina Nogueira Universidade de São Paulo, São Paulo-SP, Brasil

Abstract

Objective: identify and describe the risk factors for the development of pressure injuries in adult cancer patients and interdisciplinary preventive interventions. Method: integrative literature review. Data collection was carried out between March and April 2019 and December 2020, using the databases: BDENF; PubMed/Medline; Embase; Scopus; Cinahal and Web of Science. Results: the sample consisted of 16 articles published from 2008 to 2019. Among the risk factors identified, the following stand out: nutritional status, advanced age, incontinence and immobility; the interdisciplinary preventive interventions identified were: decubitus change, nutritional assessment and monitoring, skin care and use of support surfaces. Conclusion: further studies are needed to take a careful and assertive look at cancer patients.

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Author Biography

Paula Cristina Nogueira, Universidade de São Paulo, São Paulo-SP, Brasil

Profa Dra do Departamento de Enfermagem Médico-Cirúrgica da Escola de Enfermagem da Universidade de São Paulo.

References

Jomar RT, Jesus RP, Jesus MP, Gouveia BR, Pinto EN, Pires AS. Incidence of pressure injury in an oncological intensive care unit. Rev Bras Enferm 2019;72(6):1490-5. https://doi.org/10.1590/0034-7167-2018-0356

European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. Emily Haester (Ed.). EPUAP/NPIAP/PPPIA,

Available at: https://npiap.com/page/Guidelines

Caliri MHL, Santos VLCG, Mandelbaum MHS, Costa IG. Associação Brasileira de Estomaterapia (SOBEST). Associação Brasileira de Enfermagem em Dermatologia (SOBENDE). Classificação das lesões por pressão − Consenso NPUAP 2016 − Adaptada

Culturalmente para o Brasil 2016.

Aljezawi M, Tubaishat A. Pressure injuries among hospitalized patients with câncer prevalence and use of preventive interventions. J Wound Ostomy Continence Nurs 2018;45(3):227-32. https://doi.org/10.1097/WON.0000000000000429

Ministério da Saúde (BR). Instituto Nacional do Câncer. Tratamento e controle de feridas tumorais e úlceras por pressão no câncer avançado série cuidados paliativos. Rio de Janeiro: Ministério da Saúde; 2009.

Beers, EH. Palliative Wound Care: Less Is More. Surg Clin North Am 2019;99(5):899-919. https://doi.org/10.1016/j.suc.2019.06.008

Bajay HM, Jorge AS, Dantas SRPE. Técnicas básicas para a realização de curativos no âmbito hospitalar. Abordagem multiprofissional no tratamento de feridas. São Paulo: Atheneu; 2003. p.69.

Fayter D, McDaid C, Ritchie G, Stirk L, Eastwood A. Systematic review of barriers modifiers and benefits involved in participation in cancer clinical trials. York: Centre for Reviews and Dissemination: University of York; 2006 [Cited on 18 feb 2021]. Available

at: https://www.york.ac.uk/media/crd/crdreport31.pdf

Strazzieri-Pulido KC, Gonzalez CVS, Nogueira PC, Padilha KG, Santos VLCG. Pressure injuries in critical patients: Incidence, patient-associated factors, and nursing workload. J Nurs Manag 2019;27(2):301-10. https://doi.org/10.1111/jonm.12671

Lima AFC, Castilho V, Baptista CMC, Rogenski NMB, Rogenski KE. Direct cost of dressings for pressure ulcers in hospitalized patients. Rev Bras Enferm 2016;69(2):269-75. https://doi.org/10.1590/0034-7167.2016690212i

Araújo WCO. Recuperação da informação em saúde: construção, modelos e estratégias. Conv Ciên Inform 2020 [Cited on 18 feb 2021];3(2):100-34. Available at: file:///C:/Users/55169/Downloads/13447-Texto%20do%20artigo-40160-2-10-20200710%20(1).pdf

Volpato ESN. Abrangência nas estratégias de busca em Anestesiologia: descritores nas bases de dados MEDLINE e EMBASE [Dissertação]. Botucatu (SP): Faculdade de Medicina de Botucatu; 2017.

Melnyk BM, Fineout-Overholt E. Evidencebased practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005. p.3-24.

Sardo PMG, Simoes CSO, Alvarelhao JJM, Costa CTO, Simoes CJC, Figueira JMR et al. Analyses of pressure ulcer point prevalence at the first skin assessment in a Portuguese hospital. J Tissue Viability 2016;25(2):75-82. https://doi.org/10.1016/j.jtv.2016.02.006

Tan HJ, Saliba D, Kwan L, Moore AA, Litwin MS. Burden of geriatric events among older adults undergoing major cancer surgery. J Clin Oncol 2016;34(11):1231-8. https://doi.org/10.1200/JCO.2015.63.4592

Hendrichova I, Castelli M, Mastroianni C, Piredda M, Mirabella F, Surdo L et al. Pressure ulcers in cancer palliative care patients. Palliat Med 2010;24(7):669-73. https://doi.org/10.1177/0269216310376119

Maida V, Ennis M, Kuziemsky C, Corban J. Wounds and survival in cancer patients. Eur J Cancer 2009;45(18):3237-44. https://doi.org/10.1016/j.ejca.2009.05.014

Brito PA, Generoso SV, Correia MITD. Prevalence of pressure ulcers in hospitals in Brazil and association with nutritional status−A multicenter, cross-sectional study. Nutrition 2013; 29(4):646-49. https://doi.org/10.1016/j.nut.2012.11.008

Fromantin I, Falcou MC, Baffie A, Petot C, Mazerat R, Jaouen C et al. Inception and validation of a pressure ulcer risk scale in oncology. J Wound Care 2011;20(7):328-34. https://doi.org/10.12968/jowc.2011.20.7.328

Menegon DB, Bercini RR, Santos CT, Lucena AF, Pereira AGS, Scain SF. Braden subscales analysis as indicative of risk for pressure ulcer. Texto contexto − enferm 2012;21 (4):854-61. https://doi.org/10.1590/S0104-07072012000400016

Langemo D. General principles and approaches to wound prevention and care at end of life: an overview. Ostomy wound Manage 2012 [Cited on 02 Apr 2019];58(5):24–6. Available at: https://pubmed.ncbi.nlm.nih.gov/22562937/

Wright KM, Netten YV, Dorrington CA, Hoffman GR. Pressure injury can occur in patients undergoing prolonged head and neck surgery. J Oral Maxillofac Surg 2014;72 (10):2060-65. https://doi.org/10.1016/j.joms.2014.04.018

Ângelo CS, Pachioni CFM, Joaquim EHG, Silva EAL, Santos GG, Bonfim IM et al. Efetividade do protocolo prevenção de lesões de pele em cirurgias urológicas robóticas. Rev SOBECC 2017 [Cited on 02 Apr 2019];22(3):152-60. Available at: https://revista.sobecc.org.br/sobecc/article/view/221

Queiroz ACCM, Mota DDCF, Bachion MM, Ferreira ACM. Úlceras por pressão em paciente em cuidados paliativos domiciliares: Prevalência e características. Rev Esc Enferm USP 2014;48(2):264-71. https://doi.org/10.1590/S0080-6234201400002000010

Moraes JT, Silva LM, Chagas SC, Silva AG. Assistência de enfermagem a pacientes oncológicos com risco de úlcera por pressão em um projeto de extensão universitária. Em Extensão 2016;15(1):117-32. https://doi.org/10.14393/REE-v15n12016_rel05

Bry KE, Buescher D, Sandrik M. Never Say Never: A Descriptive Study of Hospital-Acquired Pressure Ulcers in a Hospital Setting. J Wound Ostomy Continence Nurs 2012;39(3):274-81. https://doi.org/10.1097/WON.0b013e3182549102

Saurusaitis AD, Santiago LC, Peregrino A, Silva RCL, Schutz V. Diarreia: fator de risco para dermatite associada à incontinência e lesões por pressão. Rev enferm UFPE on line 2019 [Cited on 15 Jan 2021];13:e241955 Available at: https://pesquisa.bvsalud.

org/portal/resource/pt/biblio-1051939

Paranhos WY, Santos VLCG. Avaliação de risco para úlcera de pressão por meio da Escala de Braden na língua portuguesa. Rev Esc Enferm USP 1999 [Cited on: 11 May 2019]; 33(n.esp.):191-206. Available at: http://www.ee.usp.br/reeusp/upload/pdf/799.

pdf

Porter-Armstrong AP, Moore ZEH, Bradbury I, McDonough S. Education of healthcare professionals for preventing pressure ulcers. Cochrane Database Syst Rev 2018;5(5)CD011620. https://doi.org/10.1002/14651858.CD011620.pub2

Gillespie BM, Chaboyer WP, McInnes E, Kent B, Whitty JA, Thalib L. Repositioning for pressure ulcer prevention in adults. Cochrane Database Syst Rev 2014;(4):CD009958. https://doi.org/10.1002/14651858.CD009958.pub2

Gorecki C, Closs SJ, Nixon J, Briggs M. Patient-reported pressure ulcer pain: A mixed-methods systematic review. J Pain Symptom Manage 2011;42(3):443-59. https://doi.org/10.1016/j.jpainsymman.2010.11.016

Flattau A, Blank AE. Risk factors for 90-day and 180-day mortality in hospitalised patients with pressure ulcers. Int Wound J 2014;11(1):14-20. https://doi.org/10.1111/j.1742-481X.2012.01032.x

Published

2021-04-19 — Updated on 2021-04-20

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How to Cite

1.
Andressa Renata, Camila Ribeiro, Nogueira PC. RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS. ESTIMA [Internet]. 2021 Apr. 20 [cited 2024 Mar. 29];19. Available from: https://www.revistaestima.com.br/estima/article/view/1005

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Review article

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