Nursing strategies for pressure injury prevention in surgical patients



Perioperative period, Intraoperative period, Pressure ulcer, Patient positioning, Nursing, Enterostomal therapy


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.


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Author Biographies

Sandra Marina Gonçalves Bezerra, Universidade Estadual do Piaui, Teresina-PI, Brasil

Doutora em enfermagem e  Estomaterapeuta - TiSobest

Professora Adjunta da Universidade Estadual do Piauí

Coordenadora da Especialização em Estomaterapia - UESPI

Coordenadora operacional do DINTER UFPI/UESPI

Internacional Delegate Sobest WCET

Jessyca Fernanda Pereira Brito, Universidade Estadual do Piauí

Enfermeira pela Universidade Estadual do Piauí.

Jefferson Abraão Caetano Lira, Universidade Estadual do Piauí Universidade Federal do Piauí

Enfermeiro  pela Universidade Estadual do Piauí.

Nanielle Silva Barbosa, Enfermeira pela Universidade Estadual do Piauí.

Enfermeira  pela Universidade Estadual do Piauí.

Kauan Gustavo de Carvalho, Universidade Estadual do Piauí.

Enfermeiro pela Universidade Estadual do Piauí.

Luana Silva de Sousa, Universidade Estadual do Piauí.

Enfermeira. Universidade Estadual do Piauí.



How to Cite

Bezerra SMG, Brito JFP, Lira JAC, Barbosa NS, Carvalho KG de, Sousa LS de. Nursing strategies for pressure injury prevention in surgical patients. ESTIMA [Internet]. 2020 Jun. 10 [cited 2024 May 30];18. Available from:



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