Estratégias de enfermagem para prevenção de lesão por pressãoem pacientes cirúrgicos

Sandra Marina Gonçalves Bezerra; Jessyca Fernanda Pereira Brito; Jefferson Abraão Caetano Lira; Nanielle Silva Barbosa; Kauan Gustavo de Carvalho; Luana Silva de Sousa

Authors

Sandra Marina Gonçalves Bezerra Universidade Estadual do Piaui, Teresina-PI, Brasil https://orcid.org/0000-0003-3890-5887 (unauthenticated)
Jessyca Fernanda Pereira Brito Universidade Estadual do Piauí https://orcid.org/0000-0003-1438-4650 (unauthenticated)
Jefferson Abraão Caetano Lira Universidade Estadual do Piauí Universidade Federal do Piauí https://orcid.org/0000-0002-7582-4157 (unauthenticated)
Nanielle Silva Barbosa Enfermeira pela Universidade Estadual do Piauí. https://orcid.org/0000-0001-5758-2011 (unauthenticated)
Kauan Gustavo de Carvalho Universidade Estadual do Piauí. https://orcid.org/0000-0002-9940-1837 (unauthenticated)
Luana Silva de Sousa Universidade Estadual do Piauí. https://orcid.org/0000-0002-2415-8334 (unauthenticated)

Keywords:

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

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.

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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.