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Effectiveness on hospital-acquired pressure ulcers prevention : a systematic review

2019-07-01Artigo científico Acesso restrito
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dc.contributor.authorGaspar, Susana
dc.contributor.authorPeralta, Miguel
dc.contributor.authorMarques, Adilson
dc.contributor.authorBudri, Aglécia
dc.contributor.authorMatos, Margarida Gaspar de
dc.date.accessioned2019-07-23T13:48:34Z
dc.date.available2019-07-23T13:48:34Z
dc.date.issued2019-07-01
dc.description© 2019 Medicalhelplines.com Inc and John Wiley & Sons Ltdpt_PT
dc.description.abstractThe effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on-screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure-mapping feedback or by a patient positioning system. Risk-assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence-based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.pt_PT
dc.description.sponsorshipFundação para a Ciência e a Tecnologia, Grant/Award Number: SFRH/BD/122219/2016; Universidade de Lisboa, Grant/Award Number: BD609/2016pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt Wound J. 2019 Jul 1pt_PT
dc.identifier.doi10.1111/iwj.13147pt_PT
dc.identifier.issn1742-4801
dc.identifier.urihttp://hdl.handle.net/10451/39225
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJohn Wiley and Sonspt_PT
dc.relationBD609/2016pt_PT
dc.relationO papel da escola e das aulas de educação física no desenvolvimento da aptidão cardiorrespiratória
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/journal/1742481xpt_PT
dc.subjectEffectivenesspt_PT
dc.subjectHospital-acquired pressure ulcerspt_PT
dc.subjectPatient safetypt_PT
dc.subjectPressure injurypt_PT
dc.subjectPreventionpt_PT
dc.titleEffectiveness on hospital-acquired pressure ulcers prevention : a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleO papel da escola e das aulas de educação física no desenvolvimento da aptidão cardiorrespiratória
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F122219%2F2016/PT
oaire.citation.titleInternational Wound Journalpt_PT
oaire.fundingStreamOE
person.familyNameGaspar
person.familyNamePeralta
person.familyNameMarques
person.familyNameGaspar de Matos
person.givenNameSusana
person.givenNameMiguel
person.givenNameAdilson
person.givenNameMargarida
person.identifier1142676
person.identifierH-3824-2012
person.identifier.ciencia-id221A-FA08-5019
person.identifier.ciencia-idC31A-3D60-1F01
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.ciencia-idC319-629F-67E9
person.identifier.orcid0000-0002-0494-6771
person.identifier.orcid0000-0001-6072-6012
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0003-2114-2350
person.identifier.ridD-6370-2017
person.identifier.ridH-1666-2017
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56306465800
person.identifier.scopus-author-id55082567000
person.identifier.scopus-author-id15076750500
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
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