Palavras-chave
Lesão por Pressão
COVID-19
Enfermagem
Estomaterapia
Como Citar
Resumo
Objetivou-se mapear medidas preventivas de LP no paciente com COVID-19 em posição de prona. Trata-se de um estudo desenvolvido por meio de uma revisão de escopo fundamentado nas diretrizes da Joanne Briggs Institute e as recomendações do checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Extension for Scoping Review. A questão norteadora foi elaborada com base na estratégia do PCC. A busca ocorreu durante o mês de dezembro de 2021 em 5 bases de dados. Foram inclusos 15 artigos. As medidas preventivas de LP ao paciente com COVID-19 em pronação englobam atividades de avaliação de risco, avaliação da pele, reposicionamento e mobilização precoce de superfícies de suporte, classificação de LP, avaliação de LP e monitoramento de cicatrização educação do profissional de saúde, cuidados preventivos da pele, curativos e coberturas e LP relacionadas a dispositivos médicos. Mapear e compreender o desdobramento da LP no prognóstico do paciente COVID-19, permite elaborar estratégias preventivas reais com base nas necessidades do paciente.
Referências
World Health Organization. Statement on the second meeting of the International Health Regulations Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) [Internet]. Genova: WHO; 2020 [acesso em 20 ago 2022]. Disponível em: https://www.who.int/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)
World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 [Internet]. Genova: WHO; 2020 [acesso em 20 ago 2022]. Disponível em: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Ministério da Saúde (BR). Guia de vigilância epidemiológica emergência de saúde pública de importância nacional pela doença pelo coronavírus 2019 COVID-19 [Internet]. Brasília (DF): MS; 2021 [acesso em 20 ago 2022]. Disponível em: https://www.gov.br/saude/pt-br/coronavirus/publicacoes-tecnicas/guias-e-planos/guia-de-vigilancia-epidemiologica-covid-19
Paiva KC de A, Beppu OS. Posição prona. Jornal Brasileiro de Pneumologia. 2005 Aug;31(4):332–40. https://doi.org/10.1590/S1806-37132005000400011
Filgueira R, Farias EVN, Castelianno MER, Miranda WK. Manejo da posição prona em pacientes com COVID-19: revisão integrativa. Revista de Ciências da Saúde Nova Esperança. 2020 Aug 31;18(2):135–42. https://doi.org/10.34119/bjhrv5n1-294
Kottner J, Cuddigan J, Carville K, Balzer K, Berlowitz D, Law S, et al. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. Journal of Tissue Viability. 2019 May;28(2):51-58. doi: 10.1016/j.jtv.2019.01.001.
Moore Z, Patton D, Avsar P, McEvoy NL, Curley G, Budri A, et al. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the COVID-19 emergency. Journal of Wound Care. 2020 Jun 2;29(6):312-320. doi: 10.12968/jowc.2020.29.6.312.
Martel T, Orgill DP. Medical Device–Related Pressure Injuries During the COVID-19 Pandemic. Journal of Wound, Ostomy & Continence Nursing. 2020;47(5):430-434. doi:10.1097/WON.0000000000000689
Rocha FEV, Moreira FF, Ribeiro DC, Bini ACD. O uso da posição prona em pacientes com diagnóstico de COVID-19: uma revisão sistemática. Revista FisiSenectus. 8(1), 133-142. https://doi.org/10.22298/rfs.2020.v8.n1.5403
Peters M, Godfrey C, McInerney P, Munn Z, Trico A, Khalil H. Chapter 11: Scoping Reviews. JBI Manual for Evidence Synthesis. 2020. https://doi.org/10.46658/JBIMES-20-12
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine [Internet]. 2016;16:15. doi:10.1186/s12874-016-0116-4
Binda F, Galazzi A, Marelli F, Gambazza S, Villa L, Vinci E, et al. Complications of prone positioning in patients with COVID-19: A cross-sectional study. Intensive and Critical Care Nursing. 2021 Dec;67:103088. doi: 10.1016/j.iccn.2021.103088.
Davis CR, Beeson T. Mitigating Pressure Injury Challenges When Placing Patients in a Prone Position. Journal of Wound, Ostomy & Continence Nursing. 2020;47(4):326-327. doi: 10.1097/WON.0000000000000665.
Perrillat A, Foletti J-M, Lacagne A-S, Guyot L, Graillon N. Facial pressure ulcers in COVID-19 patients undergoing prone positioning: How to prevent an underestimated epidemic? Journal of Stomatology, Oral and Maxillofacial Surgery. 2020 Sep;121(4):442-444. doi: 10.1016/j.jormas.2020.06.008.
Challoner T, Vesel T, Dosanjh A, Kok K. The risk of pressure ulcers in a proned COVID population. The Surgeon [Internet]. 2021 Aug 6:S1479-666X(21)00121-9. doi: 10.1016/j.surge.2021.07.001
Rojas LZ, Mora Rico LA, Acosta Barón JV, Cristancho Zambrano LY, Valencia Barón YD, Hernández Vargas JA. Plan de cuidados de enfermería para la prevención de úlceras por presión secundarias a la posición prono en pacientes COVID-19. Rev Cuid [Internet]. 13 de septiembre de 2021 [citado 26 de mayo de 2022];12(3). Disponivel em: https://revistas.udes.edu.co/cuidarte/article/view/2234
Binda F, Marelli F, Galazzi A, Pascuzzo R, Adamini I, Laquintana D. Nursing Management of Prone Positioning in Patients With COVID-19. Critical Care Nurse. 2021 Apr 1;41(2):27-35. doi: 10.4037/ccn2020222
Busnardo FF, Monteiro GG, Mendes RR da S, Abbas L, Pagotto VF, Camargo C, et al. A multidisciplinary approach to prevent and treat pressure sores in proned COVID-19 patients at a quaternary university hospital. Clinics [Internet]. 2020 Aug 10 [cited 2021 Oct 7];75. https://doi.org/10.6061/clinics/2020/e2196.
Ibarra G, Rivera A, Fernandez-Ibarburu B, Lorca-García C, Garcia-Ruano A. Prone position pressure sores in the COVID-19 pandemic: The Madrid experience. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2021 Sep;74(9):2141-2148. doi: 10.1016/j.bjps.2020.12.057
Barakat-Johnson M, Carey R, Coleman K, Counter K, Hocking K, Leong T, et al. Pressure injury prevention for COVID-19 patients in a prone position. Wound Practice and Research. 2020 Jun;28(2). https://doi.org/10.33235/wpr.28.2.50-57
Ceruti S, Glotta A, Biggiogero M, Bona G, Saporito A, Faldarini N, et al. Multidisciplinary team approach in critically ill COVID-19 patients reduced pronation-related complications rate: A retrospective cohort study. Annals of Medicine and Surgery. 2021 Oct;70:102836. doi: 10.1016/j.amsu.2021.102836
Stubington TJ, Mansuri MS. Novel technique using surgical scrub sponges to protect the nose and face during prone ventilation for coronavirus disease 2019. The Journal of Laryngology & Otology. 2020 Jul 28;134(8):735–8. doi: 10.1017/S0022215120001590
Rodríguez‐Huerta MD, Díez‐Fernández A, Rodríguez‐Alonso MJ, Robles‐González M, Martín‐Rodríguez M, González‐García A. Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS‐CoV‐2 pulmonary infection. Nursing in Critical Care. 2021. doi: 10.1111/nicc.12606
Peko L, Barakat‐Johnson M, Gefen A. Protecting prone positioned patients from facial pressure ulcers using prophylactic dressings: A timely biomechanical analysis in the context of the COVID‐19 pandemic. International Wound Journal. 2020 Dec;17(6):1595-1606. doi: 10.1111/iwj.13435
Tacia LL, Foster M, Rice J, Elswick D. Pressure Injury Prevention Packets for Prone Positioning. Critical Care Nurse. 2021;41(3):74–6. doi: 10.4037/ccn2021785
Pereira AS, Bezerra CCC, Almeida ACL, Silva MRB, Souza DRS, Silva KCF, Barbosa KCV, Paixão WHP. A importância do conhecimento do enfermeiro na prevenção das lesões por pressão em pacientes submetidos à posição prona. Glob Acad Nurs. 2021;2(Spe.2):e115. https://dx.doi.org/10.5935/2675-5602.20200115
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Global Academic Nursing Journal