Pressure ulcers and nursing care: A systematic review

Authors

Keywords:

PRESSURE ULCER, NURSING CARE, RISKS.

Abstract

Introduction: in nursing, the care of patients who remain at rest for long periods of time is a priority, since this reduces the presence of complications in the skin and soft tissues. Establishing adequate care for bedridden patients is essential if we want to reduce the presence of ulcers in different areas of the body.

Objectives: to identify the effectiveness of nursing care for the prevention of pressure ulcers in bedridden patients.

Methods: systematic review of the scientific literature on nursing care in patients at risk of developing pressure ulcers; after reviewing 53 articles in Spanish and English, a total of 15 articles were obtained; all the studies reviewed were obtained from reliable sources with a strict scientific level, which offered an objective, clear, complete, technical and scientific view of the information.

Results: permanent care of patients who remain at rest for long periods of time is essential. Nursing professionals must establish an adequate care plan for people in immobile conditions, considering all aspects of the patient so that comprehensive care is provided aimed at reducing the risk of developing pressure ulcers.

Conclusions: nursing care activities aimed at reducing the risk of developing ulcers in bedridden patients are essential and should be established based on the specific needs of each patient.

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References

1. Zeller JL, Lynm C, Glass RM. Pressure ulcers. Jama [Internet]. 2006 [Citado 20/05/2024]; 296(8): 1020. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/203224

2. Teo CSM, Claire CA, Lopez V, Shorey S. Pressure injury prevention and management practices among nurses: A realist case study. Int Wound J [Internet]. 2019 [Citado 20/05/2024]; 16(1):153–63. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30273984/

3. Parisod H, Holopainen A, Kielo-Viljamaa E, Puukka P, Beeckman D, Haavisto E. Attitudes of nursing staff towards pressure ulcer prevention in primary and specialised health care: A correlational cross-sectional study. Int Wound J [Internet]. 2022 [Citado 20/05/2024]; 19(2): 399–410. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34121328/

4. Fremmelevholm A, Soegaard K. Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention. Br J Nurs [Internet]. 2019 Mar 28 [Citado 20/05/2024]; 28(6):S6–11. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30925250/

5. Alshahrani B, Middleton R, Rolls K, Sim J. Critical care nurses’ knowledge and attitudes toward pressure injury prevention: A pre and post intervention study. Intensive Crit Care Nurs [Internet]. 2023 [Citado 20/05/2024]; 79: 103528. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37603978/

6. Lee SB, Lee HY. Impact of pressure ulcer prevention knowledge and attitude on the care performance of long-term care facility care workers: a cross-sectional multicenter study. BMC Geriatr [Internet]. 2022 [Citado 20/05/2024]; 22(1): 988. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36544097/

7. Halász BG, Bérešová A, Tkáčová L, Magurová D, Lizáková L. Nurses’ knowledge and attitudes towards prevention of pressure ulcers. Int J Environ Res Public Health [Internet]. 2021 [Citado 20/05/2024]; 18(4): 1705. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33578837/

8. Chércoles I. Valoracion de los conocimientos de las enfermeras en las UPP. Gerokomos [Internet]. 2019 [Citado 20/05/2024]; 30(4): 210-216. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2019000400210&lng=es

9. Chuang ST, Liao PL, Lo SF, Chang YT, Hsu HT. Effectiveness of an E-Book App on the Knowledge, Attitudes and Confidence of Nurses to Prevent and Care for Pressure Injury. Int J Environ Res Public Health [Internet]. 2022 [Citado 20/05/2024]; 19(23): 15826. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36497905/

10. Castiblanco R, Lancheros D, Trespalacio J, Bonilla L, Leal M, Moreno V. Cuidados de enfermería para Prevenir las Ulceras por Presión durante la estancia hospitalaria. Repert Med y Cirugía [Internet]. 2024 [Citado 20/05/2024]; 33(2):124–135. Disponible en: https://revistas.fucsalud.edu.co/index.php/repertorio/article/view/1311

11. Rojas L, Mora L, Acosta J, Cristancho L, Valencia Y, Hernández J. Nursing care plan for the prevention of pressure ulcers secondary to prone positioning in COVID-19 patients. Rev Cuid [Internet]. 2021 [Citado 20/05/2024]; 12(3): e2234. Disponible en: https://revistas.udes.edu.co/cuidarte/article/download/2234/2332?inline=1

12. Appiah EO, Appiah S, Oti-Boadi E, Boadu BA, Kontoh S, Adams RI, et al. Attitude and preventive practices of pressure ulcers among orthopedic nurses in a tertiary hospital in Ghana. PLoS One [Internet]. 2023 [Citado 20/05/2024]; 18(9): e0290970. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37682963/

13. Pancorbo Hidalgo PL, García Fernández FP, Rodríguez Torres MC, Torres García M, López Medina IM. Conocimientos y creencias de las enfermeras sobre el cuidado de las úlceras por presión: revision sistemática de la literatura. Gerokomos [Internet]. 2007 [Citado 20/05/2024]; 18(4): 30-38. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2007000400005

14. Li J, Zhu C, Liu Y, Li Z, Sun X, Bai Y, et al. Critical care nurses’ knowledge, attitudes, and practices of pressure injury prevention in China: A multicentric cross-sectional survey. Int Wound J [Internet]. 2023 [Citado 20/05/2024]; 20(2): 381–90. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35906851/

15. Kapp S, Gerdtz M, Miller C, Gefen A, Padula W, Wilson L, et al. The clinical and cost effectiveness of remote expert wound nurse consultation for healing of pressure injuries among residential aged care patients: A protocol for a prospective pilot parallel cluster randomised controlled trial. Int Wound J [Internet]. 2023 [Citado 20/05/2024]; 20(8): 2953–63. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37529854/

16. Kim J, Lee JY, Lee E. Risk factors for newly acquired pressure ulcer and the impact of nurse staffing on pressure ulcer incidence. J Nurs Manag [Internet]. 2022 [Citado 20/05/2024]; 30(5): O1–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31811735/

17. Padula WV, Pronovost PJ, Makic MBF, Wald HL, Moran D, Mishra MK, et al. Value of hospital resources for effective pressure injury prevention: A cost-effectiveness analysis. BMJ Qual Saf [Internet]. 2019 [Citado 20/05/2024]; 28(2): 132–41. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30097490/

18. Wu J, Wang B, Zhu L, Jia X. Nurses’ knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Front Public Heal [Internet]. 2022 [Citado 20/05/2024]; 10: 964680. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36159260/

19. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Española Cardiol [Internet]. 2021 [Citado 20/05/2024]; 74(9): 790–9. Disponible en: https://www.revespcardiol.org/es-declaracion-prisma-2020-una-guia-articulo-S0300893221002748

20. Quiñoz Gallardo MD, Barrientos Trigo S, Porcel Gálvez AM. Effect of the guideline implementation “Risk assessment and prevention of pressure ulcers” of the Registered Nurses’Association of Ontario (RNAO). Rev Esp Salud Publica [Internet]. 2021 [Citado 20/05/2024]; 95: e202109126. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34565793/

21. Han C, Yang F, Liu L. Effectiveness of Continuous Care Interventions in Elderly Patients with High-Risk Pressure Ulcers and Impact on Patients’ Activities of Daily Living. Altern Ther Health Med [Internet]. 2024 [Citado 20/05/2024]; 30(3): 118-123. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37883751/

22. Lindhardt CL, Beck SH, Ryg J. Nursing care for older patients with pressure ulcers: A qualitative study. Nurs Open [Internet]. 2020 [Citado 20/05/2024]; 7(4): 1020–5. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7308692/

23. Pittman J, Otts JA, Riley B, Mulekar MS. Pressure Injury Prevention and Management: A Gap Analysis Using Key Stakeholder Engagement. J Wound, Ostomy Cont Nurs [Internet]. 2022 [Citado 20/05/2024]; 49(5): 416–27. Disponible en: https://journals.lww.com/jwocnonline/fulltext/2022/09000/pressure_injury_prevention_and_management__a_gap.5.aspx

24. Singh C, Shoqirat N, Thorpe L, Villaneuva S. Sustainable pressure injury prevention. BMJ Open Qual [Internet]. 2023 [Citado 20/05/2024]; 12(2): e02248. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10255001/

25. Ortiz I, Sánchez A, Enríquez CB, Castellanos E, López G, Fernández H. Intervención educativa para mejorar conocimientos sobre úlceras por presión en enfermeros de Veracruz, México. Enfermería Univ [Internet]. 2021 [Citado 20/05/2024]; 17(4): 425–36. Disponible en: https://www.scielo.org.mx/scielo.php?pid=S1665-70632020000400425&script=sci_abstract

26. Fulbrook P, Lawrence P, Miles S. Australian Nurses’ Knowledge of Pressure Injury Prevention and Management: A Cross-sectional Survey. J Wound, Ostomy Cont Nurs [Internet]. 2019 [Citado 20/05/2024]; 46(2): 106–12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30801563/

Published

2024-11-29

How to Cite

1.
Morillo-Cano JR, Alvarado-Paguay JD, Chenas-Malte PM. Pressure ulcers and nursing care: A systematic review. Rev Ciencias Médicas [Internet]. 2024 Nov. 29 [cited 2025 Aug. 21];28(2):e6388. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6588

Issue

Section

REVIEW ARTICLES