Nursing Actions in the Prevention of Pressure Ulcers in Prone Patients Diagnosed with Covid-19: Systematic Review


Authors : Jessica Gabriela Bautista-Jiménez; Isabel Cristina Mesa-Cano; Andrés Alexis Ramírez-Coronel

Volume/Issue : Volume 6 - 2021, Issue 3 - March

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3lxqwQI

The intensive care unit considered a critical ward where patients show neurological vulnerability, immobility, lack of hygiene, since the pressure exerted by the body on an object is a causal factor in skin lesions, hence the importance of focusing nursing care on the prevention of pressure ulcers, maintaining a continuous and team work. Objective: To plan nursing actions in the prevention of pressure ulcers in prone ulcer patients with a diagnosis of COVID-19 admitted to the intensive care unit. Methodology: an information search strategy was established in scientific databases in Spanish and English using PubMed, SciELO, LILACS, Redalyc, Web of Science. The search strategy used free terms and MeSH terms (Medical Subject Headings), DeCs, "care", "nursing", "prone decubitus", "pressure ulcers", "covid", "respiratory distress syndrome". The description between these descriptors, using Boolean AND and OR intersections. Incorporating studies published as original articles on the effectiveness and safety of prone ventilation in patients with acute respiratory distress syndrome (ARDS), of any etiology, and in COVID-19 patients. Results: 22 studies were potentially appropriate for inclusion in this review, the name, date considered for the review were recorded in the search log and 4 duplicate citations were excluded from the platforms, giving a total of 18 included studies. Conclusion The nursing staff involved in the process of patient care with a diagnosis of Covid 19 should play an active role in the performance of actions for the prevention of PUs. According to the need to maintain body hygiene and skin integrity in order to achieve an adequate degree of health and well-being, actions should be directed to act against skin alterations or lesions: presence of pressure ulcers (PUs), indicating their location, size and characteristics.

Keywords : Nursing Care, Prone Decubitus, Pressure Ulcers, Covid 19, Respiratory Distress Syndrome.

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