Strategies adopted by the nursing team for the prevention of pressure ulcers in hospitalized older people: a scoping review.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0362en
Maria Clara Nascimento Oliveira, Antonio Rosa de Sousa Neto, Esteffany Vaz Pierot, Winner Gomes Machado, Francisco Gilberto Fernandes Pereira, Ana Larissa Gomes Machado
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Abstract

Objective: To map the strategies described in the literature that can be adopted by the nursing team to prevent pressure injuries in hospitalized older people.

Method: Structured scoping review according to the JBI methodology, performed on June 17, 2024. The search for documents was carried out in eight databases and in a library of theses and dissertations, with the help of the application Rayyan for selecting studies.

Results: Eleven studies were included in the review. Initial risk assessment, ongoing reassessment and monitoring, pressure redistribution, maintenance of skin integrity, treatment of pressure injuries, nutritional and fluid support, education and involvement of patients and families, training of the healthcare team, in addition to the implementation of standardized instruments and the use of technology, were identified as the main prevention strategies.

Conclusion: The identified prevention strategies allow the nursing team to act quickly, using integrated interventions optimized by professional training, as well as to use standardized instruments and advanced technologies.

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护理小组为预防住院老年人压疮采取的策略:范围审查。
目的:探讨护理团队预防住院老年人压力性损伤的策略。方法:根据JBI方法进行结构化范围审查,于2024年6月17日进行。在Rayyan选择研究应用程序的帮助下,在八个数据库和一个论文库中进行了文献检索。结果:综述纳入了11项研究。初步风险评估、持续重新评估和监测、压力再分配、保持皮肤完整性、治疗压伤、营养和液体支持、患者和家属的教育和参与、保健小组的培训,以及标准化仪器的实施和技术的使用,被确定为主要的预防战略。结论:确定的预防策略使护理团队能够迅速采取行动,采用经专业培训优化的综合干预措施,并使用标准化的仪器和先进的技术。
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