Measures for prevention of pressure injury associated with the prone position during the COVID-19 pandemic: Integrative literature review

• Autor(a) principal: Monteiro, Wagner Luiz da Silva
• Data de Publicação: 2021
• Outros Autores: Castro, Natália Soares de, Oliveira, Priscila Soares de, Sobrinho , Natalia da Palma, Pereira , Gicélia Lombardo
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/14430
• topic: Coronavirus infection; Prone position; Prone; Pressure injury.; Infección por coronavirus; Posición prona; Prona; Lesión por presión.; Infecção por coronavírus; Decúbito ventral; Prona; Lesão por pressão.

Objectives: To identify the scientific evidence about pressure injury prevention (LPP) measures associated with the prone position during the COVID-19 pandemic. Reflect on the Pressure Injury prevention measures associated with the prone position during the COVID-19 Pandemic in the light of the scientific literature. Method: Integrative literature review, using the keywords "Pressure Injury" and "pronation"; the inclusion criteria were publications between 2019 and 2021; in Portuguese and English, indexed in the databases BDENF, LILACS and MEDLINE; that addressed the issue related to Pressure Injury in patients submitted to the prone position during the pandemic. Results: Analysis 5 studies that addressed contextualization to support the objectives proposed in the study. The main preventive recommendations for pressure injuries in patients submitted to the prone position were: daily skin assessment with risk identification, humidity control, pressure redistribution with the use of cushions, skin hydration, head rotation every two hours and the use of preventive coverings. Conclusion: Among the findings resulting from this research, the use of telemedicine, virtual consultation, to assist in wound prevention, skin care listed with emphasis on the solution with a pH between 4.0 and 7.0, the use of of preventive coverings, use of surfaces for redistribution of pressure, knowledge of the points predisposed to the development of pressure injuries must pay special attention to protective measures, professionals specialized in the management of this patient profile and the need to remedy the intrinsic factors related.