LESÕES POR PRESSÃO DURANTE A PANDEMIA DA COVID-19

Geraldo Magela Salomé, Breno César Diniz Pontes

Resumo


Objetivo: identificar as medidas preventivas para lesões por pressão causadas pelo uso dos equipamentos de proteção individual durante a pandemia da COVID-19. Método trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa cuja busca ocorreu nas bases de dados LILACS, MEDLINE e Biblioteca Virtual SCIELO. Incluíram-se artigos originais, publicados entre 2019 e 2020, nos idiomas inglês e português. Analisaram-se os achados de forma descritiva. Resultados: identificaram-se 203 estudos publicados em periódicos nacionais e internacionais. Selecionaram-se 15 estudos, que avaliam a técnica de utilização dos equipamentos de proteção individual e estudos que oferecem vários tipos de cobertura/dispositivos e medidas preventivas para lesão causada pelo equipamento de proteção individual. Conclusão: faz-se necessário, com a exposição dos profissionais da saúde à COVID-19, que seja feita recomendação no sentido de que os gestores das instituições implementem protocolos e que os profissionais sejam treinados relativamente às técnicas corretas do uso do equipamento de proteção individual e sobre as medidas preventivas para lesões causadas pelo uso do equipamento de proteção individual e relacionadas aos cuidados com a pele antes da colocação e após a retirada desses equipamentos.


Palavras-chave


COVID-19; Pandemias; Vírus da SARS; Lesão por Pressão; Equipamentos e Provisões; Cuidado de Enfermagem.

Texto completo:

PDF PDF (English)

Referências


Chaves TSS, Bellei N. SARS-COV-2, the new coronavirus: a reflection about “One Health” and the importance of travel medicine when new pathogens emerge. Rev Med. 2020 Jan/Feb; 99(1):1-4. DOI: 10.11606/issn.1679-9836.v99i1pi-iv.

Belasco AGS, Fonseca CD. Coronavírus 2020. Rev Bras Enferm. 2020 Mar; 73(2):e2020n2. DOI: 10.1590/0034-7167-2020730201

Munster VJ, Koopmans M, Doremalen N, Riel D, Wit E. A novel coronavirus emerging in China - Key questions for impact assessment. N Engl Med J. 2020 Feb; 382:692-4. DOI: 10.1056/NEJMp2000929.

Wilson ME, Chen LH. Travelers give wings to novel coronavirus (2019-nCoV). J Travel Med. J Travel Med. 2020 Feb; 27(2):taaa015. DOI: 10.1093/jtm/taaa015

Tan WJ, Zhao X, Ma XJ. A novel coronavirus genome identified in a cluster of pneumonia cases: Wuhan, China 2019-2020. China CDC Weekly 2020; 2(4):61-2. DOI: 10.1056/NEJMoa2001017.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel Coronavirus from patients with pneumonia in China, 2019. N Eng J Med. 2020 Feb; 382(8):727-33. DOI: 10.1056/NEJMoa2001017.

Rieth GH, Loro MM, Stumm EMF, Rosaneli CLSP, Kolankiewicz ACB, Gomes JS. Use of individual protection equipments by nursing in a hospital emergency Unit. J Nurs UFPE on line. 2014 Feb; 8(2):365-71. DOI: 10.5205/resol.4688-38583-1-RV.0802201418.

Paczek RS, Espírito Santo DMN, Galvan C. Use of personal protection equipment in an endoscopic unit. J Nurs UFPE on line. 2020; 14:e243993 DOI: 10.5205/1981-8963.2020.243993

Carvalho JFS, Chaves LDP. Nursing supervision of the use of protective equipment in a general hospital. Cogitare Enferm. 2010 July/Sept; 15(3):513-20. DOI: 10.5380/ce.v15i3.18897

Cordeiro JFC, Alves AP, Gir E, Miranda DO, Canini SRMS. Use of personal protective equipment in a home care service. Cogitare Enferm [Internet]. 2016 July/Sept [cited 2019 Aug 10]; 21(3):1-8. Available from: https://revistas.ufpr.br/cogitare/article/view/45443/pdf

Moraes JT, Borges EL, Lisboa CR, Cordeiro DCO, Rosa EG, Rocha NA. Concept and rating of pressure injury: update of the national pressure ulcer advisory panel. Rev Enferm Cent-Oeste Min. 2016 May/Aug; 6(2):2292-306. DOI: 10.19175/recom.v6i2.1423

Cavalcanti EC, Kamada I. Medical-device-related pressure injury on adults: an integrative review. Texto contexto-enferm. 2020 Jan; 29:e20180371. DOI: 10.1590/1980-265X-TCE-2018-0371.

Gefen A, Alves P, Ciprandi G, Coyer F, Milne C, Ousey K, et al. An international consensus on device-related pressure ulcers: SECURE prevention. Br J Nurs. 2020 Mar; 29(5):S36-8. DOI: 10.12968/bjon.2020.29.5.S36

Gefen A, Alves P, Ciprandi G, Coyer F, Milne CT, Ousey K, et al. Device related pressure ulcers: SECUR prevention. J Wound Care. 2020 Feb; 29(Suppl 2a):S1–52. 10.12968/jowc.2020.29.Sup2a.S1

Associação Portuguesa de Tratamento de Feridas. Recomendação PREPI/COVID19: Prevenção de lesões cutâneas causadas pelos Equipamentos de Proteção Individual (Máscaras faciais, respiradores, viseiras e óculos de proteção) [Internet]. Porto: APTFeridas; 2020 [cited 2019 Aug 10]. Available from: https://www.aptferidas.com/Ficheiros/COVID19/APTFeridas%20-%20RECOMENDAC%CC%A7A%CC%83O%20PREPI-COVID19.pdf

Fumarola S, Allaway R, Callaghan R, Collier M, Downie F, Geraghty J, et al. Overlooked and underestimated: medical adhesive-related skin injuries. J Wound Care. 2020 Mar; 29(Suppl 3c):S1–24. DOI: 10.12968%2Fjowc.2020.29.Sup3c.S1

Ferreira DH, Teixeira MLO, Branco EMSC. Nursing care in the prevention of adhesive-related skin injuries in surgical wounds. Ciênc Cuid Saúde. 2017 Apr/June; 16(2):1-7. DOI: 10.4025/cienccuidsaude.v16i2.33421.

Galetto SGS, Nascimento ERP, Hermida PMV, Malfussi LBH. Medical device-related pressure injuries: an integrative literature review. Rev Bras Enferm. 2019 Apr; 72(2):505-12. DOI: 10.1590/0034-7167-2018-0530

Mendes KS, Silveira RCCP, Galvão CM. Integrative literature review: a research method to incorporate evidence in health care and nursing. Texto contexto-enferm. 2008 Oct/Dec; 17(4):758–64. DOI: 10.1590/S0104-07072008000400018

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005 Dec; 52(5):546–53. DOI: 10.1111/j.1365-2648.2005.03621.x

Santos CMC, Pimenta CAM, Nobre MRC. The PICO strategy for the research question construction and evidence search. Rev Latino-Am. Enfermagem. 2007 May/June; 15(3):508–11. DOI: 10.1590/S0104-11692007000300023

Agency for Health Care Research and Quality. Quality Improvement and monitoring at your fingertips [Internet]. Rockville: AHRQ; 2016 [cited 2020 Mar 22]; Available from: http://www.qualityindicators.ahrq.gov

Black J. COVID-19 and wound care in the US. Wounds Int [Internet]. 2020 May [cited 2019 Aug 10]; 11(2):6-7. Available from: https://www.woundsinternational.com/resources/details/covid-19-and-wound-care-us

Lam UN, Md Mydin Siddik NSF, Mohd Yussof SJ, Ibrahim S. N95 respirator associated pressure ulcer amongst COVID-19 health care workers. Int Wound J. 2020 May; 10.1111/iwj.13398. DOI: 10.1111/iwj.13398

Jiang Q, Liu Y, Wei W, Zhu D, Chen A, Liu H, et al. The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID-19 in China: a multicenter cross-sectional survey. Int Wound J. 2020 May; 10.1111/iwj.13391. DOI: 10.1111/iwj.13391

Serra R, Ielapi N, Barbetta A, Franciscis SI. Skin tears and risk factors assessment: a systematic review on evidence-based medicine. Int Wound J. 2018 Feb; 15(1):38-42. DOI: 10.1111/iwj.12815

Gefen A, Ousey K. Prevention of skin damage caused by the protective equipment used to mitigate COVID-19. J Wound Care. 2020 June; 29(6):311. DOI: 10.12968/jowc.2020.29.6.311

Mills EC, Savage E, Lieder J, Chiu ES. Telemedicine and the COVID-19 pandemic: are we ready to go live? Adv Skin Wound Care. 2020; 33(8):410-7. DOI:10.1097/01.ASW.0000669916.01793.93

Ayello EA, Sibbald RG. The importance of pressure injury evidence during COVID-19. Adv Skin Wound Care. 2020; 33(8):399. DOI: 10.1097/01.ASW.0000684272.94842.03

Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care. 2020 May; 29(5):245–59. DOI: 10.12968/jowc.2020.29.5.245

Vera JLDCP, Alcalde SR, Carretero JLC, Garcia MB. The preventive effect of hydrocolloid dressing to prevent facial pressure and facial marks during use of medical protective equipment in COVID-19 pandemic. Br J Oral Maxillofac Surg. 2020 July; 58(6):723-5. DOI: 10.1016/j.bjoms.2020.04.047

Ramalho AO, Freitas PSS, Nogueira PC. Medical device-related pressure injury in health care professionals in times of pandemic. Estima Braz J Enterostomal Ther. 2010; 18:e0120. DOI: 10.30886/estima.v18.867_PT

Moore ZEH, Pattio D, Avsar P, McEvoy NL, Gurley G, Budri A, et al. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the COVID-19 emergency. J Wound Care. 2020 June; 29(6):312-20. DOI: 10.12968/jowc.2020.29.6.312

Oliveira AC, Lucas TC, Iquiapaza RA. What has the covid-19 pandemic taught us about adopting preventive measures? Texto contexto-enferm. 2020 May; 29:e20200106. DOI: 10.1590/1980

Albuquerque NLS. Operational planning during the covid-19 pandemic: comparison between the who recommendations and the brazilian national contingency plan. Cogitare Enferm. 2020; 25:e72659. 0DOI: 10.5380/ce.v25i0.72659

Conselho Federal de Enfermagem. Saúde de Profissionais de Enfermagem é foco em tempos de Covid-19 [Internet]. Brasília: COFEN; 2020 [cited 2019 Aug 10]. Available from: http://www.cofen.gov.br/saude-de-profissionais-de-enfermagem-e-foco-em-tempos-de-covid-19_78321.html

Miranda FMA, Santana LL, Pizzolato AC, Saquis LMM. Working conditions and the impact on the health of the nursing professionals in the context of covid-19. Cogitare Enferm. 2020; 25:e72702. DOI: 10.5380/ce.v25i0.72702

Barbosa JAG, Souza MCMR. Skin lesions related to the use of adhesives: care for your prevention as a condition to secure assistance and quality. Rev Recien. 2020 Sept; 10(29):13-8. DOI: 10.24276/rrecien2358-3088.2020.10.29.13-18




DOI: https://doi.org/10.5205/1981-8963.2021.246189



Licença Creative Commons
Esta obra está licenciada sob uma licença Creative Commons Atribuição 4.0 Internacional.

 

INDEXADORES E BASES BIBLIOGRÁFICAS:

 doajPeriódicoscapes

bvs elsevier nlm diadorim periodicaabec

 

cinahl citefactor cuidenplusb socolar ulrichs sumarios