For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
6
views
19
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
1 collections
    0
    shares
      440
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Efectividad de los cambios posturales en la prevención de lesiones por presión en pacientes de atención primaria y domiciliaria Translated title: Effectiveness of postural changes in the prevention of pressure injuries in primary and home care patients

      review-article

      Read this article at

      SciELO
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Objetivos: Analizar la eficacia de los cambios posturales en la prevención de lesiones por presión en atención primaria y sociosanitaria. Metodología: Se ha realizado una revisión sistemática de la literatura en bases de datos como MEDLINE (PubMed), SciELO, TSEO y Google Académico. También se ha extraído información de repositorios universitarios. Los artículos seleccionados son revisiones sistemáticas, ensayos clínicos y una revisión histórica. Resultados: Se encontraron un total de 568 artículos, de los cuales 15 cumplieron los criterios de inclusión. Los ensayos clínicos aleatorios incluidos se realizaron en residencias de ancianos u hospitales de larga estancia. Conclusiones: La frecuencia de cambios posturales implica gran controversia. No obstante, la menor incidencia de úlceras por presión se relaciona con cambios posturales cada 3 h y con colchones viscoelásticos.

          Translated abstract

          Abstract Objectives: To analyze the efficacy of postural changes in the prevention on pressure injuries in primary and socio-health care. Methodology: A systematic review of the literature has been carried out in databases: MEDLINE (PubMed), SciELO, TSEO and Google Academy. Information has also been extracted from university repositories. The selected articles are systematic reviews, clinical trials and a historical review. Results: A total of 568 articles were found, of which 15 met the inclusion criteria. Included randomized clinical trials were condcuted in nursing home or long-stay hospitals. Conclusions: The frequency of postural changes implies great controversy. Nevertheless, the lower incidence of pressure ulcers is related to postural changes every 3 h and to viscoelastic mattresses.

          Related collections

          Most cited references19

          • Record: found
          • Abstract: found
          • Article: not found

          The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers.

          Tom Defloor, Dirk De Bacquer, Maria Grypdonck (2005)
          Turning is considered to be an effective way of preventing pressure ulcers, however almost no research has been undertaken on this method.
          Article 0 comments Cited 43 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers.

            Seamus Cowman, Zena Moore, Jacob Conroy (2011)
            BACKGROUNDL: Pressure ulcers are common, costly and impact negatively on individuals. Pressure is the prime cause, and immobility is the factor that exposes individuals to pressure. International guidelines advocate repositioning; however, there is confusion surrounding the best method and frequency required. A pragmatic, multi-centre, open label, prospective, cluster-randomised controlled trial was conducted to compare the incidence of pressure ulcers among older persons nursed using two different repositioning regimens. Ethical approval was received. Study sites (n=12) were allocated to study arm using cluster randomisation. The experimental group (n=99) were repositioned three hourly at night, using the 30° tilt; the control group (n=114) received routine prevention (six-hourly repositioning, using 90° lateral rotation). Data analysis was by intention to treat; follow-up was for four weeks. All participants (n=213) were Irish and white, among them 77% were women and 65% aged 80 years or older. Three patients (3%) in the experimental group and 13 patients (11%) in the control group developed a pressure ulcer (p=0·035; 95% CI 0·031-0·038; ICC=0·001). All pressure ulcers were grade 1 (44%) or grade 2 (56%). Mobility and activity were the highest predictors of pressure ulcer development (β=-0·246, 95% CI=-0·319 to -0·066; p=0·003); (β=0·227, 95% CI=0·041-0·246; p = 0·006). Repositioning older persons at risk of pressure ulcers every three hours at night, using the 30° tilt, reduces the incidence of pressure ulcers compared with usual care. The study supports the recommendations of the 2009 international pressure ulcer prevention guidelines. An effective method of pressure ulcer prevention has been identified; in the light of the problem of pressures ulcers, current prevention strategies should be reviewed. It is important to implement appropriate prevention strategies, of which repositioning is one. © 2011 Blackwell Publishing Ltd.
            Article 0 comments Cited 42 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesions.

              Mieke Grypdonck, K Vanderwee, D Ridder … (2006)
              This paper reports a study investigating whether repositioning patients lying on a pressure-reducing mattress alternately for 2 hours in a lateral position and 4 hours in a supine position reduces the incidence of pressure ulcers in comparison with repositioning every 4 hours. Repositioning is commonly recognized as an effective preventive measure. Almost no research has been carried out so far on the necessary turning frequencies to prevent pressure ulcer lesions. The pressure is higher in a lateral than in a supine position. A two-arm randomized controlled trial was conducted in 16 Belgian elder care nursing homes. Patients with non-blanchable erythema were randomly assigned to either an experimental or a control group. In the experimental group (n = 122), patients were repositioned alternately 2 hours in a lateral position and 4 hours in a supine position. In the control group (n = 113), patients were repositioned every 4 hours. The sitting protocol was identical in both groups. Pressure areas were observed daily and classified according to the four grades of the European Pressure Ulcer Advisory Panel. In the experimental group, 16.4% patients developed a pressure ulcer lesion (grade 2-4), while 21.2% did so in the control group. The incidence was not statistically significantly different between the two groups (P = 0.40). The severity (P = 0.65) and location (P = 0.19) of pressure ulcer lesions, and the time to developing them (P = 0.29) were also similar in both groups. No patient developed a pressure ulcer at the hips. A considerable number of patients changed from a lateral to a supine position between the turning intervals. More frequent repositioning on a pressure-reducing mattress does not necessarily lead to fewer pressure ulcer lesions and consequently cannot be considered as a more effective preventive measure.
              Article 0 comments Cited 22 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (publisher-id): geroko
                Title: Gerokomos
                Abbreviated Title: Gerokomos
                Publisher: Sociedad Española de Enfermería Geriátrica y Gerontológica (Barcelona, Barcelona, Spain )
                ISSN (Print): 1134-928X
                Publication date (Print and electronic): 2022
                Volume: 33
                Issue: 4
                Pages: 269-273
                Affiliations
                [4] Alicante Valencia orgnameUniversidad de Alicante Spain
                [2] Onil Alicante orgnameCentro de Salud de Onil España
                [3] Alicante Valencia orgnameUniversidad de Alicante Spain
                [1] Alicante Valencia orgnameUniversidad de Alicante Spain
                [5] Alicante Valencia orgnameUniversidad de Alicante orgdiv1Grupo Winter Heridas: Wounds, Innovation, Therapeutics and Research Spain
                Article
                Publisher ID: S1134-928X2022000400012 Publisher ID: S1134-928X(22)03300400012
                SO-VID: 1048ad23-2c4f-42fb-abae-bb6d8c5f59a3
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                Date accepted : 27 June 2022
                Date received : 09 May 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 5
                Product

                SciELO Spain

                Categories
                Subject: Helcos

                Keywords: Pressure ulcer,atención primaria,frecuencia,cambio postural,Úlcera por presión,primary health care,frequency,postural change
                Data availability:
                Keywords: Pressure ulcer, atención primaria, frecuencia, cambio postural, Úlcera por presión, primary health care, frequency, postural change

                Comments

                Comment on this article