Navegando por Palavras-chave "Pressure Ulcer"
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- ItemAcesso aberto (Open Access)Effectiveness of Enteral Nutritional Therapy in the Healing Process of Pressure Ulcers: A Systematic Review(Univ Sao Paolo, 2015-02-01) Blanc, Gisely; Meier, Marineli Joaquim; Stocco, Janislei Giseli Dorociaki; Roehrs, Hellen; Crozeta, Karla; Barbosa, Dulce Aparecida [UNIFESP]; Univ Fed Parana; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the effectiveness of enteral nutritional therapy (ENT) in the healing process of pressure ulcers (PU) in adults and the elderly. Method: A systematic review whose studies were identified through the databases of Cochrane, MEDLINE/PubMed, SciELO, LILACS, EMBASE, CINAHL, Web of Science, and manual searches. It included randomized clinical trials (RCTs) without delimiting the period or language of publication, which addressed adults and elderly patients with pressure ulcers in a comparative treatment of enteral nutritional therapy and placebo or between enteral nutritional therapy with different compositions and dosages. Results: We included ten studies that considered different interventions. It resulted in more pressure ulcers healed in the groups that received the intervention. the included studies were heterogeneous with regard to patients, the type of intervention, the sample and the follow-up period, all of which made meta-analysis impossible. Conclusion: Although the enteral nutritional therapy demonstrates a promotion of pressure ulcer healing, sufficient evidence to confirm the hypothesis was not found.
- ItemAcesso aberto (Open Access)Livro sobre simulação realística na prevenção de lesão por pressão(Universidade Federal de São Paulo (UNIFESP), 2020-11-27) Marques, Eder Alves [UNIFESP]; Blanes, Leila [UNIFESP]; Universidade Federal de São PauloIntroduction: The pressure injury (LP) causes tissue damage in certain areas of the body and prevention is the best way to avoid this damage. Healthcare professionals are responsible for preventing pressure injuries. An active methodology with realistic simulation provides influence and change in the healthcare team’s learning process. Objective: To develop a book on realistic simulation in the prevention of pressure injuries. Method: Descriptive-exploratory study of the development of a book on realistic simulation in the prevention of pressure injuries. Approved by the Committee of Ethics in Research of the Federal University of São Paulo (UNIFESP) according to CAAE number 28946619.0.0000.5505. A search for priority was carried out, as well as bibliographic survey, content structuring and validation by expert judges using the Delphi Technique. Results: In the validation, the global Content Validity Index was 0.86 in the first round and 1.0 in the second Delphi round. The book has 78 pages, six chapters and 25 figures that complement the text. Conclusion: A book on realistic simulation in the prevention of pressure injuries was developed and validated.
- ItemEmbargoMedical Outcomes Study 36-Item Short Form Health Survey e Center for Epidemiological Studies-Depression em idosos com úlcera por pressão(Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Souza, Diba Maria Sebba Tosta de [UNIFESP]; Santos, Ivan Dunshee de Abranches Oliveira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introduction: Little is known about how pressure ulcers (PU) may affect the quality of life of the elderly living in different types of housing. Objective: To evaluate health-related quality of life (HRQoL) and depression in elderly patients with PU living in a hospital, long-term care facility (LTCF) or at home. Methods: A cross-sectional study was conducted with 110 elderly patients aged 60 and older, without cognitive impairment, with (n = 36) and without PU (n = 74). The Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) was used to assess HRQoL and the Center for Epidemiological Studies Depression Scale (CES-D) was used to assess depression. Results: Forty-eihgt ulcers were found in 36 patients. Patients with PU had significantly lower (worse) scores than patients without PU on physical functioning (hospital p<0,001, LTCF p<0,001, at home p<0,001) and role physical (hospital p=0,013, LTCF p=0,034, at home domicílio p=0,024) in the three types of housing. In the LTCF, patients with PU had significantly lower scores on the social functioning (p = 0.045) and role emotional (p = 0.036) subscales than patients without PU. The hospitalized elderly with PU had significantly higher scores on general health (p = 0.046) and vitality (p = 0.009) than those without PU. Among the elderly without PU, hospitalized patients had significantly lower scores on the bodily pain subscale than the other participants (p = 0.007). The patients with PU who were hospitalized or living in a LTCF reported significantly lower CES-D scores than those without PU (p = 0.007 and p = 0.003, respectively). Conclusion: The elderly with PU living in a LTCF reported lower scores on the physical functioning, role physical, social functioning, and role emotional subscales, reflecting a lower HRQoL. The elderly with PU who were hospitalized or living in a LTCF reported higher levels of depression.