08Sep 2019

IMPACT OF THE PHYSIOTHERAPEUTIC PREVENTIVE PROTOCOL ON THE REDUCTION OF PRESSURE ULCERS IN HOSPITALIZED PATIENTS.

  • Intern of the Degree in Physiotherapy, Faculty of Nursing of the Autonomous University of Campeche, Mexico.
  • Intern of the Physiotherapy Degree, Faculty of Nursing of the Autonomous University of Campeche, Mexico.
  • IMSS Planning and Institutional Liaison Coordinator, Campeche Delegation. Professor of the Physiotherapy Degree of the Faculty of Nursing of the Autonomous University of Campeche, Mexico.
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Introduction:Pressure ulcer (PU) has ceased to be an invisible and underrated health problem, now they represent a complication of the first order, whose magnitude, both for patients, as for health services and society in general, is considered as a public health problem, so it requires all the means and resources necessary to combat them. The objective is to evaluate the relationship between the impact of the physiotherapeutic preventive protocol and the risk of PU in hospitalized patients. Answering the question What is the impact of the physiotherapeutic preventive protocol in reducing the frequency of pressure ulcers in hospitalized patients? Hypothesis. There is a relationship between the implementation of the physiotherapeutic preventive protocol and the risk of PU in hospitalized patients. Materials and methods: Quasi-experimental design, the Braden scale was used, design and application of a physiotherapeutic preventive protocol, 170 hospitalized patients participated from September 1, 2018 to June 30, 2019. Results: Inpatients do not present significant statistical differences. After the intervention, it was found that in group 2 without caregivers they developed pressure ulcers in category 1 and 2. Not so, in the caregiver group where the highest frequency was without ulcer development. Discussion: The indications in the IMSS Nursing Clinical Practice Guide are proved, the research hypothesis is accepted, it is confirmed the usefulness of a physiotherapeutic intervention in the management of patients at risk of presenting pressure ulcers, avoiding complications.

  1. World Health Organization, 55th World Health Assembly A55 / 5. April 23, 2002. Report of the WHO World Commission on Macroeconomics and Health. Report of the Director General. (Online) Recovered from http://apps.who.int/gb/archive/pdf_files/Wha557sa555.pdf
  2. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: Quick Reference Guide. [Monograph on the Internet] Washington DC: National Pressure Ulcer Advisory Panel; 2009 [Accessed 01/15/2015]. Available in http://www.epuap.org/guidelines/QRG_Treatment_in_Spanish.pdf
  3. Soldevilla J. Pressure ulcers in Gerontology. Epidemiological, economic, ethical and legal dimension. [Doctoral Thesis]. University of Santiago de Compostela; available in https://gneaupp.info/wp-content/uploads/2014/12/39_pdf.pdf
  4. Arango Salazar C, Fern?ndez Duque O, Torres Moreno B. Pressure ulcers. In: Spanish Society of Geriatrics and Gerontology (SEGG) Treaty of Geriatrics for residents. [Internet] Madrid: International Marketing & Communication; 2006. [Accessed 01/15/2015]; 217-226. Available in http://envejecimiento.csic.es/documentacion/biblioteca/registro.htm?id=52043
  5. Pat?n F, Lorente G, Fern?ndez B, Hern?ndez A, Escot, S, Quero MA. et al. Continuous improvement plan in prevention-treatment of pressure ulcers according to the Deming cycle. Gerokomos 2013; Available in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2013000300006
  6. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.). Cambridge Media: Perth, Australia; 2014. [Monograf?aen Internet] [consultado 20/06/2015] Aviable in http://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-QuickReference-Guide-DIGITAL-NPUAP-EPUAP-PPPIA-16Oct2014.pdf
  7. Pancorbo Hidalgo PL, Garc?aFern?ndez FP, TorraiBou JE, Verd? Soriano J, SoldevillaAgreda J J. Epidemiology of pressure ulcers in Spain in 2013: IV National Prevalence Study. Gerokomos .2014; available in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000400006 (Pancorbo, 2014)
  8. SoldevillaAgreda JJ, TorraiBou JE, Verd? Soriano J, L?pez Casanova P. III National Study of Prevalence of Pressure Ulcers in Spain 2009. Epidemiology and defining variables of injuries and patients. Gerokomos 2011; available in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2011000200005
  9. Spanish version translated from: Registered Nurses Association of Ontario (RNAO) [Internet monography]; 2005. [consulted 20/05/2015] Risk Assessment and Prevention of Pressure Ulcers. Toronto, Canada: Registered Nurses Association of Ontario. Availabe in http://www.evidenciaencuidados.es/es/attachments/article/46/UlcerasPresion_spp_ 022014.pdf
  10. Harris C, and Fraser C. Malnutrition in the institutionalized elderly: The effects on wound healing. Ostomy Wound Management [Internet] 2004 [Consulted 20/05/2015]; 50(10): 54-63.Available in https://www.southwesthealthline.ca/healthlibrary_docs/B.8.4a.NutritionAssmtResource.pdf
  11. SoldevillaAgreda JJ, Torra and Bou JE. Epidemiology of pressure ulcers in Spain. Pilot study in the autonomous community of La Rioja. Gerokomos. 1999; 10 (2): Available in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2014000400006
  12. TorraiBou JE, SoldevillaAgreda JJ, Rueda L?pez J, Verd? Soriano J. 1st National study of the prevalence of pressure ulcers in Spain. Epidemiology and defining variables of lesions and patients. Gerokomos 2003; 14 (1): available at https://dialnet.unirioja.es/servlet/articulo?codigo=326098
  13. SoldevillaAgreda JJ, TorraiBou JE, Verd? Soriano J, Mart?nezCuervo F, L?pez Casanova P, Rueda L?pez J, et al. 2nd National Study of Prevalence of Pressure Ulcers in Spain 2005. Epidemilogy and defining variables of injuries and patients. Gerokomos. 2006; 17 (3): 154-172. Available in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2006000300006
  14. Warren JB, Poder LH, Young-Mc Caughan S. Development of a decision tree for support surfaces: a tool for nursing. Medsurg Nursing 1999; 8(4): available in https://www.ncbi.nlm.nih.gov/pubmed/10661160
  1. Strategy for Clinical Safety in the Basque Health ServiceOsakidetza (2013-2016). Vitoria-Gasteiz; 2013 [Monograph on the Internet] [accessed 2/03/2015] Available at http://www.ServicioVascodeSaludOsakidetza.euskadi.eus/contenidos/informacion/osk_publicaciones/es_publi/adjunto s/publica/SeguridadPacienteEs.pdf
  2. Health Service of Castilla-La Mancha. Healthcare Quality Manual. [Monograph on the Internet]. SESCAM Health Service of Castilla-La Mancha; 2009. [accessed 07/20/2015]. p.335 Available in http://sescam.castillalamancha.es/sites/sescam.castillalamancha.es/files/documentos/pdf/20131017/manual_calidad_asistencial_de_la_seca.pdf
  3. Aranaz Andr?s JM, AibarRem?n C, VitallerBurillo J, Ruiz L?pez P. National Study on the adverse effects linked to ENEAS Hospitalization. [Monograph on the Internet] Madrid: Ministry of Health and Consumer Affairs. 2006. [Accessed 10/10/2014] Available enhttps://www.mscbs.gob.es/organizacion/sns/planCalidadSNS/pdf/excelencia/opsc_sp2.pdf
  4. World Health Organization. Global Alliance for Patient Safety. Patient Safety Research. More knowledge for safer care [Internet], 2008 [Accessed on 05/10/2015] [1-9] Available at http://www.who.int/patientsafety/information_centre/documents/ps_research_broc hure_es.pdf
  5. L?pez P, Verd? J, Berenguer M, Soldevilla J. Prevention of Pressure Ulcers and changes in posture. Integrative review of the literature. GEROKOMOS JUNE 2018; 25 (10) consulted in http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2018000200092
  6. Venegas G, Castro J, Solano M. Program for the prevention of Pressure Ulcers in Older Adults. REVENF. April 18; 18 (16) consulted at http://www.redalyc.org/articulo.oa?id=44817860006
  7. Peris A, Gonz?lez V.Pressure ulcer prevention in bedridden patients: new evidence. RECIEN. 2018;16(23) consulted at http://hdl.handle.net/10045/85235.

[Uriel Rodolfo Aguilar Cu, Magaly Del Carmen Medina Lugo and Carmen Dominguez Hernandez. (2019); IMPACT OF THE PHYSIOTHERAPEUTIC PREVENTIVE PROTOCOL ON THE REDUCTION OF PRESSURE ULCERS IN HOSPITALIZED PATIENTS. Int. J. of Adv. Res. 7 (Sep). 433-443] (ISSN 2320-5407). www.journalijar.com

Uriel Rodolfo Aguilar Cu
Intern of the Degree in Physiotherapy, Faculty of Nursing of the Autonomous University of Campeche, Mexico.

DOI:

Article DOI: 10.21474/IJAR01/9681      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9681

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