Uso de la metodología de paquete de cuidados (care bundle) aplicada a la prevención de lesiones por presión adquiridas en hospital en pacientes adultosrevisión exploratoria

  1. Luis Real-López
  2. Laura Parra-Anguita 1
  3. Pedro L. Pancorbo-Hidalgo 1
  4. M. Carmen Enrique-Arias
  1. 1 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

Zeitschrift:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Datum der Publikation: 2023

Ausgabe: 34

Nummer: 1

Seiten: 68-77

Art: Artikel

Andere Publikationen in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Zusammenfassung

Abstract Objective: To explore the state of knowledge regarding the care bundle (CB) approach in the prevention of hospital-acquired pressure injuries (PI) in hospital wards in adult patients. Methodology: Scoping review from 10 bibliographic databases. Publications related to adult patients admitted to conventional hospital wards were included. A narrative description was made without analysis of methodological quality. Results: 31 articles were selected with different designs, identifying 9 CB. As quantitative results, reductions in the incidence of PI were obtained from 8% to 90%, in the prevalence from 37% to 94%, or increases in the number of days without PI from 50% to 59%. Other effects were a 36% increase in the use of the Braden scale for the assessment of PI risk, or a 13% improvement in the completion of PI records. From a qualitative point of view, the professionals considered the application of a CB as feasible and acceptable, highlighting the increased communication, knowledge and participation in the prevention of PI as benefits. Patients considered the application of CB as acceptable by increasing their participation in care, promoting interaction with staff and providing easy to understand information. Conclusion: The CB methodology improves the prevention of PI in hospitalized adults. More and higher quality studies are needed to assess its effectiveness. It would be advisable to standardize the use of a unique indicator of results that would allow comparison between CB with different contents, preferably the incidence or prevalence of PI hospital acquired.

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