LESÕES POR PRESSÃO NA PESSOA EM PRONE POSITION: UMA REVISÃO INTEGRATIVA DA LITERATURA

Abstract

Prone Position (PP) is a technique used to recruit greater lung area and combat Acute Respiratory Distress Syndrome (ARDS), currently associated with COVID-19 infection. This technique is effective when applied for long periods of time, becoming an increased risk factor for the development of Pressure Injury (PPI). PUs are the most common problem associated with PP, and their incidence is highly minimizable when the prophylactic care recommended by the scientific evidence is used; Objectives To identify the appropriate nursing interventions for the prevention of PUs in critically ill patients on PP in intensive care; Methods Integrative Literature Review (ILR), based on the question "Which interventions for the prevention of PUs in critically ill patients on Prone Position in Intensive Care? A search was conducted in the MEDLINE complete and CINAHL complete databases, from the search engine EBSCO, limiting to the temporal space between 2016 and 2021. From the search and selection process seven articles culminated for analysis; Results LPP have a higher prevalence in patients who stay longer on PP. LPP occur more frequently in the face, trunk, and lower limbs, and most of them have severities ranging from Grade I to III. The interventions aimed at reducing the occurrence of these injuries and minimizing complications were strategies implemented to reduce the impact of CLP in critically ill patients on PP. Conclusions: We emphasise the need to invest in the training of teams on this topic, in order to improve the quality of intervention through the adoption of preventive measures for the development of PPL in critically ill patients in PP.