COVID-19: UM RESGATE BIBLIOGRÁFICO SOBRE PRÁTICAS EXITOSAS NA PREVENÇÃO DE LESÕES POR PRESSÃO

Abstract

Introduction: In December 2019, in China, SARS-CoV-2 virus was identified and a pandemic was declared by the World Health Organization. Its transmissibility among humans and evolution with clinical and hemodynamic stability increases the risk of developing pressure injuries in the most critical patients. Objective: To identify the main hospital care to maintain skin integrity in Covid-19 patients prone to pressure injuries. Methodology: A descriptive study of integrative review carried out in the following bases: Latin-American Health Sciences Literature, Nursing Database, Scientific Electronic Library Online and the National Library of Medicine of the United States, with the descriptors Covid-19, Pressure Injuries, Patient Care and Benchmarks. Inclusion criteria were full texts available for free, published between 2019 and 2021, which shared the subject matter in adults and/or elderly people. Incomplete articles, paid platforms, editor's letter and notes, and reflections were excluded; duplicate articles were counted once. The source language was not an excluding factor. Results: 398 potentially relevant articles were identified, 7 were selected. The main practices related to the prevention of pressure injuries in patients with COVID-19 point to interventions such as the use of checklists, periodic skin assessment, definition of the risk of developing pressure injuries, change of decubitus according to the patient's tolerance, use of surface for weight redistribution, multi-layer prophylactic coverage and skin moisture management. Conclusions: The main practices to avoid pressure injuries in patients with Covid-19 in the hospital environment are associated with care directly or indirectly linked to the skin, adoption of preventive and systematic measures within the clinical and hemodynamic reality of patients.