Nutritional therapy in the treatment of pressure injuries: a systematic review

Oliveira, Karina Diaz Leyva de; Haack, Adriana; Fortes, Renata Costa

doi:10.1590/1981-22562017020.160195

Cited by 16 publications

(18 citation statements)

References 21 publications

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“…Otras características se muestran en la Tabla 2. Tejido de granulación 75 a 100% de la herida llena 24 (21,8) <75% y más del 25% de la herida llena 29 (26,4) <25% de la herida 28 (25,5) Ausencia de tejido de granulación. 28 (25,5) Fuente: Datos de investigación, 2017.…”

Section: Resultsunclassified

“…El estado nutricional puede ser un factor de riesgo para la aparición de LP, así como para su curación (26) , sin embargo, los pacientes con GFR mostraron una baja correlación entre el estado nutricional, el tamaño de la lesión y el resultado BWAT. Este hecho también puede deberse al perfil del paciente, ya que son pacientes jóvenes, con un estado nutricional más adecuado, pero postrados en cama, con dificultades para el autocuidado y poco apoyo familiar.…”

Section: Discussionunclassified

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Caracterização das lesões por pressão em adultos portadores de germes multirresistentes

et al. 2020

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Objetivo: Describir las características de las lesiones por presión en pacientes adultos con gérmenes multirresistentes.Método: Este es un estudio transversal realizado con pacientes hospitalizados en la unidad de pacientes hospitalizados por gérmenes resistentes a múltiples fármacos de un hospital público en el sur de Brasil. Se seleccionaron pacientes con lesión por presión del estadio II. Los datos se recopilaron en 2017 de una muestra de 110 lesiones en 36 pacientes utilizando la Herramienta de evaluación de heridas Bates-Jensen (BWAT). Los datos se analizaron mediante estadísticas descriptivas y analíticas. Resultados: La edad promedio de los individuos fue de 45.4 (± 21.3) años y el 89.1% había sido hospitalizado con una lesión por presión, que ocurrió en el hogar o en otras instituciones de salud. El valor medio de BWAT fue de 35.5 ± 8.9 puntos y hubo una correlación positiva débil (r = 0.228 p = 0.017) con el tamaño de la lesión, correlación positiva moderada con el estadio de la lesión (r = 540 p <0.001). y con el resultado de la escala de Braden (r = 0.44 p = 0.651).Conclusión: Los resultados muestran la enfermedad de pacientes jóvenes. Los pacientes con gérmenes multirresistentes presentaron lesiones por presión con una mayor participación de las estructuras, lo que sugiere la necesidad de apoyo en el hogar. Objective: To describe the characteristics of the pressure lesions in adult patients with multiresistant germs.Method: This is a cross-sectional study conducted with patients admitted to the inpatient unit for multidrug resistant germs in a public hospital in Brazil. Patients with pressure lesions from stage II were selected. Data collection took place in 2017, in a sample of 110 injuries, in patients, through the Pressure Ulcer State Assessment Instrument (Bates-Jensen Wound Assessment Tool - BWAT). Results: The average age of the individuals was 45.4 (± 21.3) years old and 89.1% had already suffered pressure lesions, such as those that occurred at home or in other health institutions. The mean BWAT value was 35.5 ± 8.9 points and there was a weak positive correlation (r = 0.228 p = 0.017) with lesion size, moderate positive correlation with lesion stage (r = 540 p <0.001), and with the result of the Braden scale (r = 0.44 p = 0.651).Conclusion: The results indicated the illness of young patients. Patients with multiresistant germs suffered pressure lesions with greater involvement of structures, which suggests the need for home support.

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Section: Discussionunclassified

Caracterização das lesões por pressão em adultos portadores de germes multirresistentes

et al. 2020

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“…Nutritional intervention is essential and must be considered in the treatment of PU. The prescription of formulas with higher protein and immunomodulatory nutrients has been recommended because it interferes positively in the healing process 32 . As was observed in HENTP of DF, the most commonly used probe supplement was PU indicated, being normo-caloric, hyper-proteic and rich in arginine, besides the protein module being the most used, which characterizes the prescription of hyper-proteic diets.…”

Section: Discussionmentioning

confidence: 99%

Estado nutricional e evolução clínica de idosos em terapia nutricional enteral domiciliar: uma coorte retrospectiva

Menezes

Fortes

2019

Rev. Latino-Am. Enfermagem

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Objective to evaluate the clinical and nutritional evolution of elderly patients receiving home enteral nutritional therapy.Method retrospective cohort observational study. Data collection was performed through the analysis of clinical and nutritional records. The demographic, nutritional and clinical variables were analyzed. The sample consisted of elderly patients using home enteral nutritional therapy via the probe or the stomach. For the statistical analysis, the Statistical Package for the Social Sciences program was used, adopting the level of significance of 5%.Results the sample was 218 participants, with a mean age of 76 ± 10.12 years, of which 54.1% were female. The main morbidity was the stroke sequelae. Malnutrition was the nutritional diagnosis and the overall subjective assessment, the main instrument of nutritional evaluation. The route of administration of the most prevalent diet was the nasoenteric/nasogastric tube, however, after one year of follow-up, gastrostomy became the main route. It was observed the predominance of general condition maintenance and the most prevalent clinical outcome was death.Conclusion the majority of patients in home enteral nutrition therapy presented maintenance and / or improvement of clinical and nutritional status. Therefore, this therapy may contribute to a better clinical and nutritional evolution.

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“…Muitos processos dependem do zinco para a síntese de colágeno, necessário para a cicatrização e de feridas (PRASAD, 1995;BOTTONI et al, 2011). Ele atua como cofator na síntese de colágeno em enzimas envolvidas na cicatrização, a lisil-oxidase é a mais notável, na qual catalisa a formação de ligações cruzadas covalentes pela formação de grupo aldeído nas moléculas de colágeno, além da função antioxidante (AGREN et al, 1990;OLIVEIRA et al, 2017). (OLIVEIRA et al, 2017) , em que ocorre em duas enzimas principais de formação do mesmo, a lisil e a prolil hidroxilases, cujos modos de ação é a catalisação dos resíduos de prolil e lisil por hidroxilação nos peptídeos de colágeno e com isso permitirá a estabilização e a biossíntese de colágeno de tripla hélice (MONTEIRO et al, 2014;DINCEL et al, 2018).…”

Section: Discussionunclassified