Department of Nursing, Faculty of Nursing, Rovira I Virgili University, Tarragona, Spain.
Hospital Cristo Rey, Jaén, Spain.
J Tissue Viability. 2021 May;30(2):178-182. doi: 10.1016/j.jtv.2021.02.006. Epub 2021 Feb 27.
To undertake an integrative literature review to identify, analyse and synthesize current literature on the Kennedy terminal ulcer (KTU) and other unavoidable skin injuries that appear at the end of life regardless of the healthcare context in which they occur.
Integrative review following the Whittemore and Knafl methodology. The search was carried out in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus. It was limited to articles in English, French, Portuguese and Spanish. As there is little scientific production on the subject, no restrictions were applied regarding publication date.
Only 17 articles met the inclusion criteria. These articles were reviewed and analysed. Four relevant issues emerged: Skin failure, SCALE, Kennedy Terminal Ulcer, Trombley-Brennan: different names for the same problem; the defining characteristics and physiopathology of KTU; the differences between KTU and other injuries; and the care approach for KTU and other unavoidable injuries at the end of life.
We identified gaps regarding the physiopathology of KTU since the current knowledge is based only on hypotheses. There is also a large gap in the knowledge about care approaches, perhaps because care plans are not recorded. Despite this, it is clear that the main objective in this situation at the end of life would be to prioritize patient comfort and quality of life.
进行综合文献回顾，以识别、分析和综合当前关于肯尼迪终端溃疡（KTU）和其他不可避免的皮肤损伤的文献，无论这些损伤发生在何种医疗保健环境中。
采用 Whittemore 和 Knafl 方法进行综合回顾。在 PubMed、Cumulative Index to Nursing and Allied Health Literature（CINAHL）和 Scopus 中进行了检索。检索语言限于英语、法语、葡萄牙语和西班牙语。由于该主题的科学研究较少，因此没有对出版日期进行限制。
只有 17 篇文章符合纳入标准。对这些文章进行了回顾和分析。出现了四个相关问题：皮肤衰竭、SCALE、肯尼迪终端溃疡、Trombley-Brennan：同一问题的不同名称；KTU 的定义特征和病理生理学；KTU 与其他损伤之间的差异；以及生命末期 KTU 和其他不可避免损伤的护理方法。
我们发现了关于 KTU 病理生理学的知识空白，因为目前的知识仅基于假设。关于护理方法的知识也存在很大差距，这可能是因为护理计划没有记录。尽管如此，很明显，生命末期这种情况下的主要目标是优先考虑患者的舒适度和生活质量。
