Picoito Ricardo, Manuel Tânia, Vieira Sofia, Azevedo Rita, Nunes Elisabete, Alves Paulo
Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal.
Wounds Research Lab, Center for Interdisciplinary Research in Health|CIIS, 4169-005 Porto, Portugal.
Nurs Rep. 2025 Apr 11;15(4):128. doi: 10.3390/nursrep15040128.
: The prevention of pressure injuries depends on the early and correct assessment of at-risk patients. Since risk assessment involves more than using a risk factor instrument, we intend to map the existing recommendations and statements of good practice for pressure injury risk assessment in adults admitted to intensive care units, as well as identify the strengths of the evidence and recommendations in the literature. : This study is a scoping review, guided by the Joanna Briggs Institute framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews was adopted as a guide for writing this study. : Searches were carried out in six databases, resulting in 794 studies, of which 15 were included. The recommendations and statements of good practice were grouped into five categories: risk assessment instruments, skin assessment, medical device surveillance, other alternatives to risk assessment, and implementing best practices in clinical settings. The strengths of the evidence and recommendations were identified when available in the literature. : The mapping showed that the evidence is sufficient to indicate recommendations and statements of good practice for the risk assessment of pressure injuries in adults admitted to intensive care units. The protocol was retrospectively registered in the Open Science Framework on the 4th of August of 2023.
压力性损伤的预防取决于对高危患者的早期正确评估。由于风险评估不仅仅是使用风险因素评估工具，我们旨在梳理针对入住重症监护病房的成人患者压力性损伤风险评估的现有建议和良好实践声明，并确定文献中证据和建议的优势。
本研究是一项范围综述，以乔安娜·布里格斯研究所框架为指导。采用系统评价和Meta分析扩展版的首选报告项目作为撰写本研究的指南。
在六个数据库中进行了检索，共获得794项研究，其中15项被纳入。良好实践的建议和声明分为五类：风险评估工具、皮肤评估、医疗设备监测、风险评估的其他替代方法以及在临床环境中实施最佳实践。在文献中如有相关内容，则确定证据和建议的优势。
梳理结果表明，有足够的证据表明针对入住重症监护病房的成人患者压力性损伤风险评估的建议和良好实践声明。该方案于2023年8月4日在开放科学框架中进行了回顾性注册。
