Abstract：
OBJECTIVE: To map the available evidence on nursing care provided to prevent the development of pressure ulcers/injuries in emergency services.
METHODS: Scoping review that follows the Preferred Reporting Items for Systematic reviews and the Meta-Analyses extensions for Scoping Reviews and the Joanna Briggs Institute guidelines. The inclusion criteria were based on the PCC mnemonic. The main variables of interest were the nursing care provided to prevent the development of pressure ulcers/injuries (Condition) reported in studies developed in hospital emergency services (Context) with adult participants (Population). The scoping review protocol was registered on the OSF platform.
RESULTS: During the selection process, 175 articles were identified in different databases. Applying the inclusion and exclusion criteria, 20 studies were included in this scoping review. The preventive measures for the development of pressure ulcers/injuries were grouped into 9 categories: \"risk factors and risk assessment\", \"support surfaces\", \"dressings for pressure ulcer/injury prevention\", \"skin and tissue assessment\", \"repositioning and early mobilization\", \"preventive skin care\", \"nutrition in pressure ulcer/injury prevention\", \"health education\" and \"vital signs management\". The instruments for assessing the risk of developing pressure ulcers/injuries mentioned in the studies are the Braden, Waterlow and Norton scales. The most documented tool for assessing the risk of developing pressure ulcers/injuries in hospital emergency services was the Braden Scale.
CONCLUSIONS: International literature identified several preventive interventions that could be implemented in emergency services to avoid pressure ulcers/injuries development. However, is crucial that those preventive interventions were systematic implemented (in combination) since hospital admission.
METHODS: Scoping review that follows the Preferred Reporting Items for Systematic reviews and the Meta-Analyses extensions for Scoping Reviews and the Joanna Briggs Institute guidelines. The inclusion criteria were based on the PCC mnemonic. The main variables of interest were the nursing care provided to prevent the development of pressure ulcers/injuries (Condition) reported in studies developed in hospital emergency services (Context) with adult participants (Population). The scoping review protocol was registered on the OSF platform.
RESULTS: During the selection process, 175 articles were identified in different databases. Applying the inclusion and exclusion criteria, 20 studies were included in this scoping review. The preventive measures for the development of pressure ulcers/injuries were grouped into 9 categories: \"risk factors and risk assessment\", \"support surfaces\", \"dressings for pressure ulcer/injury prevention\", \"skin and tissue assessment\", \"repositioning and early mobilization\", \"preventive skin care\", \"nutrition in pressure ulcer/injury prevention\", \"health education\" and \"vital signs management\". The instruments for assessing the risk of developing pressure ulcers/injuries mentioned in the studies are the Braden, Waterlow and Norton scales. The most documented tool for assessing the risk of developing pressure ulcers/injuries in hospital emergency services was the Braden Scale.
CONCLUSIONS: International literature identified several preventive interventions that could be implemented in emergency services to avoid pressure ulcers/injuries development. However, is crucial that those preventive interventions were systematic implemented (in combination) since hospital admission.
摘要：
目的：为预防急诊服务中压疮/损伤的发展提供护理的现有证据。
方法：范围审查遵循系统审查的首选报告项目和范围审查的Meta分析扩展以及JoannaBriggs研究所指南。纳入标准基于PCC助记符。感兴趣的主要变量是在医院急诊服务（背景）与成年参与者（人口）进行的研究中报道的为防止压疮/损伤发展而提供的护理（条件）。范围审查协议已在OSF平台上注册。
结果：在选择过程中，在不同的数据库中确定了175篇文章。应用纳入和排除标准，20项研究纳入本范围审查。发生压疮/损伤的预防措施分为9类：“危险因素和风险评估”，\"支撑表面\",“压疮/伤害预防敷料”，“皮肤和组织评估”，“重新定位和早期动员”，“预防性皮肤护理”，“压疮/伤害预防中的营养”，“健康教育”和“生命体征管理”。研究中提到的评估压力性溃疡/损伤风险的工具是Braden，Waterlow和Norton秤。记录最多的评估医院急诊服务中发生压疮/损伤风险的工具是Braden量表。
结论：国际文献确定了几种可以在急诊服务中实施的预防性干预措施，以避免压疮/损伤的发展。然而,至关重要的是，自入院以来，这些预防性干预措施得到了系统的实施（组合）。
方法：范围审查遵循系统审查的首选报告项目和范围审查的Meta分析扩展以及JoannaBriggs研究所指南。纳入标准基于PCC助记符。感兴趣的主要变量是在医院急诊服务（背景）与成年参与者（人口）进行的研究中报道的为防止压疮/损伤发展而提供的护理（条件）。范围审查协议已在OSF平台上注册。
结果：在选择过程中，在不同的数据库中确定了175篇文章。应用纳入和排除标准，20项研究纳入本范围审查。发生压疮/损伤的预防措施分为9类：“危险因素和风险评估”，\"支撑表面\",“压疮/伤害预防敷料”，“皮肤和组织评估”，“重新定位和早期动员”，“预防性皮肤护理”，“压疮/伤害预防中的营养”，“健康教育”和“生命体征管理”。研究中提到的评估压力性溃疡/损伤风险的工具是Braden，Waterlow和Norton秤。记录最多的评估医院急诊服务中发生压疮/损伤风险的工具是Braden量表。
结论：国际文献确定了几种可以在急诊服务中实施的预防性干预措施，以避免压疮/损伤的发展。然而,至关重要的是，自入院以来，这些预防性干预措施得到了系统的实施（组合）。
