Cura en ambiente húmedo en úlceras crónicas a través del Concepto TIME. Recomendaciones basadas en la evidencia.

Resumo

Introduction: The preparation of the wound bed (PWB) in a moist healing environment (MHE) requires the adequate identification of pressure ulcer categories, choice of methods of debridement, cleansing and resources to be used. The objective of this literature review is to gather key evidence-based recommendations to assist the nursing staff in the treatment of pressure ulcers (PUs), in order to provide an effective and efficient care using a comprehensive approach to promote their healing in an optimal time. Methods: Study of literature review in different databases using the descriptors of health related to pressure ulcers. The search was limited to articles published in Spanish, English and Portuguese during the last 5 years, until August 2013. The practical recommendations found were evaluated in pairs by a focus group. Results: The main recommendations based on the evidence on PLH are presented, following the steps of the TIME framework: effective control of the non-viable tissue, inflammation or infection, wound exudate and stimulation of epithelial edges. Conclusion: To improve the effectiveness of their practices, nurses should use the most up to date evidence on PU management and implement it in their daily practice in order to improve the safety and the quality of health care delivery.