Propuesta de Investigación Estrategia Para la Prevención de Lesiones de Piel tipo MARSI en Unidad de Cuidado Intensivo.

Abstract

This document is a research proposal on MARSI-type skin lesions that patients hospitalized in intensive care units may present. Risk factors and intervention measures for their prevention that can be applied by the members of the multidisciplinary team involved in the care are described. Objective: To propose a strategy that the care staff of the Intensive Care Unit can apply for the prevention of MARSI-type skin injuries. Methodology: A systematic review was carried out, carried out in the databases of SciencieDirect, PubMed, LlLACS and Google Academic, with time limits for publications not exceeding ten years. Duplicate, incomplete, non-downloadable studies that did not answer the research question were excluded. Of the 203 studies identified in the search process, 13 comprised the sample. Results: Risk factors that may cause the appearance of MARSI lesions were identified and classified as internal (inherent to the patient) and external (generated by the environment); similarly, specific prevention measures are described, distributed in six groups that include: identification of risk factors, comprehensive skin assessment, skin preparation, adhesive selection, adhesive application and adhesive removal. Finally, it is concluded that MARSI lesions are a more common event than is believed, therefore it is necessary to develop an assessment tool that determines the risk, on the other hand. Continuing education aimed at health professionals is a key tool for identifying and preventing these injuries.