Article

OBJECTIVE: To investigate the efficacy of behavioral or educational interventions
in preventing pressure ulcers in community-dwelling adults with spinal cord
injury (SCI). DATA SOURCES: Cochrane, Clinical Trials, PubMed, and Web of Science
were searched in June 2016. The search combined related terms for pressure
ulcers, spinal cord injury, and behavioral intervention. Each database was
searched from its inception with no restrictions on year of publication. REVIEW
METHODS: Inclusion criteria required that articles were (a) published in a
peer-reviewed journal in English, (b) evaluated a behavioral or educational
intervention for pressure ulcer prevention, (c) included community-dwelling adult
participants aged 18 years and older with SCI, (d) measured pressure ulcer
occurrence, recurrence, or skin breakdown as an outcome, and (e) had a minimum of
10 participants. All study designs were considered. Two reviewers independently
screened titles and abstracts. Extracted information included study design,
sample size, description of the intervention and control condition, pressure
ulcer outcome measures, and corresponding results. RESULTS: The search strategy
yielded 444 unique articles of which five met inclusion criteria. Three were
randomized trials and two were quasi-experimental designs. A total of 513
participants were represented. The method of pressure ulcer or skin breakdown
measurement varied widely among studies. Results on pressure ulcer outcomes were
null in all studies. Considerable methodological problems with recruitment,
intervention fidelity, and participant adherence were reported. CONCLUSIONS: At
present, there is no positive evidence to support the efficacy of behavioral or
educational interventions in preventing pressure ulcer occurrence in adults with
SCI.

Langue : ANGLAIS