Article

Pressure ulcer (PU) is a common complication in chronic affection,
especially neurological disorders and diseases commonly diagnosed in the elderly.
For a long period of time, the prevention of skin lesions was taught only in an
empirical manner. The development of therapeutic patient education (TPE) sheds a
new light on care management for patients with chronic pathologies. OBJECTIVES:
Determine the place of TPE in persons at risk of and/or already suffering from
pressure ulcer (PU) as of 2012. METHODS: The methodology used is the one promoted
by SOFMER, including: a systematic review of the literature with a query of the
PASCAL Biomed, PubMed and Cochrane Library databases for data from 2000 through
2010; a compendium of prevailing professional practices and advice from a
committee of experts. RESULTS: The review of the literature found six studies
including four controlled trials in patients with chronic neurological
impairments (most of them with spinal cord injury). No studies were found
regarding the elderly. The level of evidence for efficacy in persons with spinal
cord injury (SCI) is moderate. The clinical practice study focuses on programs
currently underway, dedicated to SCI patients or elderly populations. DISCUSSION:
The approach proposed through TPE has its role in a strategy aimed at preventing
PU in persons at chronic risk of developing PU. The educational objectives and
techniques used must be adapted to the clinical and psychological context and are
debated in this review. The co-construction of programs, recommended in the
official texts on therapeutic education in France, should help to tailor these
programs to the patients' needs. CONCLUSION: TPE is relevant in care management
or prevention of PU in persons at chronic risk, patients with spinal cord injury (Grade B) or elderly subjects (Grade C).
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS