Wound measurement: literature review
DOI:
https://doi.org/10.15448/1983-652X.2015.2.19947Keywords:
nursing, health management, weigths and measures, wound healing, wounds and injuries.Abstract
Objective: To identify the scientific production regarding wound measurements.
Materials and Methods: Narrative review of the literature. The search was conducted in the databases Latin American and Caribbean Health Sciences and the Cumulative Index to Nursing & Allied Health Literature, in June 2014. Data analysis was performed based on the Minayo’s operative proposal.
Results: Nine studies were included in this review, enabling to identify that the wound measurement can be developed through invasive or non-invasive methods. Among the selected studies, five reported non-invasive techniques, two studies addressed invasive techniques and two reported studies on invasive versus non-invasive wound measurement techniques. The non-invasive techniques have been developed and improved in order to minimize the limitations of invasive measurement techniques.
Conclusion: The studies identified that the wound measurement can be performed through invasive methods such as decal or acetate tracing and also through disposable paper strip; or non-invasive methods such as digital photographs. It is noteworthy that both invasive and non-invasive techniques can use manual or computer measurements, although most research of this review presented non-invasive methods of measurement.
References
Scemons D, Elston D. Nurse to nurse: cuidados com feridas. Porto Alegre: Artmed; 2011.
Sehnem GD, Busanello J, Silva FM, Poll MA, Borges TAP, Rocha EN. Dificuldades enfrentadas pelos enfermeiros no cuidado de enfermagem a indivíduos portadores de feridas. Ciênc cuid saude 2015;14(1):839-46. http://dx.doi.org/10.4025/cienccuidsaude.v14i1.20949
Keast DH, Bowering CK, Evans AW, Mackean GL, Burrows C, D’Souza L. MEASURE: a proposed assessment framework for developing best practice recommendations for wound assessment. Wound Repair Regen 2004;12:S1-17. http://dx.doi.org/10.1111/j.1067-1927.2004.0123S1.x
Carvalho DV, Gomes FSL, Carmo DJAC, Batista JA, Viana MN. Planimetria como método para mensuração de feridas. Reme Rev Min Enferm 2006;10(4):425-8.
Ferreira AM, Rigotti MA, Barcelos LS, Simão CMF, Ferreira DN, Gonçalves RQ. Knowledge and practice of nurses about care for patients with wounds. Rev pesqui cuid fundam (Online) 2014; 6(3):1178-90. http://dx.doi.org/10.9789/2175-5361.2014v6n3p1178
Rother ET. Revisão sistemática x revisão narrativa. Acta paul enferm 2007;20(2):v-vi. http://dx.doi.org/10.1590/S0103-21002007000200001
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 13 ed. São Paulo: Hucitec; 2013.
Krouskop TA, Baker R, Wilson MS. A noncontact wound measurement system. J Rehabil Res Dev 2002;39(3):337-46.
Falcão SC, Coelho ARB, Almeida EL, Galdino CAPM. Processo modificado de reprodução e amplificação de imagem para mensuração de área por planimetria: Aplicação em feridas planas produzidas em cães, tratadas por curativos oclusivos de pele de rã. Braz j vet res anim sci 2001;38(4):165-9. http://dx.doi.org/10.1590/S1413-95962001000400004
Gethin G, Cowman S. Wound measurement comparing the use of acetate tracings and Visitrak digital planimetry. J Clin Nurs 2006;15(4):422-7. http://dx.doi.org/10.1111/j.1365-2702.2006.01364.x
Lopes AG, Soares MC, Santana LA, Guadagnin RV, Neves RS. Aferição não-invasiva de úlcera por pressão simulada em modelo plano. Rev Bras Enferm 2009;62(2):200-3. http://dx.doi.org/10.1590/S0034-71672009000200005
Ministério da Saúde. Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Área Técnica de Dermatologia Sanitária. Manual de condutas para úlceras neurotróficas e traumáticas. Brasília: Ministério da Saúde; 2002.
Reis CLD, Cavalcante JM, Rocha Júnior EFR, Neves RS, Santana LA, Guadagnin RV, Brasil LM. Mensuração de área de úlceras por pressão por meio dos softwares Motic e do AutoCAD®. Rev Bras Enferm 2012;65(2):304-8. http://dx.doi.org/10.1590/S0034-71672012000200016
Sprigle S, Nemeth M, Gajjala A. Iterative design and testing of a hand held, non-contact wound measurement device. J Tissue Viability 2012;21(1):17-26. http://dx.doi.org/10.1016/j.jtv.2011.09.001
Poucke SV, Nelissen R, Jorens P, Haeghen YV. Comparative analysis of two methods for wound bed area measurement. Int Wound J 2010;7(5):366-77. http://dx.doi.org/10.1111/j.1742-481X.2010.00701.x
Papazoglou ES, Zubkov L, Mao X, Neidrauer M, Rannou N, Weingarten MS. Image analysis of chronic wounds for determining the surface area. Wound Repair Regen 2010;18(4):349-58. http://dx.doi.org/10.1111/j.1524-475X.2010.00594.x
Galvão MTG, Alexandre HO, Dantas PB, Lima ICV, Lopes EM. Uso da fotografia no processo do cuidar: tendências das ações de enfermagem. Cienc enferm 2013;19(3);31-9.
Cooper DM. Assessment, measurement, and evaluation: their pivotal roles in wound healing. In: Bryant RA. Acute and chronic wounds: nursing management. 2rd ed. St. Louis: Mosby; 2000. p. 51-83.
Baumgarten M, Margolis DJ, Selekof JL, Moye N, Jones PS, Shardell M. Validity of pressure ulcer diagnosis using digital photography. Wound Repair Regen 2009;17(2):287-90. http://dx.doi.org/10.1111/j.1524-475X.2009.00462.x
Lagan KM, Dusoir AE, McDonough SM, Baxter GD. Wound measurement: the comparative reliability of direct versus photographic tracings analyzed by planimetry versus digitizing techniques. Arch Phys Med Rehabil 2000;81(8):1110-6. http://dx.doi.org/10.1053/apmr.2000.6281
Haghpanah S, Bogie K, Wang X, Banks PG, Ho CH. Reliability of electronic versus manual wound measurement techniques. Arch Phys Med Rehabil 2006;87(10):1396-402. http://dx.doi.org/10.1016/j.apmr.2006.06.014
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