Decubitus Risk Assessment Instruments in ICU Patients: Literature Review

  • Deni Supriyanti Universitas Islam Sultan Agung
  • Dwi Retno Sulistyaningsih Universitas Islam Sultan Agung
  • Indah Sri Wahyuningsih Universitas Islam Sultan Agung
  • Dwi Happy Rochmawati Universitas Islam Sultan Agung
Keywords: decubitus, ICU, prevention instrument

Abstract

Pressure ulcers can cause various problems for clients and hospitals. For patients, decubitus can cause extreme pain and discomfort, increase the length of stay (LOS), and quality indicators in the hospital cannot be achieved. The chronology of various factors means that a less standard decubitus assessment instrument will cause decubitus to continue to occur. This study aims to analyze the instruments used to prevent pressure ulcers in ICU patients. This study reviews eight relevant articles from 2019-2024.  The results of a literature search of 2,662 journals resulted in a total of 15 journals being reviewed with the results of several studies using different pressure ulcer prevention instruments, including the Braden Scale, PUPrep, PUP Instrument, PIPGAI, COMHON, CFA, VALENT, PUKAT, KPUP, and RAPS, all instruments are used as decubitus detection instruments.

References

Alshahrani, B., Sim, J., & Middleton, R. (2021). Nursing Interventions For Pressure Injury Prevention Among Critically Ill Patients: A Systematic Review. In Journal Of Clinical Nursing (Vol. 30, Issues 15–16, Pp. 2151–2168). John Wiley And Sons Inc. Doi: 10.1111/Jocn.15709

Blaise, R., & Anshika, S. (2021). A Comparison Of The Braden Scale And The Norton Scale For Predicting The Risk Of Pressure Ulcers In Intensive Care Units: A Systematic Review. Journal Of Wound Care, 30(4), 249–257. Https://Doi.Org/10.12968/Jowc.2021.30.4.249

Bongga, E., Stik, L., & Maris, S. (N.D.). Intervention Model Of Decubitus Prevention Using Branden Scale Method To Decrease The Decubitus Risk Degree In Stella Maris Hospital Makassar.

Chung, M. L., Widdel, M., Kirchhoff, J., Sellin, J., Jelali, M., Geiser, F., Mücke, M., & Conrad, R. (2022). Risk Factors For Pressure Injuries In Adult Patients: A Narrative Synthesis. In International Journal Of Environmental Research And Public Health (Vol. 19, Issue 2). Mdpi. Doi: 10.3390/Ijerph19020761

Firmansyah, D., Rahayu, U., Yudianto, K., & Keperawatan, F. (2022). Studi Literatur : Validitas Prediksi Skala Braden Pada Kejadian Dekubitus Di Indonesia. In Medical-Surgical Journal Of Nursing Research David Firmansyah, Et.Al (Vol. 1, Issue 1).

Gou, L., Zhang, Z., & Yongde, A. (2023). Risk Factors For Medical Device-Related Pressure Injury In Icu Patients: A Systematic Review And Meta-Analysis. Plos One, 18(6 June). Doi: 10.1371/Journal.Pone.0287326

Haavisto, E., Stolt, M., Puukka, P., Korhonen, T., & Kielo-Viljamaa, E. (2022). Consistent Practices In Pressure Ulcer Prevention Based On International Care Guidelines: A Cross-Sectional Study. International Wound Journal, 19(5), 1141–1157. Doi: 10.1111/Iwj.13710

Halász, B. G., Bérešová, A., Tkáčová, L., Magurová, D., & Lizáková, L. (2021). Nurses’ Knowledge And Attitudes Towards Prevention Of Pressure Ulcers. International Journal Of Environmental Research And Public Health, 18(4), 1–9. Doi: 10.3390/Ijerph18041705

Jansen, R. C. S., Silva, K. B. De A., & Moura, M. E. S. (2020a). Braden Scale In Pressure Ulcer Risk Assessment. Revista Brasileira De Enfermagem, 73(6). Doi: 10.1590/0034-7167-2019-0413

Labeau, S. O., Afonso, E., Benbenishty, J., Blackwood, B., Boulanger, C., Brett, S. J., Calvino-Gunther, S., Chaboyer, W., Coyer, F., Deschepper, M., François, G., Honore, P. M., Jankovic, R., Khanna, A. K., Llaurado-Serra, M., Lin, F., Rose, L., Rubulotta, F., Saager, L., … Erdogan, E. (2021). Prevalence, Associated Factors And Outcomes Of Pressure Injuries In Adult Intensive Care Unit Patients: The Decubicus Study. Intensive Care Medicine, 47(2), 160–169. Doi: 10.1007/S00134-020-06234-9

Lovegrove, J., Fulbrook, P., Yuan, C., Lin, F., & Liu, X. L. (2024). The Chinese Mandarin Comhon Index And Braden Scale To Assess Pressure Injury Risk In Intensive Care: An Inter-Rater Reliability And Convergent Validity Study. Australian Critical Care. Doi: 10.1016/J.Aucc.2024.05.015

Luna-Aleixos, D., Llagostera-Reverter, I., Castelló-Benavent, X., Aquilué-Ballarín, M., Mecho-Montoliu, G., Cervera-Gasch, Á., Valero-Chillerón, M. J., Mena-Tudela, D., Andreu-Pejó, L., Martínez-Gonzálbez, R., & González-Chordá, V. M. (2022). Development And Validation Of A Meta-Instrument For Nursing Assessment In Adult Hospitalization Units (Valenf Instrument) (Part I). International Journal Of Environmental Research And Public Health, 19(22). Doi: 10.3390/Ijerph192214622

Luna-Aleixos, D., Llagostera-Reverter, I., Castelló-Benavent, X., Aquilué-Ballarín, M., Mecho-Montoliu, G., Cervera-Gasch, Á., Valero-Chillerón, M. J., Mena-Tudela, D., Andreu-Pejó, L., Martínez-Gonzálbez, R., & González-Chordá, V. M. (2023). Development And Validation Of A Meta-Instrument For The Assessment Of Functional Capacity, The Risk Of Falls And Pressure Injuries In Adult Hospitalization Units (Valenf Instrument) (Part Ii). International Journal Of Environmental Research And Public Health, 20(6). Doi: 10.3390/Ijerph20065003

Mäki-Turja-Rostedt, S., Leino-Kilpi, H., Koivunen, M., Vahlberg, T., & Haavisto, E. (2023). Consistent Pressure Ulcer Prevention Practice: The Effect On Pu Prevalence And Pu Stages, And Impact On Pu Prevention—A Quasi-Experimental Intervention Study. International Wound Journal, 20(6), 2037–2052. Doi: 10.1111/Iwj.14067

Moura, E. C. C., Peres, A. M., Caliri, M. H. L., Lopez, V., & F. Soares, S. (2020). A Novel Measurement Instrument For Pressure-Injury Risk Assessment Competence: Theoretical Procedures, Simulation, And Psychometric Quality. International Wound Journal, 17(3), 601–617. Doi: 10.1111/Iwj.13311

Nisak, K., Kristinawati, B., Widayati, N., Ners, M. P., Keperawatan, I., Fakultas, /, Kesehatan, I., Muhammadiyah Surakarta, U., Bedah, D. K., Surakarta, U. M., Senior, P., Sakit, R., Pusat, U., Soeradji, D., & Klaten, T. (N.D.). Aplikasi Massage Olive Oil Untuk Mencegah Dekubitus Pada Pasien Kritis Di Ruang Intensive Care Unit Rumah Sakit Umum Pusat Dr. Soeradji Tirtonegoro Klaten.

Pittman, J., Otts, J. A., Riley, B., & Mulekar, M. S. (2022). Pressure Injury Prevention And Management: A Gap Analysis Using Key Stakeholder Engagement. Journal Of Wound, Ostomy And Continence Nursing, 49(5), 416–427. Doi: 10.1097/Won.0000000000000906

Sdo, M., Apma, S., Msn, A., Acms, G., Js, O., & Ma, S. (2023). Pressure Injury Prevention In Older People: Construction And Validation Of An Instrument For Caregivers. In Rev Bras Enferm (Vol. 76, Issue 1).

Shanley, E., Moore, Z., Patton, D., Connor, T. O., Avsar, P., Nugent, L., & Beeckman, D. (2020). Development And Psychometric Evaluation Of The Patient Knowledge Of, And Attitudes And Behaviours Towards Pressure Ulcer Prevention Instrument (Kpup). International Wound Journal, 17(2), 339–350. Doi: 10.1111/Iwj.13278

Supriyanti, D., Haryanto, J., Sulistyaningsih, D. R., & Pairoh, H. (2024). Development Of A Decubitus Risk Assessment Instrument Using Website Media On The Incidence Of Decubitus. Jurnal Kesehatan, 15(1), 144–150. Doi: 10.26630/Jk.V15i1.4335

Tajari, M., Ashktorab, T., Ebadi, A., & Zayeri, F. (2024). Designing And Psychometric Evaluation Of Safe Nursing Care Instrument In Intensive Care Units. Bmc Nursing, 23(1). Doi: 10.1186/S12912-024-02322-Z

Tobing, A. A., & Rudianto, R. (2020). Predictive Value Of Braden Scale In Preventing Pressure Ulcers In Bedridden Patients: A Clinical Study. Journal Of Clinical Nursing, 33(7-8), 1496–1504. Https://Doi.Org/10.1111/Jon.15077

Wåhlin, I., Ek, A. C., Lindgren, M., Geijer, S., & Årestedt, K. (2021). Development And Validation Of An Icu-Specific Pressure Injury Risk Assessment Scale. Scandinavian Journal Of Caring Sciences, 35(3), 769–778. Doi: 10.1111/Scs.12891

Wu, H., Wu, C., Zhou, Y., Huang, S., & Zhu, S. (2023). Catatonia In Adult Anti-Nmdar Encephalitis: An Observational Cohort Study. Bmc Psychiatry, 23(1). Doi: 10.1186/S12888-022-04505-X

Zang, K., Chen, B., Wang, M., Chen, D., Hui, L., Guo, S., Ji, T., & Shang, F. (2020). The Effect Of Early Mobilization In Critically Ill Patients: A Meta-Analysis. Nursing In Critical Care, 25(6), 360–367. Doi: 10.1111/Nicc.12455

Published
2025-04-01
How to Cite
Supriyanti, D., Sulistyaningsih, D. R., Wahyuningsih, I. S., & Rochmawati, D. H. (2025). Decubitus Risk Assessment Instruments in ICU Patients: Literature Review. Indonesian Journal of Global Health Research, 7(2), 841-850. https://doi.org/10.37287/ijghr.v7i2.5635