Application of Information Technology in Pressure Ulcer Prevention: A Scoping Review

The incidence and costs associated with pressure ulcer (PU) treatment remain high, despite the implementation of preventive measures. Recent literature suggests that information technology (IT) can enhance the effectiveness of PU prevention strategies. This systematic review aims to identify the current state of IT-based approaches for supporting PU prevention. A comprehensive literature review was conducted to analyze IT approaches in PU prevention. We searched the PubMed and ScienceDirect databases using a predetermined search string to identify relevant primary studies, selecting those that met established inclusion criteria. A total of ۲۲ articles fulfilled the inclusion criteria. Most of these approaches focus on patient monitoring, providing critical information on pressure exposure, temperature, humidity levels, and estimated body position in bed. These systems often generate risk factor intensity charts and mapping visualizations. The predominant methods for preventing pressure ulcers include clinical decision support systems and telemedicine. Additionally, the integration of machine learning technologies has significantly advanced PU prevention efforts. However, no experimental studies have conclusively demonstrated that these approaches effectively reduce PU incidence. While the reviewed technologies show moderate effectiveness in addressing certain mediating factors, there is a need for further development of multifactorial technological solutions akin to those used in managing other chronic conditions. We recommend integrating monitoring, support, and feedback mechanisms to enhance situational awareness, adherence to preventive protocols, and access to professional resources in the fight against pressure ulcers.

کلیدواژه ها:

Pressure ulcer ، Information technology ، Decision Support systems ، Telemedicine