Article

Pressure ulcers (PUs) in individuals with spinal cord injury (SCI) present a
persistent and costly problem. Continuing effort in developing new technologies
that support self-managed care is an important prevention strategy. Specifically,
the aims of this scoping review are to review the key concepts and factors
related to self-managed prevention of PUs in individuals with SCI and appraise
the technologies available to assist patients in self-management of PU prevention
practices. There is broad consensus that sustaining long-term adherence to
prevention regimens is a major concern. Recent literature highlights the
interactions between behavioral and physiological risk factors. We identify four
technology categories that support self-management: computer-based educational
technologies demonstrated improved short-term gains in knowledge (2 studies),
interface pressure mapping technologies demonstrated improved adherence to
pressure-relief schedules up to 3 mo (5 studies), electrical stimulation
confirmed improvements in tissue tolerance after 8 wk of training (3 studies),
and telemedicine programs demonstrated improvements in independence and reduced
hospital visits over 6 mo (2 studies). Overall, self-management technologies
demonstrated low-to-moderate effectiveness in addressing a subset of risk
factors. However, the effectiveness of technologies in preventing PUs is limited
due to a lack of incidence reporting. In light of the key findings, we recommend
developing integrated technologies that address multiple risk factors.

Langue : ANGLAIS