Estudio transversal exploratorio del uso de una pomada con propóleo verde en el tratamiento de skin tears en pacientes ancianos hospitalizados
DOI:
https://doi.org/10.33448/rsd-v12i4.41061Palabras clave:
Anciano; Heridas y lesiones; Personas encamadas; Pomadas; Própolis.Resumen
El propósito de este estudio transversal fue evaluar el uso de una pomada a base de propóleo verde en el tratamiento de skin tears en una población anciana hospitalizada. Se seleccionaron once sujetos mayores de 60 años en un hospital general, que recibieron tratamiento local de lesiones cutáneas durante su hospitalización con una pomada a base de propóleo verde. Los datos personales obtenidos del ingreso hospitalario identificaron sus características. También se obtuvieron datos como índice de masa corporal, alergia al propóleo, uso de medicamentos, comorbilidades, grado de dependencia (escala de Fugulin) y grado de fragilidad (escala de Rockwood). Las lesiones cutáneas se calificaron utilizando el sistema STAR. El uso de la pomada mejoró los hematomas en los colgajos y en el tejido periférico de skin tears. Además, ayudó a prevenir la colonización y proliferación de bacterias, recuperando el tejido lesionado y dando como resultado un tejido viable y de calidad. No se informaron quejas de dolor o efectos secundarios, como signos de sensibilidad o toxicidad local o sistémica, en los pacientes tratados. Los colgajos de desgarro de la piel, oscurecidos por los hematomas producidos durante el traumatismo, fueron absorbidos paulatinamente y la piel mejoró su aspecto superficial. El tejido tratado presentó nuevo epitelio de mejor calidad, independientemente del tiempo de tratamiento. El ungüento que contenía propóleos fue eficaz para tratar skin tears. El conjunto de resultados obtenidos apoyó la suposición de que la pomada a base de propóleo puede incluirse como una opción eficaz en el tratamiento de skin tears.
Citas
Abbasi, A. J., Mohammadi, F., Bayat, M., Gema, S. M., Ghadirian, H., Seifi, H., Bayat, H., & Bahrami, N. (2018). Applications of propolis in dentistry: a review. Ethiopian journal of health sciences, 28(4), 505-512. https://doi.org/10.4314/ejhs.v28i4.16
Bankova, V., Marcucci, M. C., Simova, S., Nikolova, N., Kujumgiev, A., & Popov, S. (1996). Antibacterial diterpenic acids from Brazilian propolis. Zeitschrift für Naturforschung C, 51(5-6), 277-280.
Bankova, V., Popova, M., & Trusheva, B. (2016). New emerging fields of application of propolis. Macedonian Journal of Chemistry and Chemical Engineering, 35, 1-11. https://doi.org/10.20450/mjcce.2016.864
Barchitta, M., Maugeri, A., Favara, G., Magnano San Lio, R., Evola, G., Agodi, A., & Basile, G. (2019). Nutrition and wound healing: an overview focusing on the beneficial effects of curcumin. International journal of molecular sciences, 20(5), 1119. https://doi.org/10.3390/ijms20051119
Benbow, M. (2017). Assessment, prevention and management of skin tears. Nursing older people, 29(4), 31-39. https://doi.org/10.7748/nop.2017.e904
Bhargava, P., Grover, A., Nigam, N., Kaul, A., Doi, M., Ishida, Y., Kakuta, H., Kaul, S. C., Terao, K., & Wadhwa, R. (2018). Anticancer activity of the supercritical extract of Brazilian green propolis and its active component, Artepillin C: Bioinformatics and experimental analyses of its mechanisms of action. International Journal of Oncology, 52(3), 925-932. https://doi.org/10.3892/ijo.2018.4249
Carvalho, C., Fernandes, W. H. C., Mouttinho, T. B. F., Souza, D. M., Marcucci, M. C., & D'Alpino, P. H. P. (2019). Evidence-based studies and perspectives of the use of brazilian green and red propolis in dentistry. European journal of dentistry, 13(3), 459-465. https://doi.org/10.1055/s-0039-1700598
Carville, K., G., L., N., N., Haslehurst, P., Michael, R., Santamaria, N., & Roberts, P. (2007). STAR: a consensus for skin tear classification. Primary Intention, 15(1), 18-28.
Carville, K., Leslie, G., Osseiran-Moisson, R., Newall, N., & Lewin, G. (2014). The effectiveness of a twice-daily skin-moisturising regimen for reducing the incidence of skin tears. International wound journal, 11(4), 446-453. https://doi.org/10.1111/iwj.12326
Chang, Y. Y., Carville, K., & Tay, A. C. (2016). The prevalence of skin tears in the acute care setting in Singapore. International wound journal, 13(5), 977-983. https://doi.org/10.1111/iwj.12572
Clarkson, D. M. (2013). The role of ‘care bundles’ in healthcare. British Journal of Healthcare Management, 19(2), 63-68. https://doi.org/10.12968/bjhc.2013.19.2.63
Dilokthornsakul, W., Kosiyaporn, R., Wuttipongwaragon, R., & Dilokthornsakul, P. (2022). Potential effects of propolis and honey in COVID-19 prevention and treatment: A systematic review of in silico and clinical studies. Journal of Integrative Medicine, 20(2), 114-125. https://doi.org/10.1016/j.joim.2022.01.008
Ferreira, J. M., Fernandes-Silva, C. C., Salatino, A., Negri, G., & Message, D. (2017). New propolis type from north-east Brazil: chemical composition, antioxidant activity and botanical origin. Journal of the Science of Food and Agriculture, 97(11), 3552-3558. https://doi.org/10.1002/jsfa.8210
Hardie, C., & Wick, J. Y. (2020). Skin tears in older people. The Senior care pharmacist, 35(9), 379-387. https://doi.org/10.4140/TCP.n.2020.379
Jeon, J. G., Rosalen, P. L., Falsetta, M. L., & Koo, H. (2011). Natural products in caries research: current (limited) knowledge, challenges and future perspective. Caries research, 45(3), 243-263. https://doi.org/10.1159/000327250
Jones, V., Grey, J. E., & Harding, K. G. (2006). Wound dressings. BMJ, 332(7544), 777-780. https://doi.org/10.1136/bmj.332.7544.777
Koya-Miyata, S., Arai, N., Mizote, A., Taniguchi, Y., Ushio, S., Iwaki, K., & Fukuda, S. (2009). Propolis prevents diet-induced hyperlipidemia and mitigates weight gain in diet-induced obesity in mice. Biological and Pharmaceutical Bulletin, 32(12), 2022-2028. https://doi.org/10.1248/bpb.32.2022
Koyano, Y., Nakagami, G., Iizaka, S., Minematsu, T., Noguchi, H., Tamai, N., Mugita, Y., Kitamura, A., Tabata, K., Abe, M., Murayama, R., Sugama, J., & Sanada, H. (2016). Exploring the prevalence of skin tears and skin properties related to skin tears in elderly patients at a long-term medical facility in Japan. International wound journal, 13(2), 189-197. https://doi.org/10.1111/iwj.12251
Koyano, Y., Nakagami, G., Iizaka, S., Sugama, J., & Sanada, H. (2017). Skin property can predict the development of skin tears among elderly patients: a prospective cohort study. International wound journal, 14(4), 691-697. https://doi.org/10.1111/iwj.12675
Krasner, D. (1995). Wound care: how to use the red-yellow-black system. The American journal of nursing, 95(5), 44-47.
Lacas, A., & Rockwood, K. (2012). Frailty in primary care: a review of its conceptualization and implications for practice. BMC Medicine, 10(1), 4. https://doi.org/10.1186/1741-7015-10-4
Langemo, D. K., Williams, A., & Edwards, K. (2019). Skin tears: Prevention and management. Nursing, 49(4), 66-69. https://doi.org/10.1097/01.NURSE.0000554309.45660.ca7
LeBlanc, K., & Baranoski, S. (2017). Skin tears: finally recognized. Advances in skin & wound care, 30(2), 62-63. https://doi.org/10.1097/01.ASW.0000511435.99585.0d
LeBlanc, K., Baranoski, S., Christensen, D., Langemo, D., Edwards, K., Holloway, S., Gloeckner, M., Williams, A., Campbell, K., Alam, T., & Woo, K. Y. (2016). The Art of Dressing Selection: A Consensus Statement on Skin Tears and Best Practice. Advances in skin & wound care, 29(1), 32-46. https://doi.org/10.1097/01.ASW.0000475308.06130.df
Leblanc, K., Christensen, D., Cook, J., Culhane, B., & Gutierrez, O. (2013). Prevalence of skin tears in a long-term care facility. Journal of wound, ostomy, and continence nursing, 40(6), 580-584. https://doi.org/10.1097/WON.0b013e3182a9c111
Marcucci, M. C. (1995). Propolis: chemical composition, biological properties and therapeutic activity. Apidologie, 26(2), 83-99.
Marcucci, M. C., Sawaya, A. C. H. F., Custódio, A. R., Paulino, N., & Eberlin, M. N. (2008). HPLC and ESI-MS typification: new approaches for natural therapy with Brazilian propolis. Scientific evidence of the use of propolis in ethnomedicine. In N. Orsolic (Ed.), Scientific evidence of the use of propolis in ethnomedicine (pp. 33-54). Kerala, India: Transworld Research Network.
Maruyama, H., Sumitou, Y., Sakamoto, T., Araki, Y., & Hara, H. (2009). Antihypertensive effects of flavonoids isolated from brazilian green propolis in spontaneously hypertensive rats. Biological and Pharmaceutical Bulletin, 32(7), 1244-1250. https://doi.org/10.1248/bpb.32.1244
Matochek, M. H. M., Tomaz, P. L. S., Oliveira, T. S., Polassi, M. R., Alonso, R. C. B., Scremin, F. M., Sauro, S., Marcucci, M. C., & D'Alpino, P. H. P. (2020). Influence of a propolis-based irrigant solution on gap formation and bond strength of posts bonded to root canal dentin using different resin cements. Dent Mater J, 39(3), 490-499. https://doi.org/10.4012/dmj.2019-111
McInulty, L. (2017). Prevention and management of skin tears in older people. Emergency nurse, 25(3), 32-39. https://doi.org/10.7748/en.2017.e1687
Munro, E. L., Hickling, D. F., Williams, D. M., & Bell, J. J. (2018). Malnutrition is independently associated with skin tears in hospital inpatient setting-Findings of a 6-year point prevalence audit. International wound journal, 15(4), 527-533. https://doi.org/10.1111/iwj.12893
Palombo, E. A. (2011). Traditional medicinal plant extracts and natural products with activity against oral bacteria: potential application in the prevention and treatment of oral diseases. Evidence-based complementary and alternative medicine, 2011, 680354. https://doi.org/10.1093/ecam/nep067
Paulino, N., Teixeira, C., Martins, R., Scremin, A., Dirsch, V. M., Vollmar, A. M., Abreu, S. R., de Castro, S. L., & Marcucci, M. C. (2006). Evaluation of the analgesic and anti-inflammatory effects of a Brazilian green propolis. Planta Medica, 72(10), 899-906. https://doi.org/10.1055/s-2006-947185
Perissinotto, E., Pisent, C., Sergi, G., Grigoletto, F., & Enzi, G. (2007). Anthropometric measurements in the elderly: age and gender differences. British Journal of Nutrition, 87(2), 177-186. https://doi.org/10.1079/BJN2001487
Popova, M., Silici, S., Kaftanoglu, O., & Bankova, V. (2005). Antibacterial activity of Turkish propolis and its qualitative and quantitative chemical composition. Phytomedicine, 12(3), 221-228. https://doi.org/10.1016/j.phymed.2003.09.007
Santos, F., Rogenski, N. M. B., Baptista, C. M. C., & Fugulin, F. M. T. (2007). Patient classification system: a proposal to complement the instrument by Fugulin et al.. Revista latino-americana de enfermagem, 15(5), 980-985. https://doi.org/10.1590/S0104-11692007000500015
Santos, V. R. (2012). Propolis: alternative medicine for the treatment of oral microbial diseases. In H. Sakagami (Ed.), Alternative Medicine (pp. 133-169): IntechOpen.
Skiveren, J., Wahlers, B., & Bermark, S. (2017). Prevalence of skin tears in the extremities among elderly residents at a nursing home in Denmark. Journal of wound care, 26(Sup2), S32-S36. https://doi.org/10.12968/jowc.2017.26.Sup2.S32
Souza, L. M., Teixeira, G. D. S., Silva, D. M. D., Ruiz, L. D. S., Coppola, I. D. S., & Meirelles, L. (2021). Prevalence of skin tears in hospitalized adults and older adults. Revista da Escola de Enfermagem da USP, 55, e03683. https://doi.org/10.1590/S1980-220X2019025103683
Stephen-Haynes, J. (2012). Skin tears: achieving positive clinical and financial outcomes. British journal of community nursing, Suppl, S6, S8, S10 passim. https://doi.org/10.12968/bjcn.2012.17.sup3.s6
Stephen-Haynes, J. (2020). The what, who, why and how of skin tears in the community and care homes. British journal of nursing, 29(20), S14-S17. https://doi.org/10.12968/bjon.2020.29.20.S14
Stotts, N. A., Rodeheaver, G. T., Thomas, D. R., Frantz, R. A., Bartolucci, A. A., Sussman, C., Ferrell, B. A., Cuddigan, J., & Maklebust, J. (2001). An instrument to measure healing in pressure ulcers: development and validation of the pressure ulcer scale for healing (PUSH). The journals of gerontology. Series A, Biological sciences and medical sciences, 56(12), M795-799. https://doi.org/10.1093/gerona/56.12.m795
Strazzieri-Pulido, K. C., Peres, G. R., Campanili, T. C., & de Gouveia Santos, V. L. (2017). Incidence of skin tears and risk factors: a systematic literature review. Journal of wound, ostomy, and continence nursing, 44(1), 29-33. https://doi.org/10.1097/WON.0000000000000288
Strazzieri-Pulido, K. C., Santos, V. L., & Carville, K. (2015). Cultural adaptation, content validity and inter-rater reliability of the "STAR Skin Tear Classification System". Revista latino-americana de enfermagem, 23(1), 155-161. https://doi.org/10.1590/0104-1169.3523.2537
Szliszka, E., Kucharska, A. Z., Sokol-Letowska, A., Mertas, A., Czuba, Z. P., & Krol, W. (2013). Chemical composition and anti-inflammatory effect of ethanolic extract of Brazilian green propolis on activated J774A.1 macrophages. Evidence-based complementary and alternative medicine, 2013, 976415. https://doi.org/10.1155/2013/976415
Theou, O., Pérez-Zepeda, M. U., van der Valk, A. M., Searle, S. D., Howlett, S. E., & Rockwood, K. (2021). A classification tree to assist with routine scoring of the Clinical Frailty Scale. Age and Ageing, 50(4), 1406-1411. https://doi.org/10.1093/ageing/afab006
Van Tiggelen, H., LeBlanc, K., Campbell, K., Woo, K., Baranoski, S., Chang, Y. Y., Dunk, A. M., Gloeckner, M., Hevia, H., Holloway, S., Idensohn, P., Karadag, A., Koren, E., Kottner, J., Langemo, D., Ousey, K., Pokorna, A., Romanelli, M., Santos, V., Smet, S., Tariq, G., et al. (2020). Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. The British journal of dermatology, 183(1), 146-154. https://doi.org/10.1111/bjd.18604
Veiga, R. S., De Mendonca, S., Mendes, P. B., Paulino, N., Mimica, M. J., Lagareiro Netto, A. A., Lira, I. S., Lopez, B. G., Negrao, V., & Marcucci, M. C. (2017). Artepillin C and phenolic compounds responsible for antimicrobial and antioxidant activity of green propolis and Baccharis dracunculifolia DC. Journal of applied microbiology, 122(4), 911-920. https://doi.org/10.1111/jam.13400
Wang, C. C., Wang, Y. X., Yu, N. Q., Hu, D., Wang, X. Y., Chen, X. G., Liao, Y. W., Yao, J., Wang, H., He, L., & Wu, L. (2017). Brazilian green propolis extract synergizes with protoporphyrin IX-mediated photodynamic therapy via enhancement of intracellular accumulation of protoporphyrin IX and attenuation of NF-kappaB and COX-2. Molecules, 22(5). https://doi.org/10.3390/molecules22050732
Więckiewicz, W., Miernik, M., Więckiewicz, M., & Morawiec, T. (2013). Does propolis help to maintain oral health? Evidence-based complementary and alternative medicine, 2013, 351062-351062. https://doi.org/10.1155/2013/351062
Woo, K., & LeBlanc, K. (2018). Prevalence of skin tears among frail older adults living in Canadian long-term care facilities. International journal of palliative nursing, 24(6), 288-294. https://doi.org/10.12968/ijpn.2018.24.6.288
Yuan, H., Ma, Q., Ye, L., & Piao, G. (2016). The traditional medicine and modern medicine from natural products. Molecules, 21(5), 559.: https://doi.org/10.3390/molecules21050559
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Janici Therezinha Santos; Maria Cristina Marcucci; Márcio Luiz dos Santos; Paulo Henrique Perlatti D'Alpino
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores que publican en esta revista concuerdan con los siguientes términos:
1) Los autores mantienen los derechos de autor y conceden a la revista el derecho de primera publicación, con el trabajo simultáneamente licenciado bajo la Licencia Creative Commons Attribution que permite el compartir el trabajo con reconocimiento de la autoría y publicación inicial en esta revista.
2) Los autores tienen autorización para asumir contratos adicionales por separado, para distribución no exclusiva de la versión del trabajo publicada en esta revista (por ejemplo, publicar en repositorio institucional o como capítulo de libro), con reconocimiento de autoría y publicación inicial en esta revista.
3) Los autores tienen permiso y son estimulados a publicar y distribuir su trabajo en línea (por ejemplo, en repositorios institucionales o en su página personal) a cualquier punto antes o durante el proceso editorial, ya que esto puede generar cambios productivos, así como aumentar el impacto y la cita del trabajo publicado.
