<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2018000200092</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevención de las úlceras por presión y los cambios de postura. Revisión integrativa de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevention of pressure ulcers and repositioning. An integrative review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Casanova]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verdú-Soriano]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berenguer-Pérez]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soldevilla-Agreda]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud de Onil  ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Alicante  ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Alicante  ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Servicio Riojano de Salud La Rioja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>92</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2018000200092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2018000200092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2018000200092&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: El objetivo que se plantea en este trabajo de revisión es responder a la pregunta: ¿Son los cambios posturales efectivos en la prevención de las úlceras por presión?  Metodología: Revisión integrativa de la literatura mediante la identificación de documentos en las principales bases de datos relacionadas con las ciencias de la salud: MEDLINE, CINAHL, sciELO, Cochrane y CUIDEN, y mediante búsqueda inversa en los artículos identificados. Se incluyeron estudios prospectivos, revisiones sistemáticas u otro tipo de estudios, que evaluaran la efectividad de los cambios posturales. No hubo restricciones en fechas de publicación hasta diciembre de 2014, pacientes, contexto, estado de la publicación o idioma.  Resultados: De 108 artículos, potencialmente relevantes para la revisión, se incluyeron 13: 6 ensayos clínicos, 1 estudio de cohortes, 4 revisiones sistemáticas y una histórica, además de un estudio cualitativo. No se encuentran evidencias sólidas para recomendar los cambios posturales cada 2 horas, pero si hay evidencia que apoya los cambios posturales cada 4 horas combinados con una superficie de apoyo viscoelástica.  Conclusiones: No existen estudios que comparen la efectividad, solamente, de los cambios posturales frente a la no realización de estos cambios. La conjunción de una superficie viscoelástica con cambios posturales cada 3-4 horas dispone de la mejor evidencia. Los pacientes en decúbito lateral de 90 grados tienen una tasa casi 4 veces superior de lesiones que los que están a 30 grados. La investigación cualitativa es casi inapreciable en los estudios sobre cambios posturales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Aim: to answer the question: Are repositioning effective in preventing pressure ulcers?  Methods: Integrative review of the literature through identification of papers in the main databases related to health sciences: MEDLINE, CINAHL, sciELO, COCHRANE and CUIDEN, and by reverse search on identified articles. We included prospective studies, systematic reviews or other types of studies that evaluated the effectiveness of repositioning. There were no restrictions on publication dates until December 2014, patients, context, publication status or language.  Results: From 108 articles, potentially relevant for the review, 13 were included: 6 clinical trials, 1 cohort study, 4 systematic reviews and one historical review, as well as a qualitative study. There is no solid evidence to recommend postural changes every 2 hours. But there is evidence that supports repositioning every 4 hours combined with a viscoelastic support surface.  Conclusions: There are no studies that compare the effectiveness of repositioning versus nonrepositioning. The combination of a viscoelastic surface with repositioning every 3-4 hours has the best evidence. Patients in 90 degrees lateral decubitus have a rate almost 4 times higher than those who are at 30 degrees.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Úlceras por presión]]></kwd>
<kwd lng="es"><![CDATA[cambios posturales]]></kwd>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="en"><![CDATA[Pressure ulcers]]></kwd>
<kwd lng="en"><![CDATA[repositioning]]></kwd>
<kwd lng="en"><![CDATA[preventing]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[Medical history of the second world war: surgery]]></source>
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<page-range>422-516</page-range><publisher-loc><![CDATA[London ]]></publisher-loc>
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<article-title xml:lang=""><![CDATA[The problem of treatment of pressure sores in spinal paraplegics]]></article-title>
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