DIAGNOSTIC INDICATORS FOR PRESSURE INJURY RISK IN ORTHOPEDIC TRAUMA PATIENTS

• Autor(a) principal: Domingos, João Emanuel Pereira
• Data de Publicação: 2022
• Outros Autores: Silva, Nadilânia Oliveira da, Cavalcante, Vitória de Oliveira, Andrade, Vitoria da Silva, Silva Filho, José Adelmo da, Gadelha, Naftale Alves dos Santos, Viana, Maria Corina Amaral
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• DOI: 10.31011/reaid-2022-v.96-n.40-art.1475
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/1475
• topic: Diagnósticos de Enfermagem; Lesão por Pressão; Segurança do Paciente; Ortopedia; Fatores de Risco; Nursing Diagnosis; Pressure Ulcer; Patient Safety; Orthopedics; Risk Factors; Diagnóstico de Enfermería; Úlcera por Presión; Seguridad del Paciente; Ortopedia; Factores de Riesgo

Objective: to analyze the prevalence of the nursing diagnosis risk of pressure injury and its respective indicators in patients with orthopedic trauma. Method: This is a cross-sectional, descriptive study with a quantitative approach, carried out with patients in the pre and post-operative period of orthopedic surgeries, in two different scenarios: in the female and male ward of a referral hospital for trauma-orthopedics, located in the interior of Ceará, Brazil. The collected data were compiled in Excel software, analyzed in R software version 3.4.4 and organized into tables. Result: 93 patients were evaluated, predominantly female, mixed race, with a mean age of 46.29 years, who did not have a partner, with an average family income greater than one minimum wage and with low education. There was a prevalence in the preoperative period, in the majority, with involvement of upper limbs, using orthopedic immobilization, with clinically stable parameters (vital signs). The prevalence of the diagnosis of Risk of Pressure Injury was 98.92%, with a high mean number of risk factors per patient (10.31). The most prevalent risk factors were surface friction (78.49%) and reduced mobility (78.49%), followed by shear forces (73.12%). It is evident that there is a strong indication that patients admitted to an orthopedic clinic are at risk of developing PI. Conclusion: The identification of the causal factors of pressure injuries guarantees the nurse the planning and elaboration of the care plan with specific interventions, in order to guarantee the patient's safety, decrease of injuries and better quality of life.