Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.

Detalhes bibliográficos
Autor(a) principal: Silva, Maria do Livramento Neves
Data de Publicação: 2013
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/5107
Resumo: Introduction: The vulnerability of patients hospitalized in an intensive care environmental makes them more inclined toward to the risk of developing pressure ulcers than those ones that are in other wings of the same institution. Objectives: Analyze the incidence, prevalence and factors associated with pressure ulcers in an intensive care unit; Check the risk of developing PU in patients, using the Braden Scale; analyze the risk scores association of the Braden subscales with the development of pressure ulcers and verify the association of socio-demographic and clinical data and the risk factors with the pressure ulcers development. Method: This is a descriptive study, prospective, performed in an intensive care unit of a public hospital in João Pessoa. The study population consisted of all patients admitted during the period from July 17 to October 17, 2012. The sample was composed by 45 patients who fulfilled the inclusion criteria established. The study has been approved by the Ethics Committee of the UFPB Health Sciences Center, under protocol 0237/12. Data were collected through physical examination of patients by application of the Braden scale and by reviewing the medical files. Results: of 45 patients followed in the study 09 were already admitted with the injury and 08 developed during ICU stay, corresponding to an incidence of 8 (22.2%) and the prevalence of 17 (37.8%). In the prevalence it was verified the predominance of males, white and over the age of 70 years. The incidence recorded 4 (50%) for each gender, 5 (62.5%) for whites and 4 (50%) aged until 50 years. Regarding the identified baseline diseases has been observed the presence of one or more diseases in 75% of patients, being the most prevalent in the group with PU stroke 3 (100%) and COPD 5 (60%). In this same group 6 (54.5%) made use of corticoids, 13 (43.3%) of antibiotics and 6 (40%) receiving intravenous drugs. Regarding patients' physical examination with PU 9 (52.9%) were sedated, 12 (70.6%) connected to mechanical ventilation, 9 (52.9%) with thin or delicate skin and 9 (52.9%) with decreased turgor and elasticity. The hospitalization period varied from 5 to 48days in patients without PU and from 5 to 39in those who had presented the injury. Regarding the elapsed time for the development of injury 7 (87.5%) of cases occurred up to 10 days. Concerning the risk PU through the Braden Scale, was observed that 30 (66.6%) of the patients were classified as high risk, and those with PU 15 (88.2%) with the categories activity (bedridden) and friction and shear (problem) as Braden subscales most affected in this group. Conclusion: The incidence and prevalence of PU identified in the study are similar to the reality described in some scenarios of intensive care units in Brazil, but depicting an incidence rate lower than that found in most studies in the same population. It is suggested to invest in job training through continuing education in service and building and deploying protocols for prevention and treatment of these injuries.
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spelling Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.Incidence, prevalence and factors associated with pressure ulcers in the Intensive Care Unit.EnfermagemÚlcera por pressão -incidência - UTIÚlcera - fatores de riscoPressure UlcerIntensive Care UnitIncidencePrevalenceRisk FactorsCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMIntroduction: The vulnerability of patients hospitalized in an intensive care environmental makes them more inclined toward to the risk of developing pressure ulcers than those ones that are in other wings of the same institution. Objectives: Analyze the incidence, prevalence and factors associated with pressure ulcers in an intensive care unit; Check the risk of developing PU in patients, using the Braden Scale; analyze the risk scores association of the Braden subscales with the development of pressure ulcers and verify the association of socio-demographic and clinical data and the risk factors with the pressure ulcers development. Method: This is a descriptive study, prospective, performed in an intensive care unit of a public hospital in João Pessoa. The study population consisted of all patients admitted during the period from July 17 to October 17, 2012. The sample was composed by 45 patients who fulfilled the inclusion criteria established. The study has been approved by the Ethics Committee of the UFPB Health Sciences Center, under protocol 0237/12. Data were collected through physical examination of patients by application of the Braden scale and by reviewing the medical files. Results: of 45 patients followed in the study 09 were already admitted with the injury and 08 developed during ICU stay, corresponding to an incidence of 8 (22.2%) and the prevalence of 17 (37.8%). In the prevalence it was verified the predominance of males, white and over the age of 70 years. The incidence recorded 4 (50%) for each gender, 5 (62.5%) for whites and 4 (50%) aged until 50 years. Regarding the identified baseline diseases has been observed the presence of one or more diseases in 75% of patients, being the most prevalent in the group with PU stroke 3 (100%) and COPD 5 (60%). In this same group 6 (54.5%) made use of corticoids, 13 (43.3%) of antibiotics and 6 (40%) receiving intravenous drugs. Regarding patients' physical examination with PU 9 (52.9%) were sedated, 12 (70.6%) connected to mechanical ventilation, 9 (52.9%) with thin or delicate skin and 9 (52.9%) with decreased turgor and elasticity. The hospitalization period varied from 5 to 48days in patients without PU and from 5 to 39in those who had presented the injury. Regarding the elapsed time for the development of injury 7 (87.5%) of cases occurred up to 10 days. Concerning the risk PU through the Braden Scale, was observed that 30 (66.6%) of the patients were classified as high risk, and those with PU 15 (88.2%) with the categories activity (bedridden) and friction and shear (problem) as Braden subscales most affected in this group. Conclusion: The incidence and prevalence of PU identified in the study are similar to the reality described in some scenarios of intensive care units in Brazil, but depicting an incidence rate lower than that found in most studies in the same population. It is suggested to invest in job training through continuing education in service and building and deploying protocols for prevention and treatment of these injuries.Coordenação de Aperfeiçoamento de Pessoal de Nível Superiora vulnerabilidade dos pacientes internados em ambiente de terapia intensiva torna-os mais propensos ao risco de adquirir úlcera por pressão (UPP) do que aqueles de outras alas da mesma instituição. Objetivos: identificar a incidência e prevalência das úlceras por pressão em pacientes internados na unidade de terapia intensiva de um hospital público; estimar o risco para desenvolvimento de úlceras por pressão através da Escala de Braden; verificar a associação dos dados sociodemográficos e clínicos e dos fatores de risco com o desenvolvimento de úlceras por pressão. Métodos: Trata-se de um estudo de coorte, prospectivo, realizado em uma UTI de um hospital público de João Pessoa-PB. A população do estudo foi constituída por todos os pacientes internados na unidade, no período de 17 de julho a 17 de outubro de 2012. A amostra foi composta por 45 pacientes que preencheram os critérios de inclusão estabelecidos. O estudo foi aprovado pelo Comitê de Ética do Centro de Ciências da Saúde da UFPB, sob protocolo nº 0237/12. Os dados foram coletados através do exame físico dos pacientes, pela aplicação da escala de Braden e por meio de revisão nos prontuários. Resultados: Dos 45 pacientes acompanhados no estudo 09 foram admitidos já com a lesão e 08 desenvolveram durante internação na UTI, correspondendo a uma incidência de 22,22% e prevalência de 37,77%. Na prevalência verificou-se o predomínio do gênero masculino, de cor banca e com idade acima de 70 anos. A incidência registrou (50%) para cada gênero, (65%%) para os brancos e (50%) com idade até 50 anos. Com relação às doenças de base identificadas, verificou-se a presença de uma ou mais patologias em 75% dos pacientes, sendo as mais prevalentes no grupo com UPP AVC (100%) e DPOC (60%). Nesse mesmo grupo (54,54%) fizeram uso de corticoides, (43,33%) de antibióticos e (40%) de drogas vasoativas. Quanto ao exame físico dos pacientes com UPP (52,94%) estavam sedados, (70,58%) conectados à ventilação mecânica, (52,94%) com pele fina ou delicada e (52,94%) com turgor e elasticidade diminuído. O tempo de internação variou de 3 a 75 dias nos pacientes sem UPP e de 11 a 120 dias nos que apresentavam a lesão. Quanto ao tempo decorrido para o desenvolvimento da lesão (87,5%) dos casos ocorreram em até 10 dias. Concernente ao risco para UPP pela Escala de Braden observou-se (66,66%) dos pacientes em alto risco e para aqueles que apresentavam UPP (88,23%), tendo as categorias atividade (acamado) e fricção e cisalhamento (problema) como as subescalas de Braden mais afetadas nesse grupo. Conclusão: Os resultados permitiram traçar um delineamento da realidade institucional sobre as úlceras por pressão e chamam a atenção para os desafios diante de tão complexa iatrogenia, uma vez que mesmo com todos os investimentos, continuam presentes em nossa prática.Universidade Federal da Paraí­baBREnfermagemPrograma de Pós Graduação em EnfermagemUFPBOliveira, Simone Helena dos Santoshttp://lattes.cnpq.br/9917899598089580Silva, Maria do Livramento Neves2015-05-08T14:47:30Z2018-07-20T23:59:16Z2014-02-132018-07-20T23:59:16Z2013-03-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfSILVA, Maria do Livramento Neves. Incidence, prevalence and factors associated with pressure ulcers in the Intensive Care Unit.. 2013. 100 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal da Paraí­ba, João Pessoa, 2013.https://repositorio.ufpb.br/jspui/handle/tede/5107porinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2018-09-06T00:07:59Zoai:repositorio.ufpb.br:tede/5107Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2018-09-06T00:07:59Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false
dc.title.none.fl_str_mv Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
Incidence, prevalence and factors associated with pressure ulcers in the Intensive Care Unit.
title Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
spellingShingle Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
Silva, Maria do Livramento Neves
Enfermagem
Úlcera por pressão -incidência - UTI
Úlcera - fatores de risco
Pressure Ulcer
Intensive Care Unit
Incidence
Prevalence
Risk Factors
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
title_full Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
title_fullStr Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
title_full_unstemmed Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
title_sort Incidência, Prevalência e Fatores Associados às Úlceras por Pressão em Unidade de Terapia Intensiva.
author Silva, Maria do Livramento Neves
author_facet Silva, Maria do Livramento Neves
author_role author
dc.contributor.none.fl_str_mv Oliveira, Simone Helena dos Santos
http://lattes.cnpq.br/9917899598089580
dc.contributor.author.fl_str_mv Silva, Maria do Livramento Neves
dc.subject.por.fl_str_mv Enfermagem
Úlcera por pressão -incidência - UTI
Úlcera - fatores de risco
Pressure Ulcer
Intensive Care Unit
Incidence
Prevalence
Risk Factors
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
topic Enfermagem
Úlcera por pressão -incidência - UTI
Úlcera - fatores de risco
Pressure Ulcer
Intensive Care Unit
Incidence
Prevalence
Risk Factors
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description Introduction: The vulnerability of patients hospitalized in an intensive care environmental makes them more inclined toward to the risk of developing pressure ulcers than those ones that are in other wings of the same institution. Objectives: Analyze the incidence, prevalence and factors associated with pressure ulcers in an intensive care unit; Check the risk of developing PU in patients, using the Braden Scale; analyze the risk scores association of the Braden subscales with the development of pressure ulcers and verify the association of socio-demographic and clinical data and the risk factors with the pressure ulcers development. Method: This is a descriptive study, prospective, performed in an intensive care unit of a public hospital in João Pessoa. The study population consisted of all patients admitted during the period from July 17 to October 17, 2012. The sample was composed by 45 patients who fulfilled the inclusion criteria established. The study has been approved by the Ethics Committee of the UFPB Health Sciences Center, under protocol 0237/12. Data were collected through physical examination of patients by application of the Braden scale and by reviewing the medical files. Results: of 45 patients followed in the study 09 were already admitted with the injury and 08 developed during ICU stay, corresponding to an incidence of 8 (22.2%) and the prevalence of 17 (37.8%). In the prevalence it was verified the predominance of males, white and over the age of 70 years. The incidence recorded 4 (50%) for each gender, 5 (62.5%) for whites and 4 (50%) aged until 50 years. Regarding the identified baseline diseases has been observed the presence of one or more diseases in 75% of patients, being the most prevalent in the group with PU stroke 3 (100%) and COPD 5 (60%). In this same group 6 (54.5%) made use of corticoids, 13 (43.3%) of antibiotics and 6 (40%) receiving intravenous drugs. Regarding patients' physical examination with PU 9 (52.9%) were sedated, 12 (70.6%) connected to mechanical ventilation, 9 (52.9%) with thin or delicate skin and 9 (52.9%) with decreased turgor and elasticity. The hospitalization period varied from 5 to 48days in patients without PU and from 5 to 39in those who had presented the injury. Regarding the elapsed time for the development of injury 7 (87.5%) of cases occurred up to 10 days. Concerning the risk PU through the Braden Scale, was observed that 30 (66.6%) of the patients were classified as high risk, and those with PU 15 (88.2%) with the categories activity (bedridden) and friction and shear (problem) as Braden subscales most affected in this group. Conclusion: The incidence and prevalence of PU identified in the study are similar to the reality described in some scenarios of intensive care units in Brazil, but depicting an incidence rate lower than that found in most studies in the same population. It is suggested to invest in job training through continuing education in service and building and deploying protocols for prevention and treatment of these injuries.
publishDate 2013
dc.date.none.fl_str_mv 2013-03-12
2014-02-13
2015-05-08T14:47:30Z
2018-07-20T23:59:16Z
2018-07-20T23:59:16Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv SILVA, Maria do Livramento Neves. Incidence, prevalence and factors associated with pressure ulcers in the Intensive Care Unit.. 2013. 100 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal da Paraí­ba, João Pessoa, 2013.
https://repositorio.ufpb.br/jspui/handle/tede/5107
identifier_str_mv SILVA, Maria do Livramento Neves. Incidence, prevalence and factors associated with pressure ulcers in the Intensive Care Unit.. 2013. 100 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal da Paraí­ba, João Pessoa, 2013.
url https://repositorio.ufpb.br/jspui/handle/tede/5107
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal da Paraí­ba
BR
Enfermagem
Programa de Pós Graduação em Enfermagem
UFPB
publisher.none.fl_str_mv Universidade Federal da Paraí­ba
BR
Enfermagem
Programa de Pós Graduação em Enfermagem
UFPB
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFPB
instname:Universidade Federal da Paraíba (UFPB)
instacron:UFPB
instname_str Universidade Federal da Paraíba (UFPB)
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institution UFPB
reponame_str Biblioteca Digital de Teses e Dissertações da UFPB
collection Biblioteca Digital de Teses e Dissertações da UFPB
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)
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