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Previous issue date: 2008-04-28 / The pressure ulcers (PU), also known as decubitus ulcers, are defined as injuries caused by the constant pressure exerted on a particular point of the body, causing impairment of blood supply with a decrease or interruption of tissue irrigation, causing occlusion of blood vessels and capillaries, ischemia and cell death. This is a descriptive study with longitudinal design, and panel type, with quantitative approach that aimed to examine the association between predisposing conditions (PC), intrinsic factors (IF) and
extrinsic factors (EF) with the occurrence of PU, in hospitalized patients in the Intensive Care Unit (ICU), pain clinical, surgical clinical and neurology wards of a university
hospital. The study population was composed of all patients who were restricted to bed during the period from December 2007 to February 2008. The study was approved by
the Ethics Committee of HUOL / UFRN (No 135/07). The data-collection took place through a structured formulary of observation, data from medical records and physical
examination of patients skins. The results were organized in SPSS 15.0 software, tabulated, categorized and analyzed by descriptive and inferential statistics. Of the 30
patients studied, 43.3% had been hospitalized in the pain clinical and surgical clinic wards, 20.0% in the ICU, 20.0% in the ICU / ward and 16.7% in neurology, being the
length of hospitalization in those units of 7 to 18 days (63.3%) and from 19 to 30 days (36.7%), predominantly female and aged ≥ 60 years (60.0%). 19 PU were diagnosed in
43.3% of patients monitored, being 38.5% with one PU between 7 to 18 days and 46.2% with two or more between 19 to 30 days of hospitalization, showing significant
relationship (ρ-value = 0029) between length of hospital stay and the number of PU. Was found an association of 35.7% of the PC (cardio-respiratory, hematological,
metabolic and psychogenic), IF (age group, oedema, skin changes in humidity and change of body temperature) and EF (type of mattress and strength of body pressure) for all patients studied, statistically significant (ρ-value = 0001), between the average scores in patients with and without PU, with reason chance to 12.0 for the development of PU and there was moderate correlation ( r = 0618) in the presence of this association. Results show the influence of the multiplicity of factors and conditions on the occurrence of PU, which brings us to reflect on the assistance focused on prevention and reduction of these injuries which will encourage the reduction of hospitalization length, physical and psychological suffering, and the possibility of improving the clinical condition of the patient. / As ?lceras de press?o (UP), denominadas tamb?m ?lcera de dec?bito, s?o definidas como les?es causadas pela constante press?o exercida sobre um determinado ponto do corpo, ocasionando comprometimento do aporte sangu?neo com diminui??o ou interrup??o da irriga??o tissular, ocasionando oclus?o de vasos e capilares, isquemia e morte celular. Trata-se de um estudo descritivo com delineamento longitudinal, tipo painel, com abordagem quantitativa que objetivou analisar a associa??o existente entre condi??es predisponentes (CP), fatores intr?nsecos (FI) e fatores extr?nsecos (FE) com a ocorr?ncia de UP, em pacientes internados em Unidade de Terapia Intensiva (UTI), enfermarias de cl?nicas m?dica, cir?rgica e neurologia de um hospital universit?rio. A popula??o do estudo foi composta por todos os pacientes que estiveram acamados durante o per?odo de dezembro de 2007 a fevereiro de 2008. O estudo foi aprovado pelo Comit? de ?tica do HUOL/UFRN (no 135/07). A coleta de dados realizou-se por meio de um formul?rio estruturado de observa??o, dados dos prontu?rios e exame f?sico da pele dos pacientes. Os resultados foram organizados no programa SPSS 15.0, tabulados, categorizados e analisados por meio de estat?stica descritiva e inferencial. Dos 30 pacientes pesquisados, 43,3% encontravam-se internados na enfermaria de cl?nica m?dica e cl?nica cir?rgica, 20,0% na UTI, 20,0% na
UTI/enfermaria e 16,7% na neurologia, sendo o tempo de interna??o nessas unidades de 7 a 18 dias (63,3%) e de 19 a 30 dias (36,7%), com predomin?ncia do sexo feminino
e faixa et?ria ≥ 60 anos (60,0%). Foram diagnosticadas 19 UP em 43,3% dos pacientes acompanhados, 38,5% com uma UP entre 7 a 18 dias e 46,2% com duas ou mais entre 19 a 30 dias de interna??o, mostrando rela??o significativa (ρ-valor = 0,029) entre tempo de interna??o e o n?mero de UP. Verificou-se associa??o de 35,7% das CP
(cardio-respirat?rias, hematol?gicas, metab?licas e psicog?nicas), FI (faixa et?ria, edema, altera??o na umidade da pele e altera??o da temperatura corporal) e FE (tipo
de colch?o e for?a de press?o do corpo) no conjunto dos pacientes pesquisados, estatisticamente significante (ρ-valor = 0,001), entre as m?dias dos escores nos
pacientes com e sem UP, com raz?o de chance de 12,0 de desenvolvimento de UP e exist?ncia de moderada correla??o (r = 0,618) na presen?a dessa associa??o. Os resultados denotam a influ?ncia da multiplicidade de fatores e condi??es na ocorr?ncia de UP, o que nos remete a refletir acerca da assist?ncia voltada para preven??o e diminui??o dessas les?es o que ir? favorecer a redu??o do tempo de internamento, sofrimento f?sico e psicol?gico, bem como a possibilidade de melhora do estado cl?nico do paciente.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14657 |
| Date | 28 April 2008 |
| Creators | Paiva, Lucila Corsino de |
| Contributors | CPF:51326728415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=null, Fontes, Wilma Dias de, CPF:25155610478, http://lattes.cnpq.br/0984148113725984, Germano, Raimunda Medeiros, CPF:00446114472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4721938D8, Miranda, Francisco Arnoldo Nunes de, CPF:04960360330, http://lattes.cnpq.br/9242337504601387, Torres, Gilson de Vasconcelos |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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