Pressure Ulcers: Correlation Between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing

Abstract

Objective: to verify the correlation between the Bates-Jensen Wound Assessment Tool and the Pressure Ulcer Scale for Healing instruments for assessing pressure ulcers in adults. Method: a cross-sectional study, carried out in the unit for patients with multidrug-resistant germs, in a Brazilian public hospital. Data collection took place in 2017, with a sample of 110 injuries, through direct inspection and application of the proposed instruments. The data were analyzed using descriptive and analytical statistics. Results: the study included 36 patients with a mean age of 45.4±21.3 years old; 23 (63.9%) were male, with higher frequency of involvement of the sacral region (35; 31.9%), with 43 Stage II pressure ulcers (39.1%). The mean score of the Bates-Jensen Wound Assessment Tool was 35.5±8.9, and that of the Pressure Ulcer Scale for Healing was 11.75±3.57 (r=0.74 and p<0.01). Conclusion: the study achieved its objective by verifying a strong correlation and a positive association between BWAT and PUSH. BWAT provides a thorough assessment of the injury while PUSH is easy and quick to apply. It is up to each Nursing service to decide which instrument is best suited to the reality regarding the work demand.

Análise termográfica na avaliação de úlceras venosas de pernas

“…15 O diagnóstico é realizado pela avaliação clínica, exame físico, exames de imagem e exames laboratoriais. Dentre os instrumentos utilizados na avaliação de lesões está o de escolha do serviço onde ocorreu a pesquisa, o Pressure Ulcer Scale for Healing (PUSH), desenvolvido para avaliar a evolução da cicatrização de feridas 16 com escala que varia de 0 a 17, resultado da somatória da avaliação dos três parâmetros e seus subescores: área, quantidade de exsudato e aparência do leito da úlcera no processo de cicatrização. Os menores escores indicam melhor condição e os maiores retratam piores condições da úlcera.…”