Dermatite associada à incontinência: estudo de coorte em pacientes críticos

Abstract

Incontinence-associated dermatitis: a cohort study in critically ill patients ABSTRACTObjectives: Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence-associated dermatitis critically ill adult patients. Method: Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis. Results: An overall incidence of 20.4% was obtained. Nineteen (19) risk factors significantly associated with the disorder were found. The variables identified in the risk prediction model were male, trauma, use of hypnotics/sedatives, lactulose, nutritional support, loose stools and complaints of burning. Conclusion:The results showed that dermatitis is a common clinical finding in critically ill adult patients and requires special attention from the nursing staff.

Incidence of pressure injury in an oncological intensive care unit

“…colonization by microorganisms (27) . Therefore, the use of topical barriers and skin protectors (protective films or zinc oxide-based creams) should be implemented, in order to provide a moisture barrier and thus protect the patient's corneal layer against diarrhea, an aggressive agent that needs to be regularly investigated and promptly treated by ICUs.…”

Ensino sobre dermatite associada à incontinência subsidiado pela metodologia da problematização

“…As estratégias de ensino utilizadas foram tempestade de ideias, aula expositiva dialogada, estudo de texto e uso de jogo educativo. Para a criação do jogo, foram selecionados conteúdos de acordo com as evidências científicas sobre DAI e de autores que elaboraram jogos educativos na área da saúde, não ocorrendo a validação do jogo desenvolvido [1][2][3][4][5][6][7][8][9][10][11][12][13]17 .…”

“…No Brasil, um estudo realizado no sudeste do país, identificou uma incidência de 20,4% de DAI em pacientes internados em unidades de terapia intensiva. A média de tempo entre a internação e o surgimento da lesão foi de nove dias 7 .…”

Incontinence associated dermatitis in elderly people admitted to a university hospital

“…Despite being considered an unpleasant event that causes discomfort and pain (1,7,11) , contributing significantly to the increase of hospitalization time and cost, especially in elderly patients (10,(14)(15) , IAD is preventable. Therefore, it is essential that the nursing staff identifies and monitors risk factors, as well as establishes prevention and treatment protocols.…”

“…Therefore, it is essential that the nursing staff identifies and monitors risk factors, as well as establishes prevention and treatment protocols. In comparison to other types of lesions, in practice, there is a shortage of epidemiological studies on the subject, mainly in the national context (14) .…”