Indicadores de prevalência de úlcera por pressão e incidência de queda de paciente em hospitais de ensino do município de São Paulo

Abstract

RESUMO Objetivo Mensurar a prevalência de úlcera por pressão e a incidência de queda de pacientes em três hospitais de ensino do Município de São Paulo. Método Estudo quantitativo, exploratório-descritivo. Os dados foram coletados no período de agosto de 2012 a julho de 2013, por meio de um formulário e analisados segundo estatística descritiva e inferencial. Resultados A média anual da prevalência geral de úlcera por pressão (UP) foi de 10,1% e a incidência de queda de pacientes foi de 13,8. Conclusão Os pacientes do Hospital 3 foram os mais vulneráveis às úlceras por pressão e à queda, devido, provavelmente, à agressividade da doença e aos tratamentos complexos a que são submetidos. A aplicação desses indicadores vem possibilitando o benchmarking e a revisão dos protocolos institucionais, tanto assistenciais como gerenciais.

Incidência de lesão por pressão em unidade de terapia intensiva para adultos

“…In addition, the incidence found in this study was also higher than double the average result (10.1%) of the survey, also in São Paulo, with the participation of three teaching hospitals 9 . However, it should be noted that the study cited did not include ICU in its sample, so it may not be considered a reliable standard of comparison, but it certainly can be interpreted as a north for improvement.…”

“…Lesión por presión; Unidades de terapia intensiva; Seguridad del paciente; Cuidados de enfermería; Estomaterapia In spite of the evolution of the knowledge of risk factors and measures of PI prevention, its incidence -which is an indicator of quality assistance 9 , especially in ICU, has been a persistent problem, and it is still necessary to be used as a research object [10][11][12] . is is because the incidence of PI is based on the measurement of new cases of the adverse event, that is, it is an epidemiological measure that may favor the (re)planning of care actions with a focus on the rational prevention of new injuries, according to a scienti cally situational diagnosis supported 9 .…”

“…is is because the incidence of PI is based on the measurement of new cases of the adverse event, that is, it is an epidemiological measure that may favor the (re)planning of care actions with a focus on the rational prevention of new injuries, according to a scienti cally situational diagnosis supported 9 .…”

Incidence of pressure injury in an adult intensive care unit

“…Even though the literature has already pointed out more than one hundred PI risk factors, it is postulated that 90% of these injuries could be prevented with the strict establishment of adequate care 4 In spite of the evolution of the knowledge of risk factors and measures of PI prevention, its incidence -which is an indicator of quality assistance 9 , especially in ICU, has been a persistent problem, and it is still necessary to be used as a research object [10][11][12] . is is because the incidence of PI is based on the measurement of new cases of the adverse event, that is, it is an epidemiological measure that may favor the (re)planning of care actions with a focus on the rational prevention of new injuries, according to a scienti cally situational diagnosis supported 9 .…”

“…e number of people exposed to risk for the injury was the total number of patients who participated in the study16 . That is, the chosen measurement method deals with a calculation of PI incidence in ICU patients, once the proportion of new cases has been compiled on the total number of hospitalized and eligible patients in a given period of time in the same unit9,16 .All the ethical precepts governing human research have been done. Regarding this, the research project that fomented this study was submitted to and approved by theEthics Committee in Research Involving Human Beings of the State University of the West of Parana, under protocol nº 571.801/2014 and CAAE: 25175014.7.0000.0107.…”