Incidence of pressure injury in an adult intensive care unit

Constantin, A; Moreira, Ana Paula Pereira; Oliveira, João Lucas Campos de; Hofstatter, Lili Marlene; Fernandes, Luciana Magnani

doi:10.30886/estima.v16.454

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…Moreover, almost half of the patients had problems related to friction and shear, according to the Braden Scale scores, with PI mainly in the sacral region, an area of bony prominence undergoing high pressure. These findings are in line with the literature (5,12,16) and show the relevance of these factors to the ND Adult pressure injury, being important diagnostic indicators (13) .…”

Section: Resultssupporting

confidence: 91%

“…Thus, the most frequent DC (54.4%) observed was "Partial thickness loss of dermis presenting as a shallow open ulcer, intact or open/ruptured blister", consistent with Category/Stage II PI (12) . This stage of the injury is highly frequent in clinical practice (5,15) and highlights the need for nurses to make an early diagnosis of the injury, or even at an earlier stage (5) , to prevent its worsening.…”

Section: Resultsmentioning

confidence: 99%

“…Thus, all the defining characteristics evaluated denoted clinical evidence of PI, according to its stage. Three related factors were more frequent, "Pressure over bony prominence", "Surface friction" and "Shear forces", considered basic etiologies for the rapid development of PI (5,16,18) . Moreover, almost half of the patients had problems related to friction and shear, according to the Braden Scale scores, with PI mainly in the sacral region, an area of bony prominence undergoing high pressure.…”

Section: Resultsmentioning

confidence: 99%

“…It shows high rates of prevalence in patients admitted to intensive care units (ICU), with a variability between 8 and 23% of cases, depending on patient severity and the risk factors presented (2)(3) . In areas of admission of medical or surgical patients, PI prevalence can reach 10%, generating a negative impact on their safety (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Clinical evidence of the nursing diagnosis Adult pressure injury

Santos

Barbosa

Almeida

et al. 2021

Rev. esc. enferm. USP

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Objective: To identify clinical evidence of the nursing diagnosis Adult pressure injury. Method: Cross-sectional study with 138 adult patients, with community-acquired or hospital-acquired pressure injuries, admitted to clinical, surgical, and intensive care units. Data collected from Electronic health records (EHR) and from the clinical assessment of patients at the bedside, analyzed through descriptive statistics. Results: The partial thickness loss of dermis presenting as a shallow open ulcer, intact or open/ruptured blister, consistent with a stage II pressure injury, was the significant defining characteristic. Significant related factors were pressure on bony prominence, friction surface, shear forces, and incontinence. The population at significant risk was that at age extremes (≥60 years). Significant associated conditions were pharmacological agent, physical immobilization, anemia, decreased tissue perfusion, and impaired circulation. Conclusion: The clinical indicators assessed in the patients showed evidence of the nursing diagnosis Adult pressure Injury, with significant lesions consistent with stage II, resulting from pressure, especially in elderly individuals, and in those on various medications.

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Section: Resultssupporting

confidence: 91%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical evidence of the nursing diagnosis Adult pressure injury

Santos

Barbosa

Almeida

et al. 2021

Rev. esc. enferm. USP

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“…(5) As lesões por pressão podem surgir em decorrência de fatores de risco intrínsecos e extrínsecos ao paciente, relacionadas à utilização de dispositivos, procedimentos terapêuticos e diagnósticos. (6) Com esse entendimento, ressalta-se a importância da avaliação dos riscos de LP, enquanto sinalizador para a enfermagem atuar de forma eficaz na prevenção.…”

Section: Introductionunclassified

Intervenção Educativa Sobre Prevenção De Lesão Por Pressão: Relato De Experiência

Albuquerque¹,

Torres²,

Gouveia³

et al. 2022

Enfermagem Em Foco

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Objetivo: Relatar a experiência de intervenção educativa sobre prevenção de lesão por pressão com profissionais de enfermagem na terapia intensiva. Métodos: Relato de experiência, desenvolvido durante intervenção educativa com 91 profissionais de enfermagem de seis unidades de terapia intensiva na região nordeste, no período de setembro a outubro de 2018, após aprovação ética pelo parecer 2.495.293. Resultados: A intervenção educativa foi pautada na Teoria Construtivista da Aprendizagem Significativa e enfatizou as novas diretrizes da National Pressure Ulcer Advory Painel e discussão de casos clínicos. Realizaram-se 18 encontros de curta duração com participação de 29 enfermeiros e 62 técnicos de enfermagem. Conclusão: A intervenção educativa foi positiva para trabalhar a temática prevenção de lesão por pressão com profissionais de enfermagem.

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