{"title":"外伤患者压疮的患病率:诱发因素。","authors":"Andreia Costa, Madalena Cunha","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Pressure ulcers [PrUs], recognized as a complex problem of multifactorial cause, with high costs at individual, family and socioeconomic level, are also taken as an indicator of quality in nursing care. Knowing that the Person Victim of Trauma involves high risk of developing PrUs, it is imperative to investigate the factors that lead to it</p><p><strong>Objectives: </strong>To determine the prevalence of PrUs in Person Victim of Trauma; to identify predisposing factors for the development of PrUs.</p><p><strong>Materials and methods: </strong>Observational study conducted in a non-probabilistic sample of convenience, with 500 trauma victims as participants, admitted to the Hospital Infante D. Pedro, in Aveiro, in 2010. Data were collected based on the Clinic Grid (Cunha & Costa, 2011) RESULTS: The prevalence of Pressure Ulcer [PrU] was 4% and the statistically significant factors of its development were : advanced age, greater length of stay, lower diastolic blood pressure, higher pain intensity; dependence in self-care: eating and drinking; presence of diabetes, presence of urinary catheter on admission and during hospitalization, use of diaper; dependence on hygiene and protection of integuments; presence of dry skin; need for physical restraint; taking antibiotics and anti-inflammatory medicine; longer time from admission to the first application of the Braden Scale; higher risk of PrU in the first assessment</p><p><strong>Conclusions: </strong>This confirms the multifactorial development of PrUs, which makes it relevant for the nurses to consider factors such as length of stay, age, blood pressure, pain, reliance on self-care, physical restraint; antibiotics, assessment and risk level in their planning / implementation of preventive measures against that development and the consequent improvement of the quality of their care.</p>","PeriodicalId":77393,"journal":{"name":"Servir (Lisbon, Portugal)","volume":"58 1-2","pages":"60-77"},"PeriodicalIF":0.0000,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Prevalence of pressure ulcers in person victim of trauma: predisposing factors].\",\"authors\":\"Andreia Costa, Madalena Cunha\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Pressure ulcers [PrUs], recognized as a complex problem of multifactorial cause, with high costs at individual, family and socioeconomic level, are also taken as an indicator of quality in nursing care. Knowing that the Person Victim of Trauma involves high risk of developing PrUs, it is imperative to investigate the factors that lead to it</p><p><strong>Objectives: </strong>To determine the prevalence of PrUs in Person Victim of Trauma; to identify predisposing factors for the development of PrUs.</p><p><strong>Materials and methods: </strong>Observational study conducted in a non-probabilistic sample of convenience, with 500 trauma victims as participants, admitted to the Hospital Infante D. Pedro, in Aveiro, in 2010. Data were collected based on the Clinic Grid (Cunha & Costa, 2011) RESULTS: The prevalence of Pressure Ulcer [PrU] was 4% and the statistically significant factors of its development were : advanced age, greater length of stay, lower diastolic blood pressure, higher pain intensity; dependence in self-care: eating and drinking; presence of diabetes, presence of urinary catheter on admission and during hospitalization, use of diaper; dependence on hygiene and protection of integuments; presence of dry skin; need for physical restraint; taking antibiotics and anti-inflammatory medicine; longer time from admission to the first application of the Braden Scale; higher risk of PrU in the first assessment</p><p><strong>Conclusions: </strong>This confirms the multifactorial development of PrUs, which makes it relevant for the nurses to consider factors such as length of stay, age, blood pressure, pain, reliance on self-care, physical restraint; antibiotics, assessment and risk level in their planning / implementation of preventive measures against that development and the consequent improvement of the quality of their care.</p>\",\"PeriodicalId\":77393,\"journal\":{\"name\":\"Servir (Lisbon, Portugal)\",\"volume\":\"58 1-2\",\"pages\":\"60-77\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Servir (Lisbon, Portugal)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Servir (Lisbon, Portugal)","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
简介:压疮[PrUs]被认为是一个多因素的复杂问题,在个人、家庭和社会经济层面上都有很高的成本,也被作为护理质量的一个指标。了解创伤患者发生pru的高危因素,有必要对导致pru发生的因素进行研究。目的:了解创伤患者pru的患病率;找出诱发前列腺增生的因素。材料和方法:为方便起见,在非概率样本中进行了观察性研究,2010年在阿威罗的Infante D. Pedro医院住院的500名创伤受害者作为参与者。根据临床网格(Cunha & Costa, 2011)收集数据。结果:压疮[PrU]患病率为4%,其发展有统计学意义的因素是:年龄大、住院时间长、舒张压低、疼痛强度高;自理依赖:饮食;有糖尿病,入院时和住院期间有导尿,使用尿布;对卫生的依赖和对外阴的保护;皮肤干燥;身体约束的需要;服用抗生素和消炎药;从入学到首次申请布拉登量表所需的时间较长;结论:证实了PrU的多因素发展,护士应考虑住院时间、年龄、血压、疼痛、自我护理依赖、身体约束等因素;抗生素,评估和风险水平,在规划/实施针对这种发展的预防措施以及随之而来的护理质量的改善。
[Prevalence of pressure ulcers in person victim of trauma: predisposing factors].
Introduction: Pressure ulcers [PrUs], recognized as a complex problem of multifactorial cause, with high costs at individual, family and socioeconomic level, are also taken as an indicator of quality in nursing care. Knowing that the Person Victim of Trauma involves high risk of developing PrUs, it is imperative to investigate the factors that lead to it
Objectives: To determine the prevalence of PrUs in Person Victim of Trauma; to identify predisposing factors for the development of PrUs.
Materials and methods: Observational study conducted in a non-probabilistic sample of convenience, with 500 trauma victims as participants, admitted to the Hospital Infante D. Pedro, in Aveiro, in 2010. Data were collected based on the Clinic Grid (Cunha & Costa, 2011) RESULTS: The prevalence of Pressure Ulcer [PrU] was 4% and the statistically significant factors of its development were : advanced age, greater length of stay, lower diastolic blood pressure, higher pain intensity; dependence in self-care: eating and drinking; presence of diabetes, presence of urinary catheter on admission and during hospitalization, use of diaper; dependence on hygiene and protection of integuments; presence of dry skin; need for physical restraint; taking antibiotics and anti-inflammatory medicine; longer time from admission to the first application of the Braden Scale; higher risk of PrU in the first assessment
Conclusions: This confirms the multifactorial development of PrUs, which makes it relevant for the nurses to consider factors such as length of stay, age, blood pressure, pain, reliance on self-care, physical restraint; antibiotics, assessment and risk level in their planning / implementation of preventive measures against that development and the consequent improvement of the quality of their care.