Cássia Teixeira dos Santos

Clinical profile and nursing diagnosis of patients at risk of pressure ulcers

Estudo transversal, cujos objetivos foram caracterizar os pacientes em risco para ulcera por pressao (UP) e identificar os seus diagnosticos de enfermagem (DEs). A amostra consistiu de 219 hospitalizacoes de pacientes adultos em risco para UP, determinado pela escala de Braden. Os dados foram coletados, retrospectivamente, em registros da escala de Braden e em prontuario eletronico e, apos, analisados estatisticamente. A maioria dos pacientes era de mulheres, idosos, com tempo de internacao mediano de nove dias e portadores de doencas cerebrovasculares, pulmonares, cardiovasculares, metabolicas e neoplasicas. Os DEs mais frequentes foram risco para infeccao, sindrome do deficit no autocuidado, deficit no autocuidado: banho/higiene, mobilidade fisica prejudicada, nutricao desequilibrada: menos do que as necessidades corporais, padrao respiratorio ineficaz, integridade tissular prejudicada, dor aguda, alteracao na eliminacao urinaria, integridade da pele prejudicada, risco para prejuizo da integridade da pele. Conclui-se que esses DEs, na maioria, sao comuns a pratica clinica de enfermagem.This cross-sectional study characterizes patients at risk of Pressure Ulcers (PUs) and identifies their corresponding Nursing Diagnoses (NDs). The sample consisted of 219 hospitalizations of adult patients at risk for developing a PU established through the Braden Scale. Data concerning the results of the application of the Braden Scale were retrospectively collected from the patients’ medical files and statistically analyzed. Most patients were elderly women hospitalized for an average of nine days, affected by cancer, cerebrovascular, lung, cardiovascular and metabolic diseases. The most frequent NDs were Risk for infection, Self-care deficit syndrome, Bathing/hygiene self-care deficit, Impaired physical mobility, Imbalanced nutrition: less than body requirements, Ineffective breathing pattern, Impaired tissue integrity, Acute pain, Impaired urinary elimination, Impaired skin integrity, and Risk for impaired skin integrity. We conclude that most NDs are common in clinical nursing practice.

Perfil clínico e diagnósticos de enfermagem de pacientes em risco para úlcera por pressão

Estudo transversal, cujos objetivos foram caracterizar os pacientes em risco para ulcera por pressao (UP) e identificar os seus diagnosticos de enfermagem (DEs). A amostra consistiu de 219 hospitalizacoes de pacientes adultos em risco para UP, determinado pela escala de Braden. Os dados foram coletados, retrospectivamente, em registros da escala de Braden e em prontuario eletronico e, apos, analisados estatisticamente. A maioria dos pacientes era de mulheres, idosos, com tempo de internacao mediano de nove dias e portadores de doencas cerebrovasculares, pulmonares, cardiovasculares, metabolicas e neoplasicas. Os DEs mais frequentes foram risco para infeccao, sindrome do deficit no autocuidado, deficit no autocuidado: banho/higiene, mobilidade fisica prejudicada, nutricao desequilibrada: menos do que as necessidades corporais, padrao respiratorio ineficaz, integridade tissular prejudicada, dor aguda, alteracao na eliminacao urinaria, integridade da pele prejudicada, risco para prejuizo da integridade da pele. Conclui-se que esses DEs, na maioria, sao comuns a pratica clinica de enfermagem.This cross-sectional study characterizes patients at risk of Pressure Ulcers (PUs) and identifies their corresponding Nursing Diagnoses (NDs). The sample consisted of 219 hospitalizations of adult patients at risk for developing a PU established through the Braden Scale. Data concerning the results of the application of the Braden Scale were retrospectively collected from the patients’ medical files and statistically analyzed. Most patients were elderly women hospitalized for an average of nine days, affected by cancer, cerebrovascular, lung, cardiovascular and metabolic diseases. The most frequent NDs were Risk for infection, Self-care deficit syndrome, Bathing/hygiene self-care deficit, Impaired physical mobility, Imbalanced nutrition: less than body requirements, Ineffective breathing pattern, Impaired tissue integrity, Acute pain, Impaired urinary elimination, Impaired skin integrity, and Risk for impaired skin integrity. We conclude that most NDs are common in clinical nursing practice.

Análise das subescalas de Braden como indicativos de risco para úlcera por pressão

Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer. DESCRIPTORS: Pressure ulcer. Nursing care. Protocols.Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer.

Braden subscales analysis as indicative of risk for pressure ulcer

Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer. DESCRIPTORS: Pressure ulcer. Nursing care. Protocols.Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer.

Análisis de las subescalas Braden como indicativo de riesgo para las úlceras por presión

Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer. DESCRIPTORS: Pressure ulcer. Nursing care. Protocols.Cross-sectional study that aimed to identify subscales scores that evaluate the risk for pressure ulcer in the implementation of the Braden Scale, and associate them with reasons for hospitalization, comorbidities and demographic characteristics of the hospitalized adult patients. The sample consisted of 187 patients at risk for pressure ulcer with a total score ≤13 on that scale. Data were collected retrospectively in the sheets with the Braden Scale and medical records, analyzed by descriptive statistics and tests of Mann-Whitney and Spearman. The results showed majority of women and elderly with cerebral, pulmonary, cardiovascular, metabolic and cancer diseases. The scores verified by the subscales indicated bedfast patients with limited mobility and activity. The altered nutrition was also an important factor, followed by the problems of friction and/or shearing, alteration of sensory perception and moisture. These findings allow us to support the prevention qualification of pressure ulcer.

Perfil clínico y diagnósticos de enfermería de pacientes en riesgo de contraer úlcera por presión

Estudo transversal, cujos objetivos foram caracterizar os pacientes em risco para ulcera por pressao (UP) e identificar os seus diagnosticos de enfermagem (DEs). A amostra consistiu de 219 hospitalizacoes de pacientes adultos em risco para UP, determinado pela escala de Braden. Os dados foram coletados, retrospectivamente, em registros da escala de Braden e em prontuario eletronico e, apos, analisados estatisticamente. A maioria dos pacientes era de mulheres, idosos, com tempo de internacao mediano de nove dias e portadores de doencas cerebrovasculares, pulmonares, cardiovasculares, metabolicas e neoplasicas. Os DEs mais frequentes foram risco para infeccao, sindrome do deficit no autocuidado, deficit no autocuidado: banho/higiene, mobilidade fisica prejudicada, nutricao desequilibrada: menos do que as necessidades corporais, padrao respiratorio ineficaz, integridade tissular prejudicada, dor aguda, alteracao na eliminacao urinaria, integridade da pele prejudicada, risco para prejuizo da integridade da pele. Conclui-se que esses DEs, na maioria, sao comuns a pratica clinica de enfermagem.This cross-sectional study characterizes patients at risk of Pressure Ulcers (PUs) and identifies their corresponding Nursing Diagnoses (NDs). The sample consisted of 219 hospitalizations of adult patients at risk for developing a PU established through the Braden Scale. Data concerning the results of the application of the Braden Scale were retrospectively collected from the patients’ medical files and statistically analyzed. Most patients were elderly women hospitalized for an average of nine days, affected by cancer, cerebrovascular, lung, cardiovascular and metabolic diseases. The most frequent NDs were Risk for infection, Self-care deficit syndrome, Bathing/hygiene self-care deficit, Impaired physical mobility, Imbalanced nutrition: less than body requirements, Ineffective breathing pattern, Impaired tissue integrity, Acute pain, Impaired urinary elimination, Impaired skin integrity, and Risk for impaired skin integrity. We conclude that most NDs are common in clinical nursing practice.