Prevalence of Pressure Injury of Bedridden Patients, Hospitalized in a Public Hospital

  • Sandra Marina Gonçalves Bezerra
  • Francisca Maria Rodrigues de Sousa
  • Lídya Tolstenko Nogueira
  • Daniel de Macêdo Rocha
  • Tharcia Evaristo Soares de Carvalho
  • Aline Costa de Oliveira
  • Cláudia Daniela Avelino Vasconcelos Benício

Abstract

Objective: To analyze the prevalence of pressure injury in bedridden patients, hospitalized in a public hospital.


Methodology: This is a cross-sectional study conducted in the city of Teresina, state of Piauí. The sample consisted of 27 bedridden patients, with pressure injuries.


Results: The injury prevalence was 31,4%. From the 27 patients studied, 59.3% were elderly, 77.8% were male, 48.1% had circulatory system diseases, 22.2% had respiratory system diseases and 59.3% of the pressure injuries were located in the sacral region.


Conclusion: The prevalence of pressure injury was high among bedridden patients, which shows the need of preventive measures, such as protocol implantation, use of scale of risk assessment, appropriate supporting surface, repositioning in bed, adequacy of dressings and instructions for patient discharge.


Keywords: Pressure ulcer. Prevalence. Nursing.

References

1. Campolina AG, Adami F, Santos JLF, Lebrão ML. The health
transition and changes in healthy life expectancy in the elderly
population: possible impacts of chronic disease prevention.
Cad.SaúdePública, 2013; 29(6):1217-1229.
2. Diniz EM, Morita ABPS. Paula MAB. Risk situation for pressure
ulcer in home care unit. Rev. Estima, 2016; 14(2):53-60.
3. NPUAP. National Pressure Ulcer Advisory Panel. The National
Pressure Ulcer Advisory Panel redefined the definition of a
pressure injuries during the NPUAP 2016. Staging Consensus
Conference that was held April 8-9, 2016.
4. Bezerra SMG, Barros KM, Brito JA, Santana WS, Moura ECC, Luz
MHBA. Characterization of sores in bedridden patients assisted
by the Family Health Strategy. Rev. Interd, 2013; 6(1):105-114.
5. Briggs M, Collinson M, Wilson L, Rivers C, Mcginnis E, Dealey
C, Brown J, Coleman S, Stubbs N, Stevenson R. The prevalence
of pain at pressure areas and pressure ulcers in hospitalised
patients. BMC Nurs., 2013; 12(1):14-19.
6. Gunningberg L, Hommel A, Bååth C, Idvall E. The first
national pressure ulcer prevalence survey in county council
and municipality settings in Sweden. J. Eval. Clin. Pract., 2013;
19(5):862-867.
7. Matos LS, Duarte NLV, Minetto RC. Incidência e prevalência de
úlcera por pressão no CTI de um Hospital Público do DF. Rev.
Eletr. Enf.,2010; 12(4):719-26.
8. Pessoa EFR, Rocha JGSC, Bezerra SMG. Prevalence of pressure
ulcers in bedridden registered at the Family Health Strategy: a
nursing study. R. Interd.,2011; 4(1):14-18.
9. Bezerra, SMG, Barros KM, Brito JA, Santana WS, Moura ECC,
Luz, MHBA. Characterization of sores in bedridden patients
assisted by the Family Health Strategy. Rev. Interd., 2013;
6(3):105-114.
10. Souza DMST, Borges FR, Juliano Y, Veiga DF, Ferreira LM.
Qualidade de vida e autoestima de pacientes com úlcera crônica.
Acta Paul Enferm. 2013; 26(3):283-8.
11. Silva EWNL, Araújo RA, Oliveira EC, Falcão VTFL. Applicability of
the prevention protocol of pressure ulcers in intensive care unit.
Rev Bras Ter Intensiva. 2010; 22(2):175-185.
12. Brasil. Ministério da Saúde. Programa de Segurança do Paciente.
Portaria GM/MS 529/2013. Available in: http://www.saude.
mt.gov.br/upload/controle-infeccoes/pasta2/portaria-msgm-n-
529-de-01-04-2013.pdf. Access in Octuber 2016.
13. Bezerra, SMG et. al. Prevalência, Fatores Associados e
Classificação de Úlcera por Pressão em Pacientes com
Imobilidade Prolongada Assistidos na Estratégia Saúde da
Família, Rev Estima. 2014; 12(3):41- 49.
14. Queiroz ACCM, Mota DDCF, Bachion MM, Ferreira ACM.
Pressure ulcers in palliative home care patients: prevalence and
characteristics. Rev. Esc. Enferm USP, 2014; 48(2):264-71.
15. Chaiamyti EMPC, Caliri MHL. Pressure ulcer in patients under
home care. Acta Paul Enferm., 2010; 23(1):29-34.
16. Lucena AF, Pereira AGS, Almeida MA, Dias VLM, Friedrich MA.
Clinical Profile and Nursing Diagnosis of Patients at Risk of
Pressure Ulcers. Rev. Latino-Am. Enfermagem. 2011; 19(3):1-8.
17. Campos SF, Chagas ACP, Costa ABP, França REM, Jansen AK.
Factors associated with the development of pressure ulcers: the
impact of nutrition. Rev. Nutr. 2010; 23(5):703-714.
18. Moro JM, Caliri MHL. Pressure ulcer after hospital discharge and
home care. Rev. Esc. Anna Nery, 2016; 20(3):1-6.
19. Gomes FSL, Bastos MAR, Matozinhos FP, Temponi HR, Melèndez
GV. Risk assessment for pressure ulcer in critical patients. Rev.
Esc. Enferm. USP. 2011; 45(2):313-18.
20. Rogenski NMB, Kurcgant P. The incidence of pressure ulcers
after the implementation of a prevention protocol. Rev. Latino-
Am. Enfermagem. 2012; 20(2):1-7.
21. Sant’ana SMSC, et al. Venous ulcers: clinical characterization
and treatment in users treated in outpatient facilities. Rev Bras
Enferm., 2012, 65(4):637-44.
22. Borsato FB, Rossaneis MA; Haddad MCLF, Vannuchi MTO,
Vituri DW. Assessment of quality of nursing documentation in a
University Hospital. Acta paul. enferm., 2011; 24 (4):527-33.
Published
2017-03-05
How to Cite
GONÇALVES BEZERRA, Sandra Marina et al. Prevalence of Pressure Injury of Bedridden Patients, Hospitalized in a Public Hospital. International Archives of Medicine, [S.l.], v. 10, mar. 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2380>. Date accessed: 27 june 2017. doi: https://doi.org/10.3823/2288.
Section
Nursing

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.