Abstract
Objectives: To investigate the clinical profile and the level of risk for pressure injuries in patients with these injuries in the Intensive Care Unit, and describe the characteristics of the identified injuries. Method: quantitative, exploratory study conducted in Teaching Hospital in Joao Pessoa / PB, approved by the Institutional Ethics Committee, under protocol number 451/11. The sample consisted of 20 patients, with pressure injuries. To collect data, we used the Braden Scale and a form with clinical data and description of injuries. Results: 45.0% were at high risk and 30% very high (30.0%) to develop the lesions that occurred predominantly in the sacrococcygeal region (33.3%) and stage II (55.0%). Conclusions: All patients had clinical profile and risk level compatible with the development of pressure injuries, highlighting the importance of assessing the Braden Scale and other contributing factors for the occurrence of these injuries in the studied unit.
Highlights
#: João Pessoa, PB, Brazil * Article extracted from the database of the Doctoral Thesis “Construction, use and assessment of the effects of pressure ulcer prevention protocol in the Intensive Care Unit”, presented at Ribeirão Preto College of Nursing (EERP), University of São Paulo (USP), WHO Collaborating Centre for Research Development in Nursing, Ribeirão Preto, SP, Brazil
The term pressure injury was established in April 2016 by the National Pressure Ulcer Advisory Panel (NPUAP), replacing the name pressure ulcer, and has been updated the nomenclature of the qualifying stages
The sample consisted of 20 patients, was obtained by accessibility considering the following inclusion criteria: carrier of pressure injuries (PI) at the time of Intensive Care Unit (ICU) admission or develop the injury during the period of data collection, meet the acceptance criteria for participation in research or through formal authorization from the responsible relative, when unconscious
Summary
Despite advances in knowledge of the causes of PI and recommendations for prevention, the number of patients who develop these injuries, mainly during hospitalization, remains high, with serious consequences for patients and caregivers, and for services health through the important economic burden that cause [1]. It is justified the concern of researchers on this subject, because it is a problem preventable and unacceptable in most cases [2]. It became clear that the tolerance of soft tissue to pressure and shear, can be affected by other factors such as microclimate, nutrition, infusion, comorbidities and its condition [3]
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