Application of the Braden scale in pressure injury risk assessment in an Intensive Care Unit
DOI:
https://doi.org/10.33448/rsd-v9i11.10193Keywords:
Pressure Injury; Intensive care unit; Braden scale.Abstract
Objective: Contribute to health and nursing research, by analyzing the incidence of pressure injuries in an ICU, correlating it with the scores obtained on the Braden Scale. Method: This is a quantitative-descriptive, retrospective study carried out by collecting secondary data from the medical records of patients admitted to an adult ICU of a public hospital in the city of Natal / RN. The study sample consisted of 177 patients admitted to the ICU from March to December of the year 2019. The analysis of the results obtained was processed by means of statistical calculations, placed in absolute numbers and percentages, in the way that best demonstrated the amount sample. Results: Of the 177 hospitalized patients, 46.33% were female and 53.67% were male, with a mean age of 65.3 (± 16.50) years. Only 7.34% died. Regarding the incidence of PPL during hospitalization, a difference of 53.67% was found in men, compared to 46.33% in women. The average length of stay for patients who developed LPP was 14.51 days and for those who did not develop it was only 5.57 days. It was identified that the average of the Braden Scale scores of patients who acquired LPP during their hospitalization did not show significant variation when compared to those who did not develop LPP. Conclusion: The results allowed to trace the reality of the service studied, providing subsidies for the planning of the assistance provided and intensifying the attention to the challenges that we have in the face of the problem represented by the LPP.
References
Associação Brasileira de Estomaterapia, Associação Brasileira de Enfermagem em Dermatologia, Caliri MHL, Santos VLCG, Mandelbaum MHS, Costa IG. Classificação das lesões por pressão – consenso NPUAP 2016 – Adaptada culturalmente para o Brasil [Internet]. Available from: http://www.sobest.org.br/textod/35
Becker, D., Tozo, T. C., Batista, S. S., Mattos, A. L., Silva, M. C. B., Rigon, S., ... & Duarte, P. A. (2017). Pressure ulcers in ICU patients: Incidence and clinical and epidemiological features: A multicenter study in southern Brazil. Intensive and Critical Care Nursing, 42, 55-61.
BRASIL. Ministério da Saúde. Portaria nº 529 de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasília, DF, 2013.
Diccini, S., Camaduro, C., & Iida, L. I. S. (2009). Incidência de úlcera por pressão em pacientes neurocirúrgicos de hospital universitário. Acta paulista de enfermagem, 22(2), 205-9.
González‐Méndez, M. I., Lima‐Serrano, M., Martín‐Castaño, C., Alonso‐Araujo, I., & Lima‐Rodríguez, J. S. (2018). Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit. Journal of clinical nursing, 27(5-6), 1028-37.
Lentsck, M. H., Oliveira, R. R. D., Corona, L. P., & Mathias, T. A. D. F. (2020). Fatores de risco para óbito de pacientes com trauma internados em Unidade de Terapia Intensiva. Revista Latino-Americana de Enfermagem, 28.
Mendonça, P. K., Loureiro, M. D. R., Ferreira Júnior, M. A., & Souza, A. S. D. (2018). Ocorrência e fatores de risco para lesões por pressão em centros de terapia intensiva. Revista de Enfermagem da UFPE, 12(2), 303-11.
Moraes, G.L.A., Araújo, T.M, Caetano, J.A., Áfio, L.M.V.O & Silva, M.J. (2012). Avaliação de risco para úlcera por pressão em idosos acamados no domicílio. Acta Paulista de Enfermagem, 25(spe1), 7-12.
National Pressure Ulcer Advisory Panel (NPUAP). National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury [Internet]. Washington: NPUAP; 2016. Available from: http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressureulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/.
Otto, C., Schumacher, B., Wiese, L.P.L., Ferro, C., Rodrigues, R.A. (2019). Risk factors for the development of pressure lesion in critical patients. Enferm. foco (Brasília) ; 10(1): 07-11.
Pachá, H. H. P., Faria, J. I. L., Oliveira, K. A. D., & Beccaria, L. M. (2018). Lesão por Pressão em Unidade de Terapia Intensiva: estudo de caso-controle. Revista Brasileira de Enfermagem, 71(6), 3027-34.
Paim, L., Trentini, M., Madureira, V. S. F., & Stamm, M. (2008). Pesquisa convergente-assistencial e sua aplicação em cenários da enfermagem. Cogitare Enfermagem, 13(3).
Rocha, P. K., Prado, M. L. D., & Silva, D. M. G. V. D. (2012). Pesquisa Convergente Assistencial: uso na elaboração de modelos de cuidado de enfermagem. Revista Brasileira de Enfermagem, 65(6), 1019-25.
Santos, L. R. C. L., & Lino, A. (2018). Riscos de lesão por pressão: aplicação da Escala de Braden em terapia intensiva. ESTIMA. Braz J Enterostomal Ther, 16(818), 1-7.
Serrano, M. L., Mendez, M. G., Cebollero, F. C., & Rodriguez, J. L. (2017). Risk factors for pressure ulcer development in Intensive Care Units: A systematic review. Medicina Intensiva (English Edition), 41(6), 339-46.
Silva, S. A. M., Pires, P.S., Macedo, M. P., Oliveira, L. S., Batista, J. E. T., & Amaral, J. M. (2018). Lesão por pressão: incidência em unidades críticas de um hospital regional.ESTIMA, Braz J, 16, e4318.
Siqueira, V. D. B., Melo, F. B. D. S., Mattos, R. M. D., Santos, L. D. S., Kazahaya, L. V., & Macedo, Y. T. D. (2015). Fatores de risco para desenvolver úlceras por pressão segundo a escala de Braden: o idoso em evidência. Rev enferm UFPI, 81-8.
Sousa, C. A., Santos, I., & Silva, L. D. (2006). Aplicando recomendações da Escala de Braden e prevenindo úlceras por pressão-evidências do cuidar em enfermagem. Revista Brasileira de Enfermagem, 59(3), 279-84.
Sousa, P., & Mendes, W. (2019). Segurança do Paciente: criando organizações de saúde seguras. Editora Fiocruz.
Vargas, R. G., & Santos, L. P. (2019). Prevenção de lesão por pressão em UTI-aplicabilidade da Escala de Braden. Revista Pró-UniverSUS, 10(1), 162-5.
Zarei, E., Madarshahian, E., Nikkhah, A., & Khodakarim, S. (2019). Incidence of pressure ulcers in intensive care units and direct costs of treatment: Evidence from Iran. Journal of tissue viability, 28(2), 70-4.
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Copyright (c) 2020 Rayra Mass Lucena de Sena Lima; Micheline Veras de Moura; Johnata da Cruz Matos; Karla Cristina Walter; Aliete Cristina Gomes Dias Pedrosa da Cunha Oliveira; Verbena Santos Araújo; Eliane Santos Cavalcante; Vilani Medeiros de Araújo Nunes; Emily Kathiene Silva de Mesquita; Michel Siqueira da Silva
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