Identifying the profile of the Skin Tears patient in hospitalization - contributions to care planning

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32146

Keywords:

Wounds and injuries; Elderly; Nursing care.

Abstract

Objective: To identify the profile of patients with Skin Tears in hospital admission and propose the development of a digital instrument for nurse assessment. Method: Observational, cross-sectional study, in a university hospital in the city of São Paulo. The collection was performed in the months of September 2021 to April 2022, with quantitative analysis. Results: The sample was composed of 34 patients, with a prevalence of men, with a mean age of 66.3 years, 44% admitted to the ICU with a higher predominance of cause of hospitalization for infection. In this study, 17 patients had hypertension and 74.7% used a cotinous mixture of medications. Among the patients, 79.4% had edema, 41.2% performed body hydration, 88.2% did not wander, 94% required help to change their decubitus, and 26 patients were bedridden. Laboratory tests indicated changes in C-reactive protein, hemoglobin, hematocrit, and platelets. The most prevalent medical device was central venous catheter/dialysis (64.7%), pressure injury was present in 42 patients (123.5%) and the most prevalent friction injury, using the STAR classification, was class 1 a (23.5%), being present in half of the patients in the upper limbs (50%). Conclusion: In the present study, it was possible to identify the main characteristics of the patient with Skin Tears and the nurse's need for information and knowledge about this type of injury to prevent its development through prevention and perform the appropriate treatment.

References

Alexandre, N. M. C., Gallasch, C. H., Lima, M. H. M., & Rodrigues, R. C. M. (2013). A confiabilidade no desenvolvimento e avaliação de instrumentos de medida na área da saúde. Revista Eletrônica De Enfermagem, 15(3), 800–7. https://doi.org/10.5216/ree.v15i3.20776

Aranha, J. dos S., Silva, J. L. L., Almeida, G. L., Lima, V. F., Santos, G. L. A., Souza, R. F., Oliveira, F. de A. de L., & Pereira, R. L. (2020). Intervenções de enfermagem na prevenção de skin tears. Brazilian Journal of Development, 6(6), 36849–36860. https://doi.org/10.34117/bjdv6n6-284

Benbow M. (2017). Assessment, prevention and management of skin tears. Nursing older people, 29(4), 31–39. https://doi.org/10.7748/nop.2017.e904

Chavaglia, S., Ohl, R., Ferreira, L., Santiago, V., Abdanur, A., & Soares, A. (2014). Caracterização de pacientes com lesão cutânea em unidades de internação médica e cirúrgica. Revista de Enfermagem UFPE on line, 9(1), 183-192. https://doi.org/10.5205/1981-8963-v9i1a10324p183-192-2015

Gamba, M. A., Petri, V., & Costa. M, T. F. (2016). Feridas - Prevenção, Causas e Tratamento. Guanabara.

Gomes, B. E., Souza, P. V. de, Silva, G. D. da, Rocha, R. M., Kuriyama, S. N., & Silvino, Z. R. (2019). Sistematizando o conhecimento acerca da prevenção das lesões do tipo skin tears na pele senil: Systematizing knowledge about prevention of skin tears in the aged skin. Revista Enfermagem Atual In Derme, 77(15). https://doi.org/10.31011/reaid-2016-v.77-n.15-art.377

Gomes, F. S. L., Bastos, M. A. R., Matozinhos, F. P., Temponi, H. R., & Velásquez-Meléndez, G. (2011). Avaliação de risco para úlcera por pressão em pacientes críticos. Revista Da Escola de Enfermagem Da USP, 45(2), 313–318. https://doi.org/10.1590/s0080-62342011000200002

Kawamoto E. E. (2016). Anatomia e Fisiologia para Enfermagem. Guanabara Koogan.

LeBlanc, K., Baranoski, S., Holloway, S., Langemo, D., & Regan, M. (2014). A descriptive cross-sectional international study to explore current practices in the assessment, prevention and treatment of skin tears. International wound journal, 11(4), 424–430. https://doi.org/10.1111/iwj.12203

Lopez, V., Dunk, A. M., Cubit, K., Parke, J., Larkin, D., Trudinger, M., Stuart, M., & Joanna Briggs Institute (2011). Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project. International journal of evidence-based healthcare, 9(4), 429–434. https://doi.org/10.1111/j.1744-1609.2011.00234.x

Marconi, M. A., & Lakatos, E. M (2016). Fundamentos de metodologia científica. Atlas.

McInulty L. (2017). Prevention and management of skin tears in older people. Emergency nurse: the journal of the RCN Accident and Emergency Nursing Association, 25(3), 32–39. https://doi.org/10.7748/en.2017.e1687

Neiva, G. P., Carnevalli, J. R., Cataldi, R. L., Furtado, D. M., Fabri, R. L., & Silva, P. S. (2014). Hematological change parameters in patients with pressure ulcer at long-term care hospital. Einstein, 12(3), 304–309. https://doi.org/10.1590/S1679-45082014AO3034

Salomé, G. M. (2020). Development of educational material for the prevention and treatment of friction injuries: Estima – Brazilian Journal of Enterostomal Therapy, 18. Retrieved from https://www.revistaestima.com.br/estima/article/view/923

Santos N. C. M. (2014). Anatomia e Fisiologia Humana. Érica.

Soldera, D., Balbinot Reis Girondi, J., Silveira de Almeida Hammerschmidt, K., Amante, L., & Luz Ouriques Neta, E. (2021). Lesões por pressão relacionadas a dispositivos médicos na prática clínica de enfermeiros. Enfermagem em Foco, 12(2).https://doi.org/10.21675/2357-707X.2021.v12.n2.3427

Souza, L. M. de, Teixeira, G. da S., Silva, D. M. da, Ruiz, L. da S., Coppola, I. dos S., & Meirelles, L. C. da S. (2021). Prevalence of skin tears in hospitalized adults and older adults. Revista Da Escola de Enfermagem Da USP, 55. https://doi.org/10.1590/s1980-220x2019025103683

Spin, M.., Vocci, M. C., Marcondes Sardeli, K., Terra Rodrigues Serafim, C., Velozo, B. C., Popim, R. C., & Novelli e Castro, M. C. (2021). SKIN TEARS IN THE ELDERLY. Estima – Brazilian Journal of Enterostomal Therapy, 19. https://www.revistaestima.com.br/estima/article/view/1002

Strazzieri-Pulido, K. C., Peres, G. R. P., Campanili, T. C. G. F., & Santos, V. L. C. de G. (2015). Skin tear prevalence and associated factors: a systematic review. Revista Da Escola de Enfermagem Da USP, 49(4), 0674–0680. https://doi.org/10.1590/s0080-623420150000400019

Torres F. S., Blanes L., Galvão T. F., & Ferreira L. M. (2016). Manual de Prevenção e Tratamento de Lesão por Fricção.

Vieira, C. P. B. de, Ferreira, P. C. de, Araújo, T. M. E. de, Silva Júnior, F. J. G., Galiza, F. T, & Rodrigues, A. S. O. (2020). Prevalência de lesões por fricção e fatores assocaidos em idosos em terapia intensiva. Texto & Contexto - Enfermagem, 29, e20180515. https://doi.org/10.1590/1980-265x-tce-2018-0515

Woo, K., & LeBlanc, K. (2018). Prevalence of skin tears among frail older adults living in Canadian long-term care facilities. International journal of palliative nursing, 24(6), 288–294. https://doi.org/10.12968/ijpn.2018.24.6.288

Published

18/07/2022

How to Cite

FREITAS, M. S. de .; SANTOS, L. S. C. .; DEVEZAS, A. M. L. de O.; ROCHA, A. B. de L.; MOTA , N. D. da . Identifying the profile of the Skin Tears patient in hospitalization - contributions to care planning. Research, Society and Development, [S. l.], v. 11, n. 9, p. e54311932146, 2022. DOI: 10.33448/rsd-v11i9.32146. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32146. Acesso em: 22 dec. 2024.

Issue

Section

Health Sciences