LESÃO POR PRESSÃO RELACIONADA A DISPOSITIVOS MÉDICOS: FREQUÊNCIA E FATORES ASSOCIADOS
Resumo
Objetivo: analisar a ocorrência de lesões por pressão relacionadas a dispositivos médicos em pacientes internados em unidade de terapia intensiva. Método: estudo quantitativo, de caráter observacional descritivo, do tipo coorteprospectivo, realizado com 171 pacientes, no período de 15 de maio a 31 de agosto de 2018 nas unidades de terapia intensiva de um hospital público do Distrito Federal. Resultados: os principais fatores de risco foram presença de lesões por pressão na admissão, com associação significativa para a formação de lesão por pressão relacionada a dispositivos médicos (p=0,002), e pacientes que evoluíam ao desfecho óbito, com associação paraformação de lesão por pressão relacionada a dispositivos médicos (p=0,012); taxa de incidência de lesão por pressão relacionada a dispositivos médicos de 40,35%. Conclusão: o uso de dispositivo médico tem crescido, bem como a apropriação dessas tecnologias no ambiente de cuidados críticos. A equipe multiprofissional deve ficar atenta para a formação das lesões por pressão relacionadas a dispositivos médicos que podem acometer os pacientes internados.
Downloads
Referências
Galetto SGDS, Nascimento ERPD, Hermida PMV, Busanello J, Malfussi LBH, Lazzari DD. Medical device-related pressure injury prevention in critically ill patients: nursing care. Rev Bras Enferm. 2021;74(2): e20200062. English, Portuguese. https://doi.org/10.1590/0034-7167-2020-0062
National Pressure Ulcer Advisory Painel (NPUAP); 2016. Available at: http://www.npuap.org/resources/educational-andclinical-resources/pressure- injury-stagingillustrations/
Dalli ÖE, Girgin NK. Knowledge, perception and prevention performance of intensive care unit nurses about medical device-related pressure injuries. J Clin Nurs. 2021;1-8. https://doi.org/10.1111/jocn.16014
Dang W, Liu Y, Zhou Q, Duan Y, Gan H, Wang L et al. Risk factors of medical device-related pressure injury in intensive care units. J Clin Nurs. 2021;1-10. https://doi.org/10.1111/jocn.15974
Apold J, Rydrych D. Preventing Device-Related Pressure Ulcers. J Nurs Care Qual. 2012;27(1):28-34. https://doi.org/10.1097/NCQ.0b013e31822b1fd9
VanGilder C, Lachenbruch C, Algrim-Boyle C, Meyer S. The International Pressure Ulcer Prevalence Survey: 2006-2015: A 10-Year Pressure Injury Prevalence and Demographic Trend Analysis by Care Setting. J Wound Ostomy Continence Nurs. 2017;44(1):20-8. https://doi.org/10.1097/WON.0000000000000292
Jansen RCS, Silva KBA, Moura MES. Escala de Braden na avaliação do risco de úlcera por pressão. Rev. Bras. Enferm.2020;73(6):e20190413. http://doi.org/10.1590/0034-7167-2019-0413
Jackson D, Sarki AM, Betteridge R, Brooke J. Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud. 2019;92:109-20. https://doi.org/10.1016/j.ijnurstu.2019.02.006
Seong YM, Lee H, Seo JM. Development and Testing of an Algorithm to Prevent Medical Device-Related Pressure Injuries. Inquiry. 2021;2019;58:469580211050219. https://doi.org/10.1177/00469580211050219
Borghardt AT, Prado TN, Araújo TM, Rogenski NMB, Bringuente MEO. Evaluation of the pressure ulcers risk scales with critically ill patients: a prospective cohort study. Rev Latino-Am Enfermagem. 2015;23(1):28-35. https://doi.org/10.1590/0104-1169.0144.2521
Institute of neurological sciences nhs greater GLASGOW and clyde. Escala de coma de GLASGOW: Avalie da seguinte forma. 2018 [acesso em 20 out 2021]. Available at: https://www.glasgowcomascale.org/downloads/GCS-Assessment-Aid-Portuguese.pdf 12. Pereira M.G. Epidemiologia teoria e prática. Rio de Janeiro: Guanabara Koogan; 2018.
Asti E, Sironi A, Milito P, Bonavina G, Bonnita G, Bonavina L. Prevalence and risk factors of nasal pressure ulcers related to nasogastric intubation: an observational study. Eur Surg. 2017;49(4):171-4. https://doi.org/10.1007/s10353-017-0476-y
Padula CA, Paradis H, Goodwin R, Lynch J, Hegerich-Bartula D. Prevention of Medical Device–Related Pressure Injuries Associated With Respiratory Equipment Use in a Critical Care Unit. J Wound Ostomy Continence Nurs. 2017;44(2):138-41. https://doi.org/10.1097/WON.0000000000000311
Hanonu S, Karadag A. A Prospective, Descriptive Study to Determine the Rate and Characteristics of and Risk Factors for the Development of Medical Device-related Pressure Ulcers in Intensive Care Units. Ostomy Wound Management. 2016;62(2):12-22. Available at: https://www.owm.com/article/prospective-descriptive-study-determine-rate-and-characteristics-and-risk-factors
El-Marsi J, Zein-El-Dine S, Zein B, Doumit R, Badr LK. Predictors of Pressure Injuries in a Critical Care Unit in Lebanon: Prevalence, Characteristics, and Associated Factors. J Wound Ostomy Continence Nurs. 2018;45(2):131-6. https://doi.org/10.1097/WON.0000000000000415
Alderden J, Cummins MR, Pepper GA, Whitney JD, Zhang Y, Butcher R et al. Midrange Braden Subscale Scores Are Associated With Increased Risk for Pressure Injury Development Among Critical Care Patients. J Wound Ostomy Continence Nurs. 2017;44(5):420-8. https://doi.org/10.1097/WON.0000000000000349
Coyer FM, Stotts NA, Blackman VS. A prospective window into medical device-related pressure ulcers in intensive care. Int Wound J. 2014;11(6):656-64. https://doi.org/10.1111 / iwj.12026
Ham WH, Schoonhoven L, Schuurmans MJ, Leenen LP. Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers. Int Wound J. 2017;14(1):104-11. https://doi.org/10.1111/iwj.12568
Portaria n. 55 de 16 de Janeiro de 2018 (BR). Estabelece as normas e as diretrizes referentes à organização da Atenção Domiciliar da Secretaria de Estado de Saúde do Distrito Federal. Diário Oficial da União [periódico na internet], Brasília (DF). [cited 12 nov 2021]. Available at: http://www.sinj.df.gov.br/sinj/Norma/30234d464665423c8a558793d2761d46/ses_prt_55_2018.html#art5
Cox J, Roche S. Vasopressors and Development of Pressure Ulcers in Adult Critical Care Patients. Am J Crit Care. 2015;24(6):501-10. https://doi.org/10.4037/ajcc2015123
Otero DP, Domínguez DV, Fernández LH, Magariño AS, González VJ, Klepzing JVG et al. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care. 2017;26(3):128-36. https://doi.org/10.12968/jowc.2017.26.3.128
Barakat-johnson M, Barnett C, Wand T, White K. Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability. 2017;26(4):246-53. https://doi.org/10.1016/j.jtv.2017.09.008
Arnold-long M, Ayer M, Borchert K. Medical Device–Related Pressure Injuries in Long-term Acute Care Hospital Setting. J Woun Ostomy Continence Nurs. 2017;44(4):325-30. https://doi.org/10.1097/WON0000000000000347
Alves P, Eberhardt T, Soares R, Pinto M, Pinto C, Vales L et al. Differential Diagnosis in Pressure Ulcers and Medical Devices. Česk Slov Neurol N. 2017;80/113(Suppl 1):29-35. https://doi.org/10.14735/amcsnn2017S29
Cavalcanti EO, Kamada I. Medical-device-related pressure injury on adults: an integrative review. Texto Contexto-Enferm. 2020;29:e20180371. https://doi.org/10.1590/1980-265x-tce-2018-0371
Downloads
Publicado
Versões
- 2022-04-18 (2)
- 2022-03-16 (1)
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Euni de Oliveira Cavalcante, Ivone Kamada
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Português (Brasil)
English
