Resident nurse. Residence multiprofessional program in the adult intensive care at Onofre Lopes Universitary Hospital (HUOL), Natal-RN

Complications of pressure ulcers in severely ill patients: a descriptive-exploratory study

Anna Lívia de Medeiros Dantas, Patrícia Cabral Ferreira, Cecilia Nogueira Valença, Késsya Dantas Diniz, Jussara de Paiva Nunes, Raimunda Medeiros Germano

Abstract


Aim: to identify the complications of pressure ulcers in severely ill patients from the perspective of the nurses. Method: This is a descriptive-exploratory study which adopts a qualitative approach involving a questionnaire to nurses working in an intensive care unit of Onofre Lopes Hospital, in Natal, Brazil. The data were submitted to the content analysis topics Results: From the comments of the professionals, we generated a category “Complications of pressure ulcers in severely ill patients”, and the subcategories “infection”, “period of hospitalization”, “hospital costs”, “mortality” and “suffering”. Discussion: Ulcers lead to infections and to an increase in microbiological resistance. They increase the period of hospitalization and the costs of treatment due to the resulting complications. Mortality is related to the worsening of clinical conditions. Suffering is a result of pain and dependency. Conclusion: For the nurses, pressure ulcers are complications that generate a worsening of clinical conditions of severely ill patients, which makes it necessary to adapt the treatment.

Keywords


Wounds;Wound Healing;Severe Patients;Infection;Nursing Care.

References


Fernandes NCS. Úlceras de pressão: um estudo com pacientes de unidade de terapia intensiva [dissertação]. Natal (RN): Universidade Federal do Rio Grande do Norte; 2005.

Grupo Nacional para el Estudio y Asesoramiento em Úlceras por Pressión y Heridas Crónicas (GNEAUPP). Escalas e instrumentos de valoración del riesgo de desarollar úlceras por presión. Serie Documentos Técnicos GNEAUPP. 2009; 11. [cited 2011 October 19]. Available from: http://www.gneaupp.es/app/adm/documentos-guias/archivos/19_pdf.pdf

Rocha JA, Miranda MJ, Andrade MJ. Abordagem terapêutica das úlceras de pressão: intervenções baseadas na evidência. Acta Med Port [Internet]. 2006 [cited 2012 February 15]; 19(1):19-28. Available from: http://www.actamedicaportuguesa.com/pdf/2006-19/1/029-038.pdf Date accessed: 15 out. 2011.

Rogenski NMB, Santos VLCG. Estudo sobre a incidência de úlceras por pressão em um hospital universitário. Rev Latinoam Enferm [Internet]. Jul/ago 2005 [cited 2011 august 10]; 13(4):474-80. Available from: http://www.scielo.br/pdf/rlae/v13n4/v13n4a03.pdf

Jorge, SA. Abordagem multiprofissional do tratamento de feridas. São Paulo: Editora Atheneu, 2003

Faustino A, Reis P, Jesus C, Kamada I, Izidorio S, Ferreira AS. The knowledge of nurses about new descriptors for classification of pressure ulcers: descriptive study. Online Braz J Nurs 2010, 9(1). Retrieved 2012-02-15, from: http://www.objnursing.uff.br/index.php/nursing/article/view/j.1676-4285.2010.2800

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 8ª ed. São Paulo (SP): Editora HUCITEC; 2004.

Moffat CJ, Ágreda JJS. Identificación de los critérios de infección em heridas. Documento de Posicionamiento. European Wound Management Association: Gran Betanã; 2005.

Beck ACL, Guerra DM. Avaliação do custo do tratamento de úlceras por pressão em pacientes hospitalizados usando curativos industrializados. Ciênc Saúde Coletiva. [Internet]. 2011 jan [cited 2011 october 30]; 16(2):267-77. Available from: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1413-81232011000100029&lng=en. http://dx.doi.org/10.1590/S1413-81232011000100029

Blanes L, Duarte IS, Calil JA, Ferreira LM. Avaliação clínica e epidemiológica das úlceras por pressão em pacientes internados no Hospital São Paulo. Rev Assoc Med Bras [Internet]. 2004 Apr [cited 2011 october 30]; 50(2):182-7. Available from:http://www.scielo.br/pdf/ramb/v50n2/20781.pdf




DOI: https://doi.org/10.5935/1676-4285.20133794