SELECTION CRITERIA FOR PRIMARY DRESSINGS IN THE TREATMENT OF PRESSURE ULCERS IN HOSPITALIZED PATIENTS

Macêdo, Simone de Miranda; Bastos, Letícia Lemos Ayres da Gama; Oliveira, Rafaela Gomes Campello; Lima, Marize Conceição Ventin; Gomes, Flávia Carolina Ferreira

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ORIGINAL ARTICLE • Cogit. Enferm. 26 • 2021 • https://doi.org/10.5380/ce.v26i0.74400 copy

SELECTION CRITERIA FOR PRIMARY DRESSINGS IN THE TREATMENT OF PRESSURE ULCERS IN HOSPITALIZED PATIENTS

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the criteria for choosing primary dressings prescribed by nurses for the treatment of pressure ulcer in hospitalized patients.

Method:

cross-sectional and descriptive study with quantitative approach conducted in a private hospital in Jaboatão dos Guararapes-Pernambuco, Brazil, between February and April 2019. The sample included 345 medical records of patients with pressure ulcer, admitted from January to December 2018. An instrument was used to collect sociodemographic data, descriptive analyses were performed and Chi-square test with 95% confidence level (p<0.05).

Results:

there was a significant relationship between the choice of dressings and lesion characteristics. However, 64 (18.5%) patients in the sample had adequate records and 10 (3%) had disagreement with scientific evidence.

Conclusion:

This study highlights the importance of implementing protocols that ratify the criteria for choice of dressings for the treatment of pressure ulcers in hospital services.

DESCRIPTORS
Wounds and injuries; Pressure ulcer; Inpatients; Nursing records; Quality of Health Care

Variables		Female		Male
Variables		n	%	n	%
Age Group
	20 to 40 years old	0	0	4	1
	41 to 60 years old	9	2	16	5
	61 to 80 years old	86	25	95	28
	> 80 years old	77	22	58	17
Comorbidities/Conditions
Medical Diagnostics
	Smoking	1	11	8	89
	Alcoholism	0	0	5	100
	Arterial Hypertension	75	55	61	45
	Diabetes Mellitus	66	58	48	42
	Vascular Accident Encephalic	37	45	46	55
Nursing Diagnosis
	Impaired Mobility	81	51	80	49
	Undernutrition	37	54	31	46

Body part	Stage I		Stage II		Stage III		Stage IV		Unclassified
Body part	n	%	n	%	n	%	n	%	n	%
Sacrococcygeal	12	5	55	22	33	13	6	1	5	2
Heel	0	0	2	7	4	14	1	3	1	3
Trochanter	2	7	2	7	1	4	1	4	0	0
Right lower limb	0	0	0	0	0	0	0	0	0	0
Left lower limb	0	0	1	20	0	0	0	0	0	0
Malleolus	0	0	2	28	0	0	0	0	0	0
Other body parts	1	2	11	25	3	7	0	0	0	0

		EFA*		Collagenase and		Hydrogel		Activated charcoal		Calcium alginate
		n	%	n	%	n	%	n	%	n	%
Tissue Type
	Hyperemia	1	14	2	20	1	5	0	0	0	0
	Tissue	4	57	4	40	4	19	0	0	2	17
Granulation
	Necrotic Tissue	4	57	7	70	13	62	7	10	4	33
	Sphacelus Tissue	3	43	1	10	8	38	3	9	4	33

	EFA	Collagenase	Hydrogel	Activated charcoal	Calcium alginate
Hyperemia	0,829	0,198	0,509	0,179	0,277
Granulation Tissue	0,000 ^* * Statistically significant data, with p-values <0.05.	0,000 ^* * Statistically significant data, with p-values <0.05.	0,019 ^* * Statistically significant data, with p-values <0.05.	0,244	0,157
Necrotic Tissue	0,035 ^* * Statistically significant data, with p-values <0.05.	0,000 ^* * Statistically significant data, with p-values <0.05.	0,000 ^* * Statistically significant data, with p-values <0.05.	0,032*	0,215
Sphacelus Tissue	0,114	0,795	0,000 ^* * Statistically significant data, with p-values <0.05.	0,713	0,246

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E-mail: cogitare@ufpr.br

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[1] Corresponding author:
Flávia Carolina Ferreira Gomes Faculdade de Comunicação e Turismo de Olinda – Olinda, PE, Brasil E-mail: fcferreiragomes@gmail.com