scholarly journals Prevalência de úlcera por pressão em um hospital de emergência: estudo transversal

Author(s):  
Rodrigo Magri Bernardes ◽  
Maria Helena Larcher Caliri

Aims:  To  identify  the  point  prevalence  of  pressure  ulcers  in  anemergency hospital and in different units and to investigate the association between the presence  of  ulcers  and  demographic  and  clinical  variables.  Method:  This  is  a  cross-sectional,  descriptive,  and  analytical  study,  held  over  a  single  day  in  a  public  hospital aimed  at  teaching  emergency  in  a  university  course,  involving  87  adults  and  elderly patients  hospitalized  throughout  the  hospital.  A  risk  assessment  was  carried  out  for pressure ulcers and skin inspection of patients. Results: The point prevalence of pressure ulcers in the institution was 40%. The point prevalence was higher in the intensive care unit. An association was found between the presence of ulcers and a greater amount of drugs, as well as longer hospital stays and lower scores on the Braden Scale. Conclusion: The  methods  used  for  assessing  the  prevalence  can  be  used  by  nurses  in operational research  to  assess  the  problem  context  and  also  in  scientific  studies  that  allow  the comparison of results in national and international contexts.

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43912
Author(s):  
Lara Mabelle Milfont Boeckmann ◽  
Maria Cristina Soares Rodrigues ◽  
Cesar Messias de Oliveira

Objective: to verify compliance with the procedures of health teams in cesarean surgery. Methods: cross-sectional, descriptive and analytical study, performed in an Obstetric Center of a public hospital, with 220 cesarean surgeries. The Tukey test and the Analysis of Variance were used, considering a significance of 5%. Results: the mean age of the patients was 28.8 years (± 6.06). The main indications for cesarean surgery were: fetal distress (12.8%), gestational diabetes (9.5%), interactivity (9.2%), previous cesarean surgery (8.2%) and severe pre-eclampsia (5.9 %). There was an absence of unified conduct and incipient communication among professionals. The compliance rates of the teams’ compliance with the items in the Checklist for Dimensions A, B and C were, respectively, 36.0%, 11.1% and 50.0%. Conclusion: there was a low compliance of teams to surgical safety procedures in cesarean surgeries.


2020 ◽  
Vol 11 (2) ◽  
pp. 83-88
Author(s):  
Desri Kristina Silalahi ◽  
Husneni Mukhtar ◽  
Sheizi Prista Sari ◽  
Eka Afrima Sari ◽  
Dandi Trianta Barus

The research aimed to analyze the Braden Scale on the incidence of compressive wounds in elderly people who lived in homes, whether they were or not under the supervision of health workers. The research was analytic with a cross-sectional study. With the purposive sampling technique, the data collection was carried out from several areas in Bandung from October to November 2017. Moreover, the analysis used was multiple regression to see the effect of the Braden Scale on pressure ulcers. The multiple linear regression model was also tested. The results show that 48,22% of pressure ulcer factors can be influenced by sensory perception, humidity, activity, mobility, nutrition, and friction. Sensory perception, activity and friction have significant influence on incidence of pressure ulcers. Meanwhile, the humidity, mobility, and nutrition do not significantly influence it.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Stephanie Dwi Guna ◽  
Yureya Nita

The implementation of Information Technology in nursing improves the quality of care. Electronic nursing record is an innovation that enhances the efficiency of nursing care. The informatics skill is needed for nurses to adapt with the innovation of Information Technology. This paper aims to discuss the informatics skill of nurses at one public hospital in Pekanbaru, Riau, Indonesia. This study was analytical study with cross sectional approach. This study involved 237 nurses and used purposive sampling technique. The data was being taken by using self- assessed nursing informatics skill/ NICAT questionnaire which divides the informatics skill in to beginner, advance beginner, competent, proficient and expert. The result of the study showed that the majority of nurses’ informatics skill was competent (49.4%) and only 4.6% that is expert. Informatics skill of the nurses related to the sex, education level and length of work. The informatics training will help nurses to improve their informatics skill.


2018 ◽  
Vol 11 (2) ◽  
pp. 80
Author(s):  
Caroline Astrid ◽  
Ismiralda Oke Putranti ◽  
Kurniasih Dwi Purwanti

Psoriasis adalah penyakit kulit yang sering dijumpai, kronik, tidak menular, terjadi akibat kelainan kompleks pada pertumbuhan dan diferensiasi epidermal serta abnormalitas multipel dari biokimia, imunologi, dan vaskular. Salah satu faktor risiko psoriasis adalah fokal infeksi. Penelitian ini bertujuan mengetahui perbedaan tingkat keparahan psoriasis pada pasien psoriasis dengan dan tanpa disertai fokal infeksi di RSUD Prof. Dr. Margono Soekarjo, Purwokerto. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Subjek penelitian adalah 40 pasien psoriasis yang berobat di Poli Kulit dan Kelamin RSUD Prof. Dr. Margono Soekarjo pada bulan November hingga Desember 2017 yang memenuhi kriteria inklusi dan eksklusi. Tingkat keparahan psoriasis diukur menggunakan Psoriasis Area Severity Index (PASI). Analisis data menggunakan independent t-test. Rata-rata tingkat keparahan psoriasis pada pasien dengan fokal infeksi 28,63 dan tanpa fokal infeksi 17,29, dengan jenis fokal infeksi didapatkan fokal infeksi intraoral (47,5%) dan genital (2,5%). Perbedaan tingkat keparahan psoriasis pada pasien dengan dan tanpa fokal infeksi didapatkan p = 0,000 (p < 0,05). Terdapat perbedaan signifikan tingkat keparahan psoriasis pada pasien dengan dan tanpa fokal infeksi.     Psoriasis is a common, chronic, noncontagious skin disease, caused by complex abnormal epidermal growth with multiple abnormality of biochemistry, immunology, and vascular. One of psoriasis risk factors is focal infection. This study was an analytical study with cross-sectional approach, to establish the difference of Psoriasis Area Severity Index (PASI) in patients with and without focal infections in Prof. Dr. Margono Soekarjo Public Hospital, Purwokerto. Subjects of this study were psoriasis outpatients in Dermatology and Venereology Clinic in November until December 2017. Forty subjects who fulfilled the inclusion and exclusion criteria were measured using PASI. This study showed the average of the PASI on patients with focal infections was 28.63 and without focal infections was 17.29, with types of the focal infection were intraoral focal infections (47,5%) and genital focal infections (2,5%). The difference of PASI between patients with and without focal infections was significant with p = 0,000 (p < 0,05). There is a significant difference on degree of psoriasis between patients with and without focal infections.


2021 ◽  
pp. 096973302199977
Author(s):  
Rujnan Tuna ◽  
Safiye Sahin

Background: Professional commitment, which constitutes one of the criteria of the professionalisation process, is directly affected by attitude towards the work, constituting the content of nursing profession. Aim: This study was conducted to determine the effect of nurses’ attitudes towards work on their professional commitment. Methods: This study is a cross-sectional and analytical study. The data were collected from 293 nurses working at different units in a public hospital between April 2019 and May 2019. The data collection tool includes a 10-question participant information form, the Nurses’ Professional Commitment Scale and the Attitude Towards Work Scale. Variables were analysed using multiple linear regression. Results: The nurses obtained high scores from overall professional commitment and attitude towards work scales and their subscales. Significant differences were found in the scale total and its subscales caused especially by the variables of professional experience, position, income level and the status of willingly choosing the profession ( p < 0.05). Nursing professional commitment was predicted by ‘content of the work’, (β = 0.32, p < 0.01), ‘working conditions’ (β = 0.38, p < 0.01), ‘co-workers’ (β = 0.30, p < 0.01) and ‘compensation’ (β = 0.21, p < 0.01), which accounted for 25.6% of the variance in nursing professional commitment. Ethical considerations: Ethics committee approval and institutional permissions were obtained. The participants were informed about the study and written consent was obtained. Conclusions: The nurses who had an increasing duration of professional experience, were working in managerial position, found their income level sufficient and chose the profession willingly had higher professional commitment and attitudes towards work. In addition, a significant correlation was found between nurses’ professional commitment and their attitudes towards work, and nurses’ professional commitments were explained with their attitudes towards work. It is important to increase and strengthen the attitude towards work that affects nurses’ professional commitments.


2018 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Laila Kamila ◽  
Maulidiyah Salim

Abstract: Coronary heart is a disease that offense to blood vessels and heart attack due to constriction of blood vessels. A high level of cholesterol in blood or exceeds the normal limit can form sediment in wall of blodd vessels which cause blood vessels constriction or blockage. This research object to determine whether there is a correlation between cholesterol level total and hypertension with coronary heart disease in patients who hospitalized in Regional Public Hospital of dr. Soedarso Pontianak. This study was used cross sectional design, purposive sampling technique, it gained 50 people as samples. The measurement of blood pressure was done in heart poly and cholesterol total level in clinic laboratory of Regional Public Hospital of dr. Soedarso by using enzymatic CHOD-PAP method. It can be obtained that 10 people had hypertension and 40 people did not.the average of total cholesterol was 224 mg/dl. Maximum value of total cholesterol was 224 mg/dl and 152 mg/dl as minimum value. Data has been analyzed by using statistical test, Chi-Square, to determine the correlation of total cholesterol wit coronary heart disease, obtained p value=0,024 (less than α=0,05). Correlation of hypertension and coronary heart disease gained p value=0,923 (more than α=0,05), it can be concluded that total cholesterol correlated with coronary heart disease, and there was not a correlation between hypertension and coronary heart disease.Abstrak: Jantung koroner adalah penyakit yang  menyerang pembuluh darah dan serangan jantung, karena penyempitan pada pembuluh darah. Kadar kolesterol yang tinggi dalam darah melebihi normal dapat membentuk endapan pada dinding pembuluh darah sehingga menyebabkan penyempitan dan tersumbatnya pembuluh darah. Penelitian ini bertujuan untuk mengetahui hubungan kadar kolesterol total dan hipertensi dengan penyakit jantung koroner pada pasien di RSUD dr. Soedarso Pontianak. Disain penelitian  ini menggunakan cross sectional, teknik pengambilan sampel yaitu purposive sampling, didapat jumlah sampel 50 orang. Pengukuran Tensi Darah dilakukan di poli Jantung dan pemeriksaan kadar kolesterol total di laboratorium klinik RSUD dr. Soedarso Pontianak dengan metode enzimatik CHOD-PAP. Hasil penelitian didapatkan 10 orang mengalami hipertensi dan 40 orang non hipertensi. Rata-rata kadar kolesterol total 224 mg/ dl. Nilai maksimum kadar kolesterol total yaitu 224 mg/dl dan nilai minimum yaitu 152 mg/dl. Analisa data dengan uji statistik Chi-square untuk mengetahui hubungan kolesterol total dengan penyakit jantung koroner didapatkan nilai p = 0,024 (lebih kecil dari  α 0,05). Uji hubungan hipertensi dengan penyakit jantung koroner didapat nilai p = 0,923 (lebih besar dari α 0,05), dapat disimpulkan terdapat hubungan kadar kolesterol total dengan penyakit jantung koroner dan tidak ada hubungan hipertensi dengan penyakit jantung koroner.


2021 ◽  
pp. 1-10
Author(s):  
Hanna M. van Loo ◽  
Lian Beijers ◽  
Martijn Wieling ◽  
Trynke R. de Jong ◽  
Robert A. Schoevers ◽  
...  

Abstract Background Most epidemiological studies show a decrease of internalizing disorders at older ages, but it is unclear how the prevalence exactly changes with age, and whether there are different patterns for internalizing symptoms and traits, and for men and women. This study investigates the impact of age and sex on the point prevalence across different mood and anxiety disorders, internalizing symptoms, and neuroticism. Methods We used cross-sectional data on 146 315 subjects, aged 18–80 years, from the Lifelines Cohort Study, a Dutch general population sample. Between 2012 and 2016, five current internalizing disorders – major depression, dysthymia, generalized anxiety disorder, social phobia, and panic disorder – were assessed according to DSM-IV criteria. Depressive symptoms, anxiety symptoms, neuroticism, and negative affect (NA) were also measured. Generalized additive models were used to identify nonlinear patterns across age, and to investigate sex differences. Results The point prevalence of internalizing disorders generally increased between the ages of 18 and 30 years, stabilized between 30 and 50, and decreased after age 50. The patterns of internalizing symptoms and traits were different. NA and neuroticism gradually decreased after age 18. Women reported more internalizing disorders than men, but the relative difference remained stable across age (relative risk ~1.7). Conclusions The point prevalence of internalizing disorders was typically highest between age 30 and 50, but there were differences between the disorders, which could indicate differences in etiology. The relative gap between the sexes remained similar across age, suggesting that changes in sex hormones around the menopause do not significantly influence women's risk of internalizing disorders.


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