Sociodemographic and clinical profile of patients with pressure ulcer

2011 ◽  
Vol 5 (9) ◽  
pp. 2152
Author(s):  
Ana Patricia Costa Paes Barreto ◽  
Bruna Cavalcanti Araújo ◽  
José Cristovam Martins Vieira

ABSTRACTObjective: to identify the sociodemographic and clinical patients inherent to patients with pressure ulcers (UPs) hospitalized in a home care hospital. Method: this is an exploratory-descriptive study, with a quantitative approach. It was carried out at the home care hospital on March 2009, through a structured interview and observation of the ulcers, whose data were organized in the software Excel 2007. The population consisted of 77 patients, being included all patients who had a PU in any stage and site. Study approved by the Ethics Committee of Hospital Agamêmnon Magalhães under the Record 11/2009, in accordance with the Resolution 196/96. Results: the sample consisted of 23 patients with pressure ulcers, with prevalence of the age group over 80 years (34.78%); males (56.57%); white-skinned (39.13%); married or widowed individuals (39.13% each); complete high school (34.78%); income from 3 to 5 minimum wages (43.47%). Regarding comorbidities, cardiovascular diseases were the most frequent, with 73.91%, there were 34.8% individuals using mechanical ventilation, and 70% of them were confined to bed. Forty-eight PUs were identified, being the sacral region the prevailing site. Conclusion: the profile was consistent with the literature, being most of them bedridden elderly patients, with chronic-degenerative diseases, and pressure ulcers. One should emphasize prevention and observation of skin. Descriptors: pressure ulcer; nursing assistance; home assistance.RESUMO Objetivo: identificar o perfil sociodemográfico e clínico inerente aos pacientes portadores de úlceras por pressão (UPs) internados em um hospital de assistência domiciliar.  Método: trata-se de estudo exploratório-descritivo, com abordagem quantitativa. Realizado no hospital de assistência domiciliar em março de 2009, por intermédio de entrevista estruturada e observação das úlceras, cujos dados  foram organizados no programa Excel 2007. A população constou de 77 pacientes, sendo incluídos todos os pacientes que possuíssem UP em qualquer estágio e localização. Estudo aprovado pelo Comitê de Ética do Hospital Agamêmnon Magalhães sob o Registro n.11/2009, em conformidade com a Resolução 196/96. Resultados: a amostra encontrada foi de 23 pacientes, sendo prevalente a faixa etária superior a 80 anos (34,78%); sexo masculino (56,57%); raça branca (39,13%); casados e viúvos (39,13% cada); ensino médio completo (34,78 %); renda de 3 a 5 salários-mínimos (43,47%). Quanto às comorbidades, as doenças cardiovasculares se sobressaíram com 73,91%, havia 34,8% em ventilação mecânica e 70% estavam acamados. Foram identificadas 48 UPs, sendo a região sacra o local predominante. Conclusão: o perfil foi condizente com a literatura, sendo em sua maioria idosos acamados, portadores de doenças crônico-degenerativas e de úlceras por pressão. Deve-se enfatizar a prevenção e observação da pele. Descritores: úlcera por pressão; assistência de enfermagem; assistência domiciliar.  RESUMENObjetivo: identificar el perfil sociodemográfico y clínico inherente a los pacientes con úlceras por presión (UPs), internados ​​en un hospital de asistencia domiciliaria. Método: esto es un estudio exploratorio-descriptivo, con abordaje cuantitativo. Realizado en el hospital de asistencia domiciliaria en marzo de 2009, a través de entrevista estructurada y observación de las úlceras, cuyos datos fueron organizados en el programa Excel 2007. La población incluyó 77 pacientes y incluyó todos los pacientes que tenían UP en cualquier estadio y localización. Estudio aprobado por el Comité de Ética del Hospital Agamêmnon Magalhães bajo el Registro 11/2009, en conformidad con la Resolución 196/96. Resultados: la muestra fue de 23 pacientes, siendo prevalente la franja etaria mayor de 80 años (34,78%), hombres (56,57%); blancos (39,13%); casados ​​y viudos (39,13% cada);  educación media completa (34,78%); renta de 3 a 5 salarios mínimos (43,47%). En cuanto a las comorbilidades, las enfermedades cardiovasculares se destacaron, con 73,91%, hubo 34,8% en ventilación mecánica

2019 ◽  
Vol 4 (2) ◽  
pp. 88
Author(s):  
Punitha Singh ◽  
Deepti Damodaran ◽  
Gaurav Thukral ◽  
Joseph P. C.

Hospital-Acquired Pressure Ulcers (HAPU) are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. Unfortunately, a large proportion of home care clients received from hospital present with pressure ulcer that varies from stage 1 to stage 4.  Home care nurses have an opportunity to manipulate favorably certain environmental factors that can prevent pressure ulcers from newly developing or to manage effective treatment plans for any stages ulcers which were present while onboarding.Objective: The objective of this study was to determine the prevalence, duration and outcome in terms of healing; worsening of pressure ulcers and the ones whose condition remained the same seeking home health services. The study also describes the home care nursing interventions done to minimize the risk of worsening of pressure ulcer.


2021 ◽  
Author(s):  
Maria Clara Leite Aragão ◽  
Giovanna Souza Filardi ◽  
Katharina Andrade de Brito ◽  
Felipe Fróes Batista Ribeiro ◽  
Giovana Aquino de Moraes ◽  
...  

Introduction: Multiple Sclerosis (MS) is a chronic, autoimmune and progressive pathology, is it the primary demyelinating disease of the nervous system and the most frequent in the world. Therefore, becomes relevant set the epidemiological profile of MS in Brazil aiming to understand hospitalization dynamics and evolution of disease. Objective and Methods: To analyze epidemiological profile hospitalization for MS in Brazil, from 2015 to 2019. An epidemiological, retrospective, descriptive study was realized through the Hospital Information System (SIH/SUS/ DATASUS), from 2015 to 2019. Categories used: sex, color/race and age group. It is not required appreciation by the Research Ethics Committee for using publics information, without identifying the participants. Results: In Brazil, from 2015 to 2019, 18.536 hospitalizations happened for MS, having growth from 2015 (n=2.083) to 2018 (n=4.755), with a decrease in 2019 (n=4.021). Southeast had higher percentual (66,98%, n=12.416), South (13,95%, n=2.585), Midwest (10,65%, n=1.965), Northeast (6,42%, n=1.190) and North (2%, n=370). The most of hospitalization it is in the age of 20 to 49 years (75%, n=13.892), with prevalence in females (69,8%, n=12.941), over males (30,2%, n=5.595) and proportion 2,31W:1M. White color is majority (53,7%, n=9.951), grayish-brown (24,8%, n=4.597) and indigenous people (0.005%, n=1). Conclusion: It was realized prevalence of hospitalization in women, of color white, age between 20-49 years, from Southeast. It urgent the importance of investigation, forward diagnostic and treatment of that pathology in country, to try decrease to the maximum injury affected population.


2021 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Silvia Francine Sartor ◽  
Nen Nalú Alves das Mercês ◽  
Mercedes Nohely Rodríguez Torrealba

Objectives: The aim of the study was to know the witnessing of death from the perspective of the cancer patient in the hospital environment. Materials and Methods: This is a qualitative and descriptive study, which was carried out in a cancer hospital in southern Brazil, with 27 cancer patients, through semi-structured interview, after the institutional research ethics committee approval. For categorisation and data analysis, Iramuteq software and Creswell content analysis were used. Results: Six classes emerged from the Iramuteq software and four categories were formed: (1) The reflection of the other itself; (2) feelings and emotions aroused; (3) the witnessing of a peaceful death and (4) death as a habitual event. Conclusion: Patients felt sad and distressed, and some perceived death as something natural, often necessary for the relief of suffering. They put themselves in the place of the dying patient and their family members, imagining their loved ones and the suffering they would experience. Participants considered peaceful deaths to be good, unlike those in which patients had some kind of discomfort, described as horrible, distressing, sad and bad.


Author(s):  
George Koshy ◽  
Vandana Gangadharan ◽  
Varghese Koshy

Background: Globally, nearly 5 million persons die every year from tobacco-related illnesses, with disproporti-onately higher mortality occurring in developing countries. Tobacco is used in a multitude of ways in India. By 2020 India would have the highest rate of rise in tobacco related deaths compared to all other countries. Tobacco use in India is increasing but there are considerable changes in the types and methods by which it is used. According to WHO estimates, 194 million men and 45 million women use tobacco in smoked or smokeless form in India. Tobacco use is the leading preventable cause of death in developed countries and is the second leading cause of death globally. The study was carried out to assess the practice of tobacco use among adults in urban slum. It tries to ascertain the prevalence of tobacco use in the community, identify the various forms of tobacco used. It is a questionnaire based cross sectional descriptive study. Methods: A cross sectional descriptive study using a close-ended, pre tested structured interview schedule was prepared and the investigator conducted the interviews personally at the respondent’s house who were above 18 years of age. Results: The prevalence of tobacco use in any form was found to be 38.78%, the most common age group being 30-44 yrs. Also seeing that initiation of tobacco use took place in the age group 20-29 yrs it highlights the need of starting anti-tobacco campaigns for a younger age group but not leaving out older age groups at the same time. Sex-wise distribution of tobacco use was observed to be 40.23% in males as compared to 36.17% in females. Conclusions: Control of this deadly epidemic requires a decisive, target oriented and a well motivated approach.  


Author(s):  
Rokhmayanti Rokhmayanti ◽  
Sulistyawati Sulistyawati ◽  
Budi Aji ◽  
Siwi Pramatama Mars Wijayanti ◽  
Ummul Khair

Since 2017, hypertension was the top first disease in the Yogyakarta Special Region (DIY). It cannot be ignored because hypertension is an entrance for other degenerative diseases. Along with the COVID-19 pandemic at the beginning of 2020 raising our curiosity whether there has been a change in the incidence of hypertension in DIY during this year, then what are its characteristics. This study explores the characteristics of people with hypertension by age group and gender in the first year of the COVID-19 pandemic in the Yogyakarta Special Region. A descriptive study was employed in this study, with the main source was the secondary data from the Yogyakarta Special Region health office, the year 2020. Analysis was conducted by univariate tabulation. Data from the Yogyakarta provincial health office shows that in 2020 there will be an increase of more than eight thousand cases of hypertension. In general, this increase was lower than the increase in the previous two years. In 2020, the highest incidence of hypertension was found in women in the age range of 60-69. Meanwhile, in the (15–19) age group, the majority of cases happened in men. This study shows that during 2020, which was the COVID-19 pandemic, the incidence of hypertension increased but not as high as the previous two years. The majority of hypertension occurred in the 60-69 age group, with the majority in men.


Author(s):  
Dr. Eman Elsayed Hussein

Abstract: Background: Pressure ulcers are the common conditions among patients hospitalized in acute and chronic care facilities and impose significant burden on patients, their relatives and caregivers. Pressure ulcers have been described as one of the most costly and physically debilitating complications since the 20th century. The pain and discomfort due to pressure ulcer prolongs illness, rehabilitation, time of discharge and even contribute to disability and death. Lengthy periods of immobilization are emotionally stressful for patients. Immobility related problems include pressure ulcers, pneumonia, constipation, loss of appetite, urinary stasis, urinary track infections and venous stasis or deep vein thrombosis. When the complications due to immobilization are prevented it helps an individual to be physically, emotionally and psychologically sound. These complications can be prevented through simple basic patient care like skincare, active-passive exercises, changing position and deep breathing exercises. Nurses have a key role in prevention of these complications by educating the patients. Hence the study was conducted “To evaluate the effectiveness of structured teaching programme regarding prevention of complications of immobilized patients . methods: The study involved 50 immobilized orthopaedic patients using the structured interview schedule. STP was implemented and post-test was conducted after 8 days using the same structured interview schedule to find out the effectiveness. Results: 86% of respondents were taking mixed diet and 60% had compound fracture. The main cause for the fracture was road traffic accident (46 %). Regarding effectiveness of Structure exercise plan , the overall mean percentage knowledge score in the pre-test was 34.71% and 80.91% in the post-test. The statistical paired ‘t’ test indicates that enhancement in the mean percentage knowledge score was found to be significant at P≤0.05 percent level for all the aspects . Conclusion: This study revealed that nursing staffs’ knowledge and practice about pressure ulcer preventive measures could be improved. Participants in the study reported that they could use the educational program effectively and easily in the prevention of pressure ulcers among their immobilized patients, which decreases the occurrence of pressure ulcers and as well as improved patient outcome. Keywords: pressure ulcer, post operative patients, structure exercise plan


2011 ◽  
Vol 5 (2) ◽  
pp. 238
Author(s):  
Diane Dias Nascimento ◽  
Dayse Mary Da Silva Correia

ABSTRACT Objective: to analyze the perception of hospitalized clients in interpersonal interaction with health professionals. Methodology: this is about a descriptive study from qualitative approach, carried out in male and female medical unit of a university hospital located in Niterói city, from July to October 2009. During the structured interview, was applied an instrument with five opened questions, which were analyzed according to Bardin. The research project was approved by the Ethics Committee of the Faculdade de Medicina/UFF under number 058/09. Results: it were interviewed 22 patients admitted, and after analysis three categories emerged: 1) The client hospitalized perception facing the health professionals (sub-categories: perceived attitudes in interpersonal interaction and specific duties to health professionals), 2) Feelings posted by patients on approach by different professionals; 3) The use of language in verbal and nonverbal communication (sub:  appropriate and inappropriate language). Conclusion: the study identified the hospitalized client's perception in communicating with health professionals in daily hospital and its impact. Descriptors: communication; nursing; interpersonal relations. RESUMO Objetivo: analisar a percepção do cliente hospitalizado na interação interpessoal com os profissionais de saúde. Metodologia: trata-se de um estudo descritivo com abordagem qualitativa, realizado nas clínicas médica masculina e feminina de um hospital universitário localizado na cidade de Niterói, no período de julho a outubro de 2009. Durante a entrevista estruturada, foi aplicado um instrumento, contendo cinco perguntas abertas, as quais foram analisadas segundo Bardin. A pesquisa obteve aprovação do Comitê de Ética em Pesquisa da Faculdade de Medicina/UFF sob o nº 058/09. Resultados: foram entrevistados 22 pacientes internados, e após análise emergiram três categorias: 1) Percepção do cliente hospitalizado diante dos profissionais de saúde (subcategorias: atitudes percebidas na interação interpessoal e atribuições específicas aos profissionais de saúde); 2) Sentimentos destacados pelos clientes na abordagem por diferentes profissionais; 3) O uso da linguagem na comunicação verbal e não verbal (subcategorias: Linguagem apropriada e Linguagem inapropriada). Conclusão: o estudo identificou a percepção do cliente hospitalizado na comunicação com os profissionais de saúde no cotidiano hospitalar e seu impacto. Descritores: comunicação; Enfermagem; relações interpessoais. RESUMEN Objetivo: analizar la percepción de los clientes hospitalizados en la interacción interpersonal con profesionales de la salud. Metodología: se trata de un estudio descriptivo con abordaje cualitativo, realizado en la unidad médica para hombres y mujeres de un hospital universitario localizado en Niterói, en el período de julio a octubre de 2009. Durante la entrevista estructurada, se administró un instrumento que contiene cinco preguntas abiertas, las cuales fueron analizadas según Bardin. La investigación fue aprobada por el Comité de Ética de la Facultad de Medicina/UFF con el número 058/09. Resultados: se entrevistó a 22 pacientes hospitalizados, y después de  análise, resultaron tres categorías: 1) Comprensión de los pacientes hospitalizados antes de profesionales de la salud (sub-categorías: las actitudes percibidas en la interacción interpersonal y tareas específicas de los profesionales de la salud); 2) Sentimientos escritos por los clientes en enfoque por distintos profesionales, 3) El uso del lenguaje em La comunicación verbal y no verbal (sub: el lenguaje apropiado e inapropiado). Conclusión: el estudio identificó la percepción del cliente hospitalizado en la comunicación con profesionales de la salud en el hospital todos los días y su impacto. Descriptores: comunicación; enfermería; relaciones interpersonales.


2010 ◽  
Vol 4 (3) ◽  
pp. 1492
Author(s):  
Leia Maria Vasconcelos ◽  
Izabelle Mont´alverne Napoleão Albuquerque ◽  
Roberlandia Evangelista Lopes ◽  
Christiane Viana Oliveira ◽  
Neiva Francenely Cunha Viera ◽  
...  

ABSTRACT Objectives: to know the perception of mothers having a routine place in a Health Unit in Sobral/CE. Method: this is about a descriptive study from qualitative approach, carried out among 18 mothers of children aged from 0 to two years old, between June and July 2009, through a semi-structured interview. The study was approved by the Ethics Committee of the Universidade Estadual Vale do Acaraú under protocol number 749/09. Results: the ability to assimilate the information reported in consultations is related to the educational level of mothers and the orientation was more elated about food. Mothers recognize the importance of child care, due to the trust the health professional. Conclusion: the study indicates a need to strengthen the relationship between nurse and mother for child care, so that the process of empowerment of the mother is finalized that directly influence the health care of their children and community. Descriptors: nursing; child health; infant; child care.RESUMO Objetivos: conhecer a percepção de mães que realizam consulta de puericultura em uma Unidade de Saúde em Sobral/CE. Método: estudo descritivo de abordagem qualitativa, realizado junto a 18 mães de crianças na faixa etária de zero a dois anos, no período de junho e julho de 2009, por meio de uma entrevista semi-estruturada. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual Vale do Acaraú sob parecer de número 749/09. Resultados: a capacidade de assimilar as informações relatadas nas consultas está relacionada com o grau de instrução das mães e, a orientação mais exaltada foi sobre a alimentação. As mães reconhecem a importância da puericultura, devido à confiança depositada ao profissional de saúde. Conclusão: o estudo aponta a necessidade de fortalecer a relação enfermeiro e mãe durante a puericultura, de forma que o processo de empoderamento desta mãe seja efetivado o que repercutirá diretamente no cuidado à saúde de seus filhos e comunidade. Descritores: enfermagem; saúde da criança; criança; cuidado a saúde.RESUMEN Objetivos: conocer la percepción de las madres que tengan un lugar de rutina en una Unidad de Salud de Sobral/CE. Métodos: Un enfoque cualitativo, descriptivo, realizado entre 18 madres de niños de 0 a dos años, entre junio y julio de 2009, a través de una entrevista semi-estructurada. El estudio fue aprobado por el Comité de Ética de la Universidad Estadual Vale do Acaraú bajo dictamen con número de protocol 749/09. Resultados: la capacidad para asimilar la información presentada en las consultas se relaciona con el nivel educativo de las madres y la orientación era más eufórico sobre la comida. Las madres reconocen la importancia del cuidado del niño, debido a la confianza que el profesional de la salud. Conclusión: el estudio indica la necesidad de fortalecer la relación entre la enfermera y madre de cuidado infantil, de modo que el proceso de empoderamiento de la madre esté finalizado que influyen directamente en la atención de la salud de sus hijos y la comunidad. Descriptores: enfermería; salud infantil; lactante; cuidado infantil.  


2017 ◽  
Vol 4 (1) ◽  
pp. 27-29
Author(s):  
M. Belbase ◽  
J. Adhikari ◽  
T.A. Khan ◽  
R.K. Jalan

Introduction: Schizophrenia is one of the severe mental health problem and its guarded treatment response and association with as the stigma makes it a chronic debilitating personal, family and social problem of all the psychiatric illness. Timely Identification and management of this condition is important as early diagnosis and management gives better treatment response.Methods: This is a descriptive study done in patients attending psychiatry OPD of Nepalgunj Medical College, Kohalpur for 12 months from June 2013 to May 2014.Results: Out of the 86 study subjects (n=86), males were 54 in number followed by 32 females. The most common age group was 21-40 years representing 46(53.4%), followed by 41-60 years 24(28%), <20 years 12(13.9%) and >60 years 4(4.7%). The most common first contact of the patient with schizophrenia was with faith healers 54 (62.8%) followed by consultation with psychiatrist 18(20.9%). Among the study population, 38(44.2%) visited to the psychiatrist after >41 weeks of the beginning of the illness followed by 34(39.5%) visited in <10 weeks of the beginning of the schizophrenia.Conclusions: Faith healers were the most common first contact person for the patients with schizophrenia followed by psychiatrist . Most of the schizophrenia patients come to psychiatrist after 40 weeks of their illness.


2011 ◽  
Vol 6 (1) ◽  
pp. 149
Author(s):  
Cristiano Ribeiro Costa ◽  
Elaine Guedes Fontoura ◽  
Maria Lucia Silva Servo ◽  
Darci Oliveira Santa Rosa

ABSTRACTObjective: to know the meaning of caring/care under the view of the nursing students. Methodology: this is an exploratory and descriptive study with a qualitative approach. The data collection was carried out through a semi-structured interview, a recorded one, with eleven nursing students. The data were analyzed through the content analysis technique. The study was approved by the Ethics Committee of Faculdade de Tecnologia e Ciências, under the Opinion 0548-2008. Results: two thematic categories emerged: meaning of caring/care for the nursing students and the students' view with regard to the essence of the profession. The nursing students understand that the essence of the profession is in the caring/care, but they tend to repeat models focusing the caring/care on the performance of technical procedures. Conclusion: thus, one concludes that the nursing students need to appreciate the perspectives of caring in their fullest sense, with responsibility in the search for the care quality. Descriptors: nursing care; nursing; knowledge; nursing students.RESUMOObjetivo: conhecer o significado de cuidar/cuidado sob a óptica dos estudantes de enfermagem. Metodologia: trata-se de estudo exploratório e descritivo com abordagem qualitativa. A coleta de dados foi realizada por meio de entrevista semiestruturada, gravada, com onze estudantes de enfermagem. Os dados foram analisados pela técnica de análise de conteúdo. O estudo foi aprovado pelo Comitê de Ética da Faculdade de Tecnologia e Ciências, com o Parecer n. 0548-2008. Resultados: desvelaram-se duas categorias temáticas: significado do cuidar/cuidado para os estudantes de enfermagem e a visão dos estudantes quanto à essência da profissão. Os estudantes de enfermagem compreendem que a essência da profissão encontra-se no cuidar/cuidado, porém, têm tendência a repetir modelos centrando o cuidar/cuidado na realização de procedimentos técnicos. Conclusão: assim, concluí-se que os estudantes de enfermagem precisam valorizar as perspectivas do cuidar em seu sentido pleno, com responsabilidade na busca da qualidade do cuidado. Descritores: cuidado de enfermagem; enfermagem; conhecimento; estudantes de enfermagem.RESUMEN Objetivo: conocer el significado de cuidar/cuidado desde el punto de vista de los estudiantes de enfermería. Metodologia: esto es un estudio exploratorio y descriptivo con abordaje cualitativo. La recogida de  datos fue realizada por medio de entrevista semi-estructurada, grabada, con once estudiantes de enfermería. Los datos fueron analizados a través de la técnica del análisis de contenido. El estudio fue aprobado por el Comité de Ética de la Faculdade de Tecnologia e Ciências, bajo la Opinión 0548-2008. Resultados: se desvelaron dos categorías temáticas: significado del cuidar/cuidado para los estudiantes de enfermería y la visión de los estudiantes cuanto a la esencia de la profesión.  Los estudiantes de enfermería comprenden que la esencia de la profesión se encuentra en el cuidar/cuidado, pero tienen tendencia a repetir modelos centrando el cuidar/cuidado en la realización de procedimientos técnicos. Conclusión: así, se concluye que los estudiantes de enfermería necesitan valorizar las perspectivas del cuidar en el sentido pleno de ellas, con responsabilidad en la busca de la calidad del cuidado. Descriptores: atención de enfermería; enfermería; conocimiento; estudiantes de enfermería.


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