Prevalence and factors associated with elementary lesions in hospitalized elderly
Objective: to analyze the prevalence and factors associated with elementary lesions in the elderly hospitalized in a teaching hospital. Methods: cross-sectional study with 202 elderly people. A sociodemographic and clinical questionnaire and a nursing physical examination were applied. For analysis, Stata software® version 12 was used. Results: a total of 176 (87.1%) participants had some elementary lesion. Primary elementary lesions presented significant statistical relationship with age range ≥80 years (p=0.023), respiratory diseases (p=0.029), medical devices (p=0.000), restricted mobility (p=0.001), independence (p=0.006), or need for aid (p=0.007). Secondary elementary lesions were associated with being married (p=0.007), medical devices (p=0.029), and restricted mobility (p=0.012). Conclusion: there was high prevalence of elementary lesions in hospitalized elderly and important associated factors. This highlights the importance of nurses to evaluate, identify, and conduct preventive care specific to this population.
Todd M. Preventing skin problems in the older po- pulation. Nurs Residential Care. 2017; 19(10):564-7. doi: http://doi.org/10.12968/nrec.2017.19.10.564
Surber C, Brandt S, Cozzio A, Kottner J. Principles of skin care in the elderly. G Ital Dermatol Venereol [Internet]. 2015 [cited Jan 31, 2019]; 150(6):699-716. Available from: https://www.ncbi.nlm.nih.gov/m/pubmed/26349927/
Duim E, Sá FHC, Oliveira Duarte YA, Oliveira RCB, Lebrão ML. Prevalence and characteristics of lesions in elderly people living in the community. Rev Esc Enferm USP. 2015; 49(esp):50-6. doi: http://dx.doi.org/10.1590/S0080-623420150000700008
Silva R, Santana RF, Oliveira BG, Carmo TG. High prevalence of skin and wound care of hospitalized elderly in Brazil: a prospective observational study. BMC Res Notes. 2017; 1(1):81. doi: https://doi.org/10.1186/s13104-017-2410-6
Trojahn C, Dobos G, Lichterfels A, Blume-Peytavi U, Kottner J. Characterizing facial skin aging in humans: disentangling extrinsic from intrinsic biological phenomena. Biomed Res Int. 2015; 25. doi: http://dx.doi.org/10.1155/2015/318586
Andrada MMC, França M, Alvarez AM, Hammerschmidt KSA. Nursing diagnoses in hospitalized elderly, according to the International Classification of Nursing Practice. Rev Rene. 2015; 16(1):97-105. doi: http://dx.doi.org/10.15253/2175-6783.2015000100013
Porto CC. Semiologia Médica. Rio de Janeiro: Guanabara e Koogan; 2014.
Bolognia JL, Jorizzo JL, Rapini RP. Dermatologia. Rio de Janeiro: Elsevler; 2011.
Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-mental state examination in a general population: impact of educational status. Arq Neuro Psiquiatr. 1994; 52(1):1-7. doi: http://dx.doi.org/10.1590/S0004-282X1994000100001
Folstein MF, Folstein SE, Mchugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. doi: https://doi.org/10.1016/0022-3956(75)90026-6
Giaretta VMA, Silva AM, Renó ACM, Aguiar DAF, Arantes CMS, Posso MBS. Proposta de escala para avaliar o turgor da pele de idosos. Rev Ciên Saúde [Internet]. 2016 [citado 2019 Fev 01];1(1):1-7. Disponível em: http://revistaeletronicafunvic.org/index.php/c14ffd10/article/view/7/12
Matozinhos FP, Velasquez-Melendez G, Tiensoli SD, Moreira AD, Gomes FSL. Factors associated with the incidence of pressure ulcer during hospital stay. Rev Esc Enferm USP. 2017; 51:e03223. doi: http://dx.doi.org/10.1590/S1980-220x2016015803223
Campanili TC, Santos VLCG, Strazzieri-Pulido KC, Thomaz PB, Nogueira PC. Incidence of pressure ulcers in cardiopulmonary intensive care unit patientes. Rev Esc Enferm USP. 2015; 49(spe):7-13. doi: http://dx.doi.org/10.1590/S0080-623420150000700002
Lichterfeld A, Lahmann N, Blume-Peytavi U, Kottner J. Dry skin in nursing care receivers: A multi-centre cross-sectional prevalence study in hospitals and nursing homes. Int J Nurs Stud. 2015; 56:37-44. doi: https://doi.org/10.1016/j.ijnurstu.2016.01.003
Chibante CLP, Santo FHE, Santos TD. Profile of clients hospitalized with skin lesions. Rev Enfermería [Internet]. 2015 [cited 2019 Feb 1];31(4). Available from: http://www.revenfermeria.sld.cu/index.php/enf/article/view/895/136
Busanello J, Pinto DM, Schons ES, Baumgart D, Poll MA. Nursing care to adult patient: mucocutaneous injuries prevention and patient safety. Rev Enferm UFSM. 2015; 5(4):597-606. doi: http://dx.doi.org/10.5902/2179769216310
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