Romero-Herrera G, Margarita AE

Language: Spanish
References: 13
Page: 111-118
PDF size: 278.39 Kb.

ABSTRACT

Introduction: Pressure ulcers (PU) have long been a major problem in hospitalized children; however, their true magnitude tends to be minimized despite their frequency.
Objective: The intention of the study was to identify the factors of risk related with the presence of ulcers by pressure in children 6-12 years old that are in the Unit of Intensive Cares of a Pediatric Hospital at the third level. As well as to identify the presence of ulcers by pressure and to describe their characteristics.
Methods: Cross-sectional prospective study, with sample to convenience with 60 patients caught in the Unit of Pediatric Intensive Cares in which factors of risk of ulcers by pressure were identified using the direct observation.
Results: 37% of the captured patients, presented displayed injuries by pressure, of which it was that the risk factors that greater statistical significance p‹ 0.05 were the use of ventilator, sedatives and the care of nurse.
Conclusions: As much the treatment as the cares of nurse played a determining role in the presence of the problem; when being observed that the lack of independent mobility caused by the treatment with sedatives affects in greater degree when the patient does not receive the opportune cares so that ulcers by pressure are generated.

REFERENCES

1. Bautista PL. Las úlceras por presión en pacientes sometidos a ventilación mecánica en la unidad de cuidados intensivos e intermedios del INER. Rev Inst Nac Enf Resp. 2004;17(2):91-9.

2. Baldwin KM. Incidence and prevalence of pressure ulcers in children. Advances in skin & wound care. 2002;15(3)121-24.

3. Jones I, Tweed C, Marron M. Pressure area care infants and children: Nimbus Pediatric System. Br J Nurs. 2001;10(12):789-95.

4. Murdoch V. Pressure care in the pediatric intensive care unit. Nurs Stand. 2002;17(6):71-76.

5. Willock J, Hughes J, Tickle S, Rossiter G, Johnson C, Pye H. Pressure sores in children. The acute hospital prospective. J tissue viability. 2000;10(2):59-62.

6. Curley M, Quigley S, Ling M. Pressure ulcers in pediatric intensive care: Incidence and associated factors. Pediatric Crit Care Med. 2003;4(3):285-7.

7. McCord S, McElvian V, Sachdeva R, Schwartz P, Jefferson L. Risk factors associeted with pressure ulcer in the Pediatric Intensive Care Unit. J WOCN. 2004;31(4):183.

8. Bernal B, Nieto M. Úlceras por presión en niños. Evaluación del riesgo en la Unidad de Cuidado Intensivo Pediátrico. Aquichán. 2004;4(4):10-5.

9. Canaval G. Lesiones cutáneas en adultos hospitalizados en el Hospital Universitario del Valle, Cali. Colombia Médica. Colombia, 1997; 28: 177-81.

10. Langer G, Schloemer G, Knerr A, Kuss O, Behrens J. Intervenciones nutricionales para la prevención y el tratamiento de úlceras por presión. Chochrane Plus. 2006;3:1-2.

11. Acuña L. Riesgo e incidencia de úlceras por presión. Desarrollo científico. 2002;10:292-95.

12. Silvestre C, Doménech L, Elizondo A, Erro J, Esparza C. Evaluación de la prevalencia de úlceras por presión en el Hospital de Navarra. Anales. 1999;22(3):1-5.

13. Aizpitarte PE, Galindo FA, Margall CM, Asian EM. Ulceras por presión en cuidados intensivos: valoración y medidas de prevención. Enfermería Intensiva. 2005;16(4):156-65.