o APLICAÇÃO DA ESCALA DE AVALIAÇÃO DO USO DE FRALDAS EM UMA CLÍNICA MÉDICA DE UM HOSPITAL UNIVERSITÁRIO

Felippe Sales Freitas Araújo; Karina Chamma Di Piero; Camila Castanho Cardinelli

Autores

Felippe Sales Freitas Araújo Universidade Federal do Rio de Janeiro – Hospital Universitário Clementino Fraga Filho – Residência Multiprofissional em Clínica Médica – Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0003-4328-5555
Karina Chamma Di Piero Universidade Federal do Rio de Janeiro – Hospital Universitário Clementino Fraga Filho – Comissão de Métodos Relacionados à Integridade da Pele – Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0002-0102-6785
Camila Castanho Cardinelli Universidade Federal do Rio de Janeiro – Hospital Universitário Clementino Fraga Filho – Comissão de Métodos Relacionados à Integridade da Pele – Rio de Janeiro (RJ), Brasil. https://orcid.org/0000-0003-1676-8324

Resumo

Objectives: apply the evaluation scale for the use of diapers and absorbent products (AUFA Scale) in patients admitted to the medical clinic; identify and analyze the results of this application, the sociodemographic profile of patients in vogue as well as repercussions on the skin related to the use of sanitary pads and diapers. Method: observational, cross-sectional, descriptive and exploratory study, carried out in the medical clinic sector of the University Hospital Hospital Universitário Clementino Fraga Filho (HUCFF/UFRJ), from November 2019 to February 2020, with a convenience sample of 46 patients. There was application of a form to survey general data and, later, the application of the AUFA scale, which identified the following variables: skin conditions, skin aging, cognitive ability, motor skills and incontinence. Results: all 46 patients were using diapers, half women and the other half men, mostly elderly and without a diagnosis of incontinence. In view of the application and analysis of the AUFA scale, only 18 patients (39.14%) were indicated for diaper use. With the inappropriate use of diapers, 27 patients had skin lesions resulting from moisture, a situation that was justified by the absence of systematic care observation for the prevention and treatment of dermatitis associated with incontinence in the evaluated patients. Conclusion: the use of the AUFA scale is indicated to identify patients who need to wear diapers, delimiting care with their management and thus preventing complications and worsening of incontinence.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Bitencourt G R. Validação da escala de avaliação do uso de fraldas e absorventes em idosos na atenção primária [tese]. Rio de Janeiro (RJ): Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense; 2019.

Beeckman D, Van den Bussche K, Alves P, Beele H, Ciprandi G, Coyer F et al. The Ghent Global IAD Categorisation Tool (GLOBIAD). Skin Integrity Research Group - Ghent University. 2017. Disponível em: www.UCVVGent.be

Koudounas S, Bader DL, Voegeli D. Knowledge Gaps in the Etiology and Pathophysiology of Incontinence-Associated Dermatitis: A Scoping Review. J Wound Ostomy Continence Nurs. 2020; 47(4): 388-95. https://doi.org/10.1097/WON.0000000000000656

Fernández FPG, Casanova PL, Palma MR, Goméz TS, Agreda JJS. Guia: cuidados de la piel en pacientes con incontinência y prevención de lesiones asociadas de la humedad. Departamento de enfermeria comunitaria, medicina preventiva y salud pública e historia de la ciência; 2016. Disponível em: https://gneaupp.info/cuidados-de-la-piel-en-pacientes-con-incontinenciay-prevencion-de-lesiones-asociadas-a-la-humedad/

Cunha CV, Ferreira D, Nascimento D, Felix F, Cunha P, Penna LHG. Dermatite associada à incontinência em idosos: caracterização, prevenção e tratamento. ESTIMA, Braz J Enterestomal Ther. 2016; 13(3). Disponível em: https://www.revistaestima.com.br/estima/article/view/218

Bitencourt GR, Santana RF. Evaluation scale for the use of adult diapers and absorbent products: methodological study. Online Braz J Nurs. 2021; 20:e20216466. https://doi.org/10.17665/1676- 4285.20216466

Rodríguez-Palma M, Verdú-Soriano J, Soldevilla-Agreda JJ, Pancorbo-Hidalgo PL, García-Fernández FP. Conceptual Framework for Incontinence − Associated Dermatitis Based on Scoping Review and Expert Consensus Process. J Wound Ostomy Continence Nurs. 202;48(3): 239-50. https://doi.org/10.1097/WON.0000000000000754

Moraes JT, Borges EL, Lisboa CR, Cordeiro DCO, Rosa EG, Rocha NA. Conceito e classificação de lesão por pressão: atualização no National Pressure Ulcer Advisory Panel. Enferm Cent O Min. 2016;6(2): 2292-2306. https://doi.org/10.19175/recom.v6i2.1423

Alves LAF, Santana RF, Cardozo AS, Souza TM, Silva CFR. Dermatitis Associated with Incontinence and the Not-Standard Use of Geriatric Diaper: SystematicReview. ESTIMA Braz J Enterestomal Ther. 2016; 14(4):203-13. https://doi.org/10.5327/Z1806-3144201600040007

Zangirolami-Raimundo J, Echeimberg JO, Leone C. Tópicos de metodologia de pesquisa: Estudos de corte transversal. Journal of Human Growth and Development. 2018;28(3):356-60. https://doi.org/10.7322/jhgd.152198

Polit DF, Beck CT, Hungler BP. Fundamentos de pesquisa em enfermagem: avaliação de evidência para a prática da enfermagem. 7ª ed. São Paulo: Artmed; 2011.

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(13):189-98. https://doi.org/10.1016/0022-3956(75)90026-6

Costa TNM, Nieto JPS, Morikawa LS, Araújo AVS, Cardoso AAM, Mafra BG et al. Analysis of Folstein’s Mini State examination in institutionalized and non institutionalized elderly people. Brazilian Journal of Health Review. 2021;4(2):8319-36. https://doi.org/10.34119/bjhrv4n2-357

Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Rodrigues Netto Junior N. Validation of the “International Consultation on Incontinence Questionnaire - Short Form” (ICIQ-SF) for Portuguese. Rev Saúde Pública. 2004;38(3):438-44. https://doi.org/10.1590/S0034-89102004000300015

Timmermans L, Falez F, Mélot C, Wespes E. Validation of use of the international consultation on incontinence questionnaireurinary incontinence-short form (ICIQ-UI-SF) for impairment rating: A transversal retrospective study of 120 patients. Neurourology and Urodynamics 2013;32(7):974-79. https://doi.org/10.1002/nau.22363

Yates A. Incontinence-associated dermatitis 1: riskfactors for skindamage. Nursing Times. 2020;116(3):46-50. Disponível em: https://www.nursingtimes.net/clinical-archive/tissue-viability/incontinence-associated-dermatitis-1-risk-factors-for-skindamage-02-03-2020/

Werth SL, Justice R. Prevalence of Moisture-Associated Skin Damage in an Acute Care Setting: Outcomes From a Quality Improvement Project. J Wound Ostomy Continence Nurs. 2019;46(1):51-4. https://doi.org/10.1097/WON.0000000000000499

Lopes EB, Pupulim JSL, Oliva APV. Perfil dos diagnósticos de enfermagem de pacientes internados em unidade de clínica médica. Cienc Cuid Saude. 2016;15(2):358-65. https://doi.org/10.4025/cienccuidsaude.v15i2.29356

Nobre IEAM, Barros LM, Gomes MLS, Silva LA, Lima ICS, Caetano JÁ. Sistema de classificação de pacientes de FUGULIN: perfil assistencial da clínica médica. Rev enferm UFPE online. 2017;11(4):1736-42. https://doi.org/10.5205/1981-8963-v11i4a15245p1736-1742-2017

Grden CRB, Martins AR, Cabral LPA, Reche PM, Arcaro G, Brasil D et al. Incontinence associated dermatitis in elderly people admitted to a university hospital. Rev Bras Enferm. 2020;73(Suppl 3) :e20190374. https://doi.org/10.1590/0034-7167-2019-0374

Malta DC, Bernal RTI, Lima MG, Araújo SSC, Silva MMA, Freitas MIF et al. Doenças crônicas não transmissíveis e a utilização de serviços de saúde: análise da Pesquisa Nacional de Saúde no Brasil. Rev Saude Publica. 2017; 51(Supl 1):4s. https://doi.org/10.1590/S1518-8787.2017051000090

Bitencourt GR, Alves LAF, Santana RF. Practice of use of diapers in hospitalized adults and elderly: cross-sectional study. Rev Bras Enferm. 2018;71(2):343-9. http://doi.org/10.1590/0034-7167-2016-0341