Estudio descriptivo de los pacientes de riesgo y/o con úlceras por presión hospitalizados en una unidad de nefrología durante los años 2006 y 2007

Abstract

For the first time, in a Quality Plan with national scope (Eneas 2005 Report), pressure ulcers are shown to be an evident adverse effect associated to hospitalization. Our aim is to find out the patient profile, the associated risk and the subsequent development of pressure ulcers in patients hospitalized in the nephrology unity, defining the possible level of competence, in ulcer care, of nursing staff. Material and method: descriptive study carried out in 2006-2007. The data were obtained from the Gacela nursing computer programme, patients were evaluated using the Norton scale, and the care plan was defined using NIC and NOC methodology. Results: the incidence of the risk of ulceration upon admission increased from 26.3 to 49.7 in 2007. In 2006, 7.4% of patients at risk developed ulcers, and 4% in 2007. The average age of the patient with an ulcer is stable in men and increases in women. The average number of days until Grade I ulcers are cured worsened in 2007. Conclusions: programmed nursing interventions are sufficient to foresee the number of patients who do not develop ulcers and improvement is required in curing Grade I ulcers.