RESUMO
PURPOSE: The purpose of this study was to analyze the validity of the nutrition subscale from the Braden Scale for Predicting Pressure Sore Risk in hospitalized patients. DESIGN: A prospective, quasi-experimental, repeated-measures design guided data collection and analysis. SUBJECTS AND SETTINGS: One hundred seventy adult patients from 2 private hospitals located in urban areas in Southeastern Brazil, with a Braden Scale score of 18 or less, and who agreed to participate in the study were assessed between January and August 2006. Participants were primarily male (57.0%) and had a mean age of 67.0 ± 15.4 years (mean ± SD). METHODS: Objective assessment and subjective global assessment of nutritional status were performed on admission. Every 2 days, patients deemed at potential risk for pressure ulcer development underwent evaluation of protein-energy intake, skin assessment, and repeated risk assessment for pressure ulcer development via the Braden Scale. Univariate and multivariate logistic regression analyses were used to assess the predictive power of nutritional variables related to risk for pressure ulcer development. RESULTS: The mean length of stay among patients was 17.8 ± 16.8 days. Multivariate regression analysis revealed that serum albumin levels (odds ratio = 5.226; P < .001) and subjective global nutritional assessment (odds ratio = 3.246; P < .001) were the best nutritional predictors of pressure ulcer development. CONCLUSION: We did not find the Braden nutrition subscale score to be predictive for pressure ulcer development in hospitalized patients. Serum albumin levels and subjective global nutritional assessment were the best nutritional predictors of pressure ulcer development.
Assuntos
Avaliação Nutricional , Úlcera por Pressão/prevenção & controle , Albumina Sérica , Estudos de Validação como Assunto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera por Pressão/diagnóstico , Estudos Prospectivos , Inquéritos e QuestionáriosRESUMO
The aim of this study was to evaluate the validity of the Braden and Waterlow subscales in predicting pressure ulcer risk in hospitalized patients. This is a secondary analysis of a prospective cohort study. Braden sensory perception and friction/shear subscales and Waterlow mobility and appetite subscales were the most relevant predictors.
Assuntos
Hospitalização , Pacientes Internados , Úlcera por Pressão/epidemiologia , Humanos , Estudos Prospectivos , Fatores de Risco , Inquéritos e QuestionáriosRESUMO
OBJECTIVE: To analyze the quality of life of children with stomas according to the children and mothers' point of view; to compare the results related to quality of life in both groups, and to verify the statistical associations between those aspects and children's demographic and clinical data. METHODS: After fulfilling ethical requirements, the specific data were obtained using the Autoquestionnaire Qualité de Vie Enfant Imagé, adapted and validated for Brazilian culture and also for this study by Assumpção Jr. et al. It is composed by 26 questions, 18 of them are distributed among four factors: Functions, Family, Autonomy and Leisure. RESULTS: Twenty children, aged 4 to 12 years, from a Specialized Outpatient Ostomy Care Center for Children and their respective mothers answered the questionnaire. Ten boys and 10 girls participated, their mean age was 8.7 (SD = 2.64) years, with the predominance of Caucasians (55.0%), and elementary education level (65.0%). Clinical profile shows a predominance of urinary stomas (55.0%) caused by congenital diseases (60.0%). Related to quality of life, the total mean scores were 51.95 (SD = 7.90) and 49.60 (SD = 5.60), respectively for children and mothers, without statistically significant difference. Regarding each factor, the patients' scores were 8.14, 8.29, 10.27 and 11.41, respectively for autonomy, leisure, functions and family. Some statistically significant associations were verified between education level and mothers' quality of life (r = -0.56) and children's quality of life (r = -0.63), and also between mothers' quality of life and family (r = 0.86), autonomy (r = 0.60) and functions (r = 0.59). CONCLUSION: This study improves the comprehension about quality of life of children with stoma as well as some of these aspects on their mother's point of view.
Assuntos
Colostomia , Cistostomia , Ileostomia , Qualidade de Vida , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Mães , Inquéritos e QuestionáriosRESUMO
Objetivos: analisar a qualidade de vida de crianças ostomizadas em sua ótica e na de suas mães; comparar os escores de qualidade de vida (QV) obtidos em ambos grupos (crianças e mães), e verificar as associações entre os escores de qualidade de vida e as característicassociodemográficas e clínicas das crianças. Métodos: após o cumprimento das exigências éticas, os dados sobre a qualidade de vida foram obtidos através do Autoquestionnaire Qualité de Vie Enfant Imagé (AUQEI), em sua versão traduzida para a língua portuguesa, adaptada por Assumpção et al. e validada para este estudo. O questionário foi respondido por 20 crianças ostomizadas, oriundas de um serviço público infantil de referência do Município de São Paulo e por suas respectivas mães. Os dados obtidos foram submetidos ao teste de normalidade de Kolmogorov-Smimov, coeficientes de correlação ordinal de Spearman e de correlação linear de Pearson, e o teste t de student. Resultados: dez meninos e 10 meninas, com idades entre 4 e 12 anos, apresentaram idade média de 8,7 anos (DP=2,64), com predomínio da raça branca (55 por cento) e da escolaridade fundamental (65 por cento). Clinicamente, predominaram os estomas urinários (55 por cento), proveni-entes, principalmente, das mal formações congênitas (60 por cento). Com relação à qualidade de vida, obtiveram-se escores médios totais de 51,95 (DP = 7,90) e 49,60 (DP = 5,60), apontados, respectivamente, pelas crianças e mães. Quanto aos fatores, os escores obtidos pelas crianças foram 8,14; 8,29; 10,27 e II, 41, respectivamente, paraautonomia, lazer, funções e família. Correlações...