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Malignant Wounds in Hospitalized Oncology Patients: Prevalence, Characteristics, and Associated Factors.
Firmino, Flavia; Ferreira, Suzana Aparecida da Costa; Franck, Ednalda Maria; de Queiroz, Wilka Medeiros Silva; Castro, Diana Villela; Nogueira, Paula Cristina; Santos, Vera Lúcia Conceição Gouveia.
Afiliação
  • Firmino F; Flavia Firmino, PhD, BSN, RN, ETN, is an oncologist nurse at the José Alencar Gomes da Silva National Cancer Institute (INCA), Rio de Janeiro, RJ, Brazil.
  • Ferreira SADC; Suzana Aparecida da Costa Ferreira, EdS, RN, ET, OCN, is a master's student in Adult Health Nursing Graduation Program (PROESA), Escola de Enfermagem da Universidade de São Paulo (USP) (School of Nursing of the University of Sao Paulo), Sao Paulo, SP, Brazil.
  • Franck EM; Ednalda Maria Franck, RN, ET, is a nurse at the Center for Palliative Care at Hospital das Clínicas, Medical School, USP, working in the Interconsulting Group and in the Palliative Care Outpatient Clinic, Hospital das Clínicas, USP Medical School, Nursing Division, Sao Paulo, SP, Brazil.
  • de Queiroz WMS; Wilka Medeiros Silva de Queiroz, RN, ET, is a public health specialist (Family Health Program), and a nurse product specialist at Laboratory B Braun, B Braun Laboratories, Sao Paulo, SP, Brazil.
  • Castro DV; Diana Villela Castro, PhD, MSc, BSN, RN, is a postdoctoral fellow, Bayer Pharmaceuticals, Sao Paulo, SP, Brazil.
  • Nogueira PC; Paula Cristina Nogueira, PhD, MSN, BSN, RN, ETN, is a postdoctoral fellow, Department of Medical-Surgical Nursing at the School of Nursing of the University of Sao Paulo (Universidade de Sao Paulo, Escola de Enfermagem EEUSP), Sao Paulo, SP, Brazil.
  • Santos VLCG; Vera Lúcia Conceição Gouveia Santos, PhD, MSN, BSN, RN, is a postdoctoral fellow, Department of Medical-Surgical Nursing at the School of Nursing of the University of Sao Paulo (Universidade de São Paulo, Escola de Enfermagem EEUSP), Sao Paulo, SP, Brazil.
Plast Surg Nurs ; 40(3): 138-144, 2020.
Article em En | MEDLINE | ID: mdl-32852440
Epidemiological and descriptive research on malignant wounds (MWs) is scarce. The objective of this study was to identify the prevalence of MWs and analyze the characteristics and associated factors of MWs in hospitalized patients at an oncological institution. An epidemiological, cross-sectional, and descriptive study, which was derived from a larger study that collected data on the prevalence of different types of wounds in 341 adults hospitalized in a large oncological hospital, was conducted. The present study comprehensively analyzed data related to MWs. Information was obtained through participant interviews, physical examination, and medical record review. The study was approved by the ethics committee of the institution where the study was conducted. Fourteen MWs were identified in 13 patients, who were primarily married (58%) and men (75%), with a mean age of 60.5 ± 15.1 years. Malignant wounds were predominantly located in the head and neck region (43%) and classified as 1N (50%) according to the Staging of Malignant Cutaneous Wounds instrument. Malignant wounds were characterized as painful (83.3%), with significant pain present during dressing changes (93%). The presence of MWs was associated with the use of antidepressants (odds ratio [OR] = 4.95; p = .012), upper-limb edema (OR = 8.39; p = .003), and infection (OR = 12.16; p = .051). The prevalence of MWs in hospitalized patients was 3.8%. Associated clinical variables were related to the degree of disease progression. This information provides evidence of the need for research identifying and investigating nursing interventions for patients with MW to assist with pain control during dressing changes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Neoplasias Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Plast Surg Nurs Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ferimentos e Lesões / Neoplasias Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Plast Surg Nurs Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos