Palagi Sofia, Severo Isis Marques, Menegon Dóris Baratz, Lucena Amália de Fátima
Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Rev Esc Enferm USP. 2015 Oct;49(5):826-33. doi: 10.1590/S0080-623420150000500017.
To describe the pressure ulcer healing process in critically ill patients treated with conventional dressing therapy plus low-intensity laser therapy evaluated by the Pressure Ulcer Scale for Healing (PUSH) and the result of Wound Healing: Secondary Intention, according to the Nursing Outcomes Classification (NOC).
Case report study according to nursing process conducted with an Intensive Care Unit patient. Data were collected with an instrument containing the PUSH and the result of the NOC. In the analysis we used descriptive statistics, considering the scores obtained on the instrument.
A reduction in the size of lesions of 7cm to 1.5cm of length and 6cm to 1.1cm width, in addition to the increase of epithelial tissue and granulation, decreased secretion and odor.
There was improvement in the healing process of the lesion treated with adjuvant therapy and the use of NOC allowed a more detailed and accurate assessment than the PUSH.
描述采用传统敷料疗法加低强度激光疗法治疗的重症患者的压疮愈合过程,该过程通过愈合压疮量表(PUSH)进行评估,并根据护理结局分类(NOC)得出伤口愈合:二期愈合的结果。
对一名重症监护病房患者按照护理流程进行病例报告研究。使用包含PUSH和NOC结果的工具收集数据。在分析中,我们采用描述性统计方法,考虑在该工具上获得的分数。
病变大小从长7厘米、宽6厘米减小到长1.5厘米、宽1.1厘米,此外上皮组织和肉芽组织增加,分泌物和气味减少。
辅助治疗的病变愈合过程有所改善,并且与PUSH相比,使用NOC能够进行更详细、准确的评估。