Bustamante Yoselin Isabel Vallejo, Martinez Oscar Fidel Antunez
School of Nursing, National Autonomous University of Honduras, Tegucigalpa, Honduras.
College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Belitung Nurs J. 2025 Jan 26;11(1):25-34. doi: 10.33546/bnj.3592. eCollection 2025.
Although substantial evidence exists regarding the treatment of pressure ulcers, there is a lack of studies demonstrating a comprehensive nursing approach for managing pressure ulcers in the ICU, particularly among patients with invasive mechanical ventilation from developing countries like Honduras. This gap in research is significant as the risk and impact of pressure ulcers on health recovery cannot be disregarded.
This study aimed to analyze Honduran nursing care for pressure ulcers in patients with invasive mechanical ventilation admitted to Intensive Care Units.
A qualitative study approach was used, with in-depth interviews conducted with 12 critical care nurses from July to September 2022. The interviews were recorded, and data analysis was performed using the participants' narratives following Colaizzi's steps.
Three themes were obtained, which provide insight into the phenomenon: "The strengths in Honduran nursing interventions," "Negligence in the Honduran nursing care processes," and "Vulnerabilities in the organizational structures."
Nurses' experiences highlighted their timely reports and comprehensive, holistic care. However, they undergo negligence in their caring processes, such as low frequency of repositioning, lack of caring plans, and absence of self-training, leading to interdisciplinary work codependency for decision-making. Allocating resources toward nursing care and their professional growth is an investment in providing humane treatment and ensuring the prevention and management of pressure injuries in critical care patients. This study highlights the importance of comprehensive training and standardized protocols for intensive care nurses to improve pressure injury prevention and management in mechanically ventilated patients, emphasizing the need for regular patient repositioning, effective communication, and adequate resources to enhance patient care quality.
尽管存在大量关于压疮治疗的证据，但缺乏研究证明在重症监护病房（ICU）中管理压疮的全面护理方法，特别是在像洪都拉斯这样的发展中国家接受有创机械通气的患者中。由于压疮对健康恢复的风险和影响不容忽视，这一研究空白意义重大。
本研究旨在分析洪都拉斯对入住重症监护病房的有创机械通气患者压疮的护理情况。
采用定性研究方法，于2022年7月至9月对12名重症护理护士进行了深入访谈。访谈进行了录音，并按照科莱齐的步骤使用参与者的叙述进行数据分析。
获得了三个主题，有助于深入了解该现象：“洪都拉斯护理干预的优势”、“洪都拉斯护理过程中的疏忽”以及“组织结构中的脆弱性”。
护士的经验突出了他们的及时报告和全面、整体护理。然而，他们在护理过程中存在疏忽，如翻身频率低、缺乏护理计划和自我培训，导致决策时跨学科工作相互依赖。将资源分配用于护理及其专业成长是对提供人性化治疗以及确保预防和管理重症患者压疮的一项投资。本研究强调了对重症监护护士进行全面培训和制定标准化方案对于改善机械通气患者压疮预防和管理的重要性，强调了定期为患者翻身、有效沟通以及提供充足资源以提高患者护理质量的必要性。
