Capacidad predictiva de las escalas de valoración de riesgo de úlceras por presión y otras lesiones relacionadas con la dependencia en el paciente crítico

Identifier:  TDX:2437

Handle: https://hdl.handle.net/20.500.11797/TDX2437

Authors:  Roca Biosca, Maria Alba

Abstract:
Pressure ulcers (PU) are a health problemthat affects to all care levels and acquires special relevant in Intensive Care Units where we find very high prevalence levels. Historically, the term “pressure ulcers” has been used to name those injuries caused by pressure as well as those related to different etiologies. Enclosing under a unique name (PU) theinjuries which origin is very different to the pressure can hinder the preventive labour oriented to counteract the effects of the different causal mechanisms. This led to García-fernández et al. to the development of a nursing theory that included the construction of a new model that explains, not only the pathophysiology of the PU, but up to seven different lesions that were named Lesions related with the dependency (DRL). The comprehensive evaluation of the patient is proposed as the main element in the prevention of PU and other DRL and includes, among others, the evaluation of the risk through a validated scale. Because all the scales were created to diagnose PU rather than other types of DRL, this quantitative study and designed in two differentiated phases, aims to analyse and compare the validity and predictive capacity of three scales (EMINA, EVARUCI and Braden) to diagnose DRL in critically ill patients. In conclusion, it aims to approach the theory to the clinical practice in the search of the best nursing knowledge that enhances an improvement in patient safety.