Revista brasileira de enfermagem · 2026
Factors associated with pressure injuries in bedridden older adults in Primary Health Care.
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Santos Jessica Fernandes Dos, Fonseca Ana Beatriz Marques, Teixeira Leticia Dantas, Araújo Jéssica Naiara de Medeiros, Fernandes Maria Isabel da Conceição Dias, Lira Ana Luisa Brandão de Carvalho, Tinôco Jéssica Dantas de Sá
Аннотация
OBJECTIVES: to identify factors associated with the occurrence of pressure injuries (PI) in bedridden older adults treated in Primary Health Care (PHC).
METHODS: this cross-sectional study was conducted with 63 bedridden older adults. Validated clinical assessment instruments were applied, including physical skin examination, the Braden Scale, the Katz test, and indicators of nursing diagnoses from NANDA-International.
RESULTS: although all presented a risk for pressure injuries, a confirmed diagnosis occurred in 25.4%. The variables most strongly associated were non-intact skin (p<0.001), age spots (p<0.001), erythema (p=0.002), as well as medication use (p=0.024), decreased turgor (p=0.035), excessive moisture (p=0.032), previous history of pressure injuries (p=0.015), and altered sensitivity (p=0.021).
CONCLUSIONS: early recognition of these factors can guide individualized care plans and standardized protocols in primary health care, strengthening the prevention of an avoidable condition.
METHODS: this cross-sectional study was conducted with 63 bedridden older adults. Validated clinical assessment instruments were applied, including physical skin examination, the Braden Scale, the Katz test, and indicators of nursing diagnoses from NANDA-International.
RESULTS: although all presented a risk for pressure injuries, a confirmed diagnosis occurred in 25.4%. The variables most strongly associated were non-intact skin (p<0.001), age spots (p<0.001), erythema (p=0.002), as well as medication use (p=0.024), decreased turgor (p=0.035), excessive moisture (p=0.032), previous history of pressure injuries (p=0.015), and altered sensitivity (p=0.021).
CONCLUSIONS: early recognition of these factors can guide individualized care plans and standardized protocols in primary health care, strengthening the prevention of an avoidable condition.