Incidência de lesões cutâneas em neonatos na Unidade de Terapia Intensiva Neonatal de um hospital de referência

Abstract

The skin is one of the major organs of the human body, in addition to being the largest organ, and performs important functions such as immunological thermoregulation, defense against toxins and infections. Therefore, the preservation of skin integrity is very important especially in children and newborns that still have thin and sensitive skin. GOAL: To analyze the incidence of skin lesions in a neonatal intensive care unit of a referral hospital; Trace the main factors that cause injuries in neonates admitted to the NICU; Observe the neonate during the procedures of the professionals quantifying the skin lesions in the NICU; To characterize newborns hospitalized in a Neonatal Intensive Care Unit regarding the clinical variables. The data collection was done through the form of the characterization of the clinical variables of the newborn; the data were organized and accounted for in the Excel spreadsheet program. After the correction of some errors and the analysis was carried out in the SPSS Statistics Program, the development of the study met the national and international standards of ethics in research involving human beings. Participants were 43 neonates. Pretere newborns prevailed with 37.2% males, and born cesarean births that gave the percentage of 70%, and 28% weighed up to 1088 g. In the evaluation of the diagnosis of hospitalizations, 32.6% of hospital admission among the newborns was respiratory disorder, followed by prematurity with 18.6%, followed by meconium aspiration syndrome with 9.3% of the cases. 4.7% due to unspecified intestinal obstruction. On the other hand, the evaluation of the skin, from the data recorded, 72.7% of the lesions were caused by adhesive fixation and by venous puncture. Secondly, the removal of adhesives with 21.2% and with 3% the infiltration, besides the friction in the region of the diaper also with 3%. The sites that presented lesions with more incidences were on the lips, in which 55.8% of the children had these lesions. Then, the MMSS had 48.8%, followed by the MMII with 41.8%, the umbilical stump and the abdominal region had an incidence of 13.9%, 9.3% presented lesions on the perineum and on the face, 6, 9% in the posterior thorax and in the head, 2.3% of the infants had lesions in the anterior thorax and sacral region and 4.6% had no lesions By associating the variables with the scores, the neonates presented statistical significance for the development of skin lesions, extreme premature infants, low birth weight infants and newborns nursing PICC and peripheral catheter concomitantly. A positive evaluation of the skin of these RNs was concluded. However, the scores show the rupture injury was the prevailing construct and is related to venous punctures and the fixation by tape.