Perfil nutricional de pessoas com lesão por pressão em atendimento domiciliar

2017 
Nutritional intake and nutritional status correlate with the development of pressure injuries (PI), as well as their healing. Based on such premises, the purpose of this study was to verify the nutritional profile of patients bedridden with PI. Twelve patients, who were cared for at home by the Family Health Program teams of Sao Jose do Rio Preto, from July to August 2012, were studied. The results showed that 6 patients had stage II PI, 5 patients were stage III, and 1 patient was stage IV. According to the Subjective Global Nutrition Assessment (SGNA) 50% were considered in nutritional risk and 50% with malnutrition. According to the anthropometric indicators 16.7% were eutrophic, 25% were in nutritional risk and 58.3% were malnourished. The patients ingested 1465.3 ± 459 (SD) calories / diameter and 54.1 + 26.9 (SD) g protein / day. In relation to the intake of nutritional supplement, only 16.66% used some type. The caloric-protein intake may predict the development of PI and make healing difficult. Patients who received most of the protein and energy supply, as well as specific nutrients, tended to develop less PI and have better healing. Malnutrition may be associated with the development of more severe PI, which suggests that a nutritional assessment and performance of interventions assist in the prevention and treatment of PI. It is concluded that malnutrition may be a risk factor associated with the development and severity of PI in the home environment. Therefore, nutritional monitoring of these patients is important in both the prevention and the treatment of PI.
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