W02 Prevalence of Skin Tears and Associated Factors in Hospitalized Patients with Cancer

Sunday, June 3, 2018: 4:35 PM
Roberto de Miranda Felizardo1, Vera Lucia Conceicao de Gouveia Santos, PhD, MSN, BSN, CWOCN, (TiSOBEST - Brazil)2, Fernanda Mateus Queiroz Schmidt, BSN, MSN, WOCN3, Mariana Bandeira, BSN, WOCN4, Talita Rosa5, Paula C Nogueira, PhD, MSN, BSN2 and Diana L. Villela, BSN-RN, MSc6, (1)Wond and Skin Care, Icurativos, São Paulo, Brazil, (2)Medical-Surgical Nursing Department, University of Sao Paulo College of Nursing, Sao Paulo, Brazil, (3)Nursing School of the University of São Paulo, Nurse, Sao Paulo, Brazil, (4)Politec Hospitalar Ltda., São Paulo, Brazil, (5)Study, Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo – EERP-USP, Ribeirão Preto (SP), Brasil., São Paulo, Brazil, (6)A. C. Camargo Cancer Hospital, Departament of Continuing Education, São Paulo, Brazil
Aims: Because there have been few epidemiological studies of Skin Tears (ST) in patients hospitalized with cancer, we sought to analyze the prevalence of and factors associated with ST in such patients. Methods: This was an observational, cross-sectional, descriptive, correlational epidemiological study with a quantitative approach, conducted at a cancer hospital in the city of São Paulo, Brazil, between November and December 2015. Sociodemographic and clinical data were collected, and participants were assessed with the Symptom Tracking and Reporting questionnaire. Results: We evaluated 341 patients, of whom 22 (6.4%) presented with ST. Antibiotic use, anticoagulant use, diaper use, and ecchymosis were significantly associated with ST (p<0.05 for all), although antibiotic use was associated with a lower occurrence of ST. The most common site of ST was the lower limbs (in 26.9%), followed by the sacral region and upper limbs. Conclusions: The prevalence of ST observed in our sample is similar to that reported in the few similar studies found in the literature. Our findings contribute to a better understanding of the epidemiology of and factors associated with ST in hospitalized cancer patients, which will allow nursing professionals to develop prevention strategies and early interventions to avoid or minimize such injuries.