Malignant Wounds in Hospitalized Oncology Patients: Prevalence, Characteristics, and Associated Factors
Malignant Wounds in Hospitalized Oncology Patients: Prevalence, Characteristics, and Associated Factors
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住院肿瘤患者的恶性伤口：患病率、特征和相关因素
DOI：
10.1097/psn.0000000000000320
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发表时间：
2020
影响因子：
--
通讯作者：
V. Santos
中科院分区：
文献类型：
--
作者：
Flávia Firmino;Suzana Aparecida da Costa Ferreira;E. Franck;Wilka Medeiros Silva de Queiroz;Diana Villela Castro;P. Nogueira;V. Santos
关于恶性伤口的流行病学和描述性研究很少。本研究的目的是确定肿瘤机构住院患者中MWs的患病率，并分析MWs的特征和相关因素。一项流行病学、横断面和描述性研究来源于一项大型研究，该研究收集了在一家大型肿瘤医院住院的341名成人不同类型伤口的患病率数据。本研究全面分析了与MWs相关的数据。信息通过参与者访谈、体格检查和医疗记录审查获得。这项研究得到了开展这项研究的机构的伦理委员会的批准。14例MWs患者共13例，主要为已婚（58%）和男性（75%），平均年龄60.5±15.1岁。恶性创面主要位于头颈部（43%），根据恶性皮肤创面分期（分期）分为1N（50%）。恶性伤口以疼痛为特征（83.3%），换药时出现明显疼痛（93%）。MWs的存在与抗抑郁药的使用（优势比[OR] = 4.95; p = 0.012）、上肢水肿（OR = 8.39; p = 0.003）和感染（OR = 12.16; p = 0.051）相关。住院患者中MWs的患病率为3.8%。相关临床变量与疾病进展程度相关。这一信息提供了证据，证明有必要进行研究，确定和调查对MW患者进行护理干预，以帮助他们在换药期间控制疼痛。
Epidemiological and descriptive research on malignant wounds (MWs) is scarce. The objective of this study was to identify the prevalence of MWs and analyze the characteristics and associated factors of MWs in hospitalized patients at an oncological institution. An epidemiological, cross-sectional, and descriptive study, which was derived from a larger study that collected data on the prevalence of different types of wounds in 341 adults hospitalized in a large oncological hospital, was conducted. The present study comprehensively analyzed data related to MWs. Information was obtained through participant interviews, physical examination, and medical record review. The study was approved by the ethics committee of the institution where the study was conducted. Fourteen MWs were identified in 13 patients, who were primarily married (58%) and men (75%), with a mean age of 60.5 ± 15.1 years. Malignant wounds were predominantly located in the head and neck region (43%) and classified as 1N (50%) according to the Staging of Malignant Cutaneous Wounds instrument. Malignant wounds were characterized as painful (83.3%), with significant pain present during dressing changes (93%). The presence of MWs was associated with the use of antidepressants (odds ratio [OR] = 4.95; p = .012), upper-limb edema (OR = 8.39; p = .003), and infection (OR = 12.16; p = .051). The prevalence of MWs in hospitalized patients was 3.8%. Associated clinical variables were related to the degree of disease progression. This information provides evidence of the need for research identifying and investigating nursing interventions for patients with MW to assist with pain control during dressing changes.