Avaliação da qualidade das práticas de prevenção e manejo de lesões de pele em recém-nascidos de uma maternidade escola

Abstract

Admission to the Neonatal Intensive Care Unit increases the risk of skin lesions, which is why a rigorous skin assessment is necessary. To evaluate the quality of prevention and management practices for skin lesions in newborns in a Neonatal Intensive Care Unit of a teaching maternity hospital. Descriptive, cross-sectional, quantitative study, carried out in a reference maternity hospital for high-risk care. The sample corresponded to 60 newborns from the Neonatal Intensive Care Unit and the unit's multidisciplinary team. Quality criteria were constructed to measure the conformity of the items. The data were analyzed using descriptive statistics and the Pareto diagram was used to highlight intervention priorities. The project was approved by the Research Ethics Committee of the Januário Cicco Maternity School. Better compliance rates were observed in the criteria related to the nurse's record, per work shift, the assessment of the skin condition of newborns (96.7%), the use of emollients when removing medical adhesives by the nursing team and physiotherapists (83.3%) and daily recording of risk assessment of skin lesions in newborns, with 60%. The criteria related to structure presented rates of 0%. The results allowed the analysis of the quality level of practices for the prevention and management of skin lesions in newborns and highlighted opportunities for improvements such as the construction of protocols, evaluation of clinical signs of infiltration, changing diapers and assessment of the risk of injury during admission