围手术期压伤的发生率和风险因素:前瞻性描述性研究

IF 1.6 4区 医学 Q2 NURSING Journal of Perianesthesia Nursing Pub Date : 2024-09-11 DOI:10.1016/j.jopan.2024.07.010
Özkan Karadede, Eylem Toğluk Yiğitoğlu, Hatice Şeremet, Çağla Özyilmaz Daştan
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引用次数: 0

摘要

目的:接受手术、诊断或其他侵入性程序的患者经常会发生压力损伤,因此在围手术期对患者进行评估非常重要。本研究旨在确定围手术期压伤的发生率和风险因素:设计:横断面、前瞻性和描述性研究:本研究涉及 2022 年 5 月至 2022 年 7 月期间符合研究资格标准的 158 名患者。使用患者信息表、芒罗量表、布莱登量表和压力损伤分期表收集数据。对患者进行术后或 3 天的监测:结果:13.9%的患者发生了压伤。围手术期的风险因素包括年龄、水肿、移动时间、肠外营养、输血和血糖水平,而压力损伤患者术前的白蛋白水平较低。术后的风险因素包括:移动和过渡到口服喂养的时间、重症监护室的住院时间以及布莱登评分较低。在多变量分析中,与压力损伤风险相关的变量是术后芒罗评分和水肿:结论:评估外科手术患者压力损伤的风险因素至关重要。
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Incidence and Risk Factors for Perioperative Pressure Injuries: Prospective Descriptive Study.

Purpose: Pressure injuries can often occur in patients undergoing surgical, diagnostic, or other invasive procedures, so it is important to assess patients in the perioperative period. This study was conducted to determine the incidence and risk factors of perioperative pressure injury.

Design: A cross-sectional, prospective, and descriptive study.

Methods: This study involved 158 patients who met the study's eligibility criteria between May 2022 and July 2022. The data were collected using the Patient Information Form, Munro Scale, Braden Scale, and pressure injury staging form. The patients were monitored postoperatively or for 3 days.

Findings: Pressure injury developed in 13.9% of the patients. Perioperative risk factors were age, edema, mobilization time, parenteral nutrition, blood transfusion, and glucose level, while preoperative albumin level was lower in patients with pressure injury. In the postoperative period, the risk factors were duration of mobilization and transition to oral feeding, length of intensive care unit stay, and low Braden score. In multivariate analysis, the variables that showed significance with the risk of pressure injury were postoperative Munro score and edema.

Conclusions: It is crucial to evaluate the risk factors for pressure injury in patients who have undergone surgical procedures.

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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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