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回归基础:预防围手术期压力性损伤

Back to Basics: Preventing Perioperative Pressure Injuries.

作者信息

Spruce Lisa

出版信息

AORN J. 2017 Jan;105(1):92-99. doi: 10.1016/j.aorn.2016.10.018.

Abstract

Pressure injury prevention is essential to patient safety in the perioperative setting. Perioperative nurses should be knowledgeable about the risk factors for pressure injury and the safety precautions that can be taken to prevent this injury from occurring. Perioperative nurses should be able to identify patients who are at high risk for developing a pressure injury. Perioperative patients are at risk for developing pressure injuries because they can experience intense or prolonged pressure during lengthy surgical procedures, may have increased pressure on bony prominences from positioning, are exposed to friction or shear during transfer to the OR bed and positioning, and often have significant comorbidities. This Back to Basics article examines the risk factors for pressure injuries in the perioperative patient population and discusses screening and prevention measures that can be implemented.

摘要

在围手术期,预防压力性损伤对患者安全至关重要。围手术期护士应了解压力性损伤的风险因素以及可采取的预防此类损伤发生的安全预防措施。围手术期护士应能够识别有发生压力性损伤高风险的患者。围手术期患者有发生压力性损伤的风险,因为他们在长时间的手术过程中可能会经历强烈或长时间的压力,由于体位原因骨隆突处的压力可能会增加,在转移到手术床和摆放体位时会受到摩擦或剪切力,并且通常有严重的合并症。这篇回归基础的文章探讨了围手术期患者群体中压力性损伤的风险因素,并讨论了可实施的筛查和预防措施。

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