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围手术期压力性损伤的风险评估

Risk assessment for perioperative pressure injuries.

作者信息

Peixoto Camila de Assunção, Ferreira Maria Beatriz Guimarães, Felix Márcia Marques Dos Santos, Pires Patrícia da Silva, Barichello Elizabeth, Barbosa Maria Helena

机构信息

Universidade Federal do Triângulo Mineiro, Instituto de Ciências da Saúde, Uberaba, MG, Brazil.

Prefeitura Municipal de Uberaba, Secretaria Municipal de Saúde, Uberaba, MG, Brazil.

出版信息

Rev Lat Am Enfermagem. 2019 Jan 17;27:e3117. doi: 10.1590/1518-8345.2677-3117.

DOI:10.1590/1518-8345.2677-3117
PMID:30698218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6336361/
Abstract

OBJECTIVES

to evaluate and classify patients according to the Risk Assessment Scale for Perioperative Pressure Injuries; verify the association between sociodemographic and clinical variables and the risk score; and identify the occurrence of pressure injuries due to surgical positioning.

METHOD

observational, longitudinal, prospective and quantitative study carried out in a teaching hospital with 278 patients submitted to elective surgeries. A sociodemographic and clinical characterization questionnaire and the Risk Assessment Scale for Perioperative Pressure Injuries were used. Descriptive, bivariate and logistic regression analyses were applied.

RESULTS

the majority of patients (56.5%) presented a high risk for perioperative pressure injury. Female sex, elderly group, and altered body mass index values were statistically significant (p < 0.05) for a higher risk of pressure injuries. In 77% of the patients, there were perioperative pressure injuries.

CONCLUSION

most of the participants presented a high risk for development of perioperative decubitus ulcers. The female sex, elderly group, and altered body mass index were significant factors for increased risk. The Risk Assessment Scale for Perioperative Pressure Injuries allows the early identification of risk of injury, subsidizing the adoption of preventive strategies to ensure the quality of perioperative care.

摘要

目的

根据围手术期压力性损伤风险评估量表对患者进行评估和分类;验证社会人口统计学和临床变量与风险评分之间的关联;并确定手术体位导致压力性损伤的发生情况。

方法

在一家教学医院对278例行择期手术的患者进行观察性、纵向、前瞻性和定量研究。使用了一份社会人口统计学和临床特征调查问卷以及围手术期压力性损伤风险评估量表。应用了描述性、双变量和逻辑回归分析。

结果

大多数患者(56.5%)存在围手术期压力性损伤的高风险。女性、老年组和体重指数值改变与压力性损伤风险较高在统计学上具有显著意义(p < 0.05)。77%的患者发生了围手术期压力性损伤。

结论

大多数参与者存在发生围手术期褥疮的高风险。女性、老年组和体重指数改变是风险增加的重要因素。围手术期压力性损伤风险评估量表有助于早期识别损伤风险,为采取预防策略提供依据,以确保围手术期护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/6336361/e22368673895/0104-1169-rlae-27-e3117-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/6336361/e22368673895/0104-1169-rlae-27-e3117-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93f8/6336361/e22368673895/0104-1169-rlae-27-e3117-gf1.jpg

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