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所选风险因素对围手术期压力性损伤发生的影响。

The Effect of Selected Risk Factors on Perioperative Pressure Injury Development.

作者信息

Celik Buket, Karayurt Özgül, Ogce Filiz

出版信息

AORN J. 2019 Jul;110(1):29-38. doi: 10.1002/aorn.12725.

Abstract

Patients undergoing operative and other invasive procedures are at high risk for developing pressure injuries. This study aimed to determine the incidence of perioperative pressure injuries in patients who underwent procedures lasting two hours or more in Turkey and the risk factors that affect the development of pressure injuries. Data were collected during the perioperative period. The incidence of perioperative pressure injuries was 40.4%. The results of univariate logistic regression analysis showed that intraoperative vasopressor use, skin turgor, and diastolic blood pressure less than or equal to 60 mm Hg were significantly related to the development of pressure injuries. There was no significant difference between patients who developed pressure injuries and patients who did not when comparing their preoperative Braden Scale scores. Perioperative nurses should assess each patient for pressure injury risk and perform interventions to prevent pressure injuries during each stage of the patient's perioperative course.

摘要

接受手术及其他侵入性操作的患者发生压力性损伤的风险很高。本研究旨在确定在土耳其接受持续两小时或更长时间手术的患者围手术期压力性损伤的发生率以及影响压力性损伤发生的危险因素。在围手术期收集数据。围手术期压力性损伤的发生率为40.4%。单因素逻辑回归分析结果显示,术中使用血管升压药、皮肤弹性以及舒张压小于或等于60mmHg与压力性损伤的发生显著相关。在比较发生压力性损伤的患者和未发生压力性损伤的患者术前的Braden量表评分时,两者之间没有显著差异。围手术期护士应评估每位患者发生压力性损伤的风险,并在患者围手术期的每个阶段采取干预措施以预防压力性损伤。

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