手术体位导致围手术期损伤发生的风险评估
Risk assessment for the development of perioperative lesions due to surgical positioning.
作者信息
Oliveira Haglaia Moira Brito de Sena, Santos Anizielly Maria de Jesus Ferreira Dos, Madeira Maria Zélia de Araújo, Andrade Elaine Maria Leite Rangel, Silva Grazielle Roberta Freitas da
机构信息
Instituto Dante Pazzanese de Cardiologia, Enfermagem Cardiovascular. São Paulo, São Paulo, Brasil.
Universidade Federal do Piauí (UFPI). Teresina, Piauí, Brasil.
出版信息
Rev Gaucha Enferm. 2019 Dec 20;40(spe):e20180114. doi: 10.1590/1983-1447.2019.20180114. eCollection 2019.
OBJECTIVE
To evaluate the risk of developing perioperative lesions due to surgical positioning in patients submitted to elective surgeries.
METHODS
This is an analytical and longitudinal study carried out with 45 patients in a public hospital of medium and high complexity in the state of Piauí. The following data was used: perioperative evaluation instrument, Numerical Visual Scale, Braden Scale and the Risk Assessment Scale for the Development of Injuries from Surgical Positioning (ELPO).
RESULTS
Participants aged ≥ 46 years had a higher risk, and there were 33.4% of hypertensives among the 35.6% with comorbidities. The most prevalent position, with 64.5% was supine, with only 2.2% cases of pre-surgical injury. Regarding the risk for positional lesions, 68.9% presented low risk.
CONCLUSIONS
31.1% of the participants were at high risk for developing positional lesions, related to age and comorbidities.
目的
评估接受择期手术患者因手术体位导致围手术期损伤的风险。
方法
这是一项在皮奥伊州一家中高复杂性公立医院对45例患者进行的分析性纵向研究。使用了以下数据：围手术期评估工具、数字视觉量表、布拉德恩量表以及手术体位损伤发生风险评估量表（ELPO）。
结果
年龄≥46岁的参与者风险更高，在有合并症的35.6%患者中，高血压患者占33.4%。最常见的体位是仰卧位，占64.5%，术前损伤病例仅占2.2%。关于体位性损伤风险，68.9%为低风险。
结论
31.1%的参与者发生体位性损伤的风险较高，这与年龄和合并症有关。
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