Nascimento Francisca Caroline Lopes do, Rodrigues Maria Cristina Soares
Centro Cirúrgico, Rede Sarah de Hospitais de Reabilitação, Brasília, DF, Brazil.
Departamento de Enfermagem, Universidade de Brasília, Brasília, DF, Brazil.
Rev Lat Am Enfermagem. 2020;28:e3261. doi: 10.1590/1518-8345.2912.3261. Epub 2020 May 11.
to validate the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning in the stratification of risk for injury development in perioperative patients at a rehabilitation hospital.
analytical, longitudinal and quantitative study. An instrument and the scale were used in the three perioperative phases in 106 patients. The data were analyzed using descriptive and inferential statistics.
most patients showed high risk for perioperative injuries, both in the scale score with estimated time and in the real-time score, with a mean of 19.97 (±3.02) and 19.96 (±3.12), respectively. Most participants did not show skin lesions (87.8%) or pain (92.5%). Inferential analysis enabled us to assert that the scale scores are associated with the appearance of injuries resulting from positioning, therefore, it can adequately predict that low-risk patients are unlikely to have injuries and those at high risk are more likely to develop injuries.
the scale validation is shown by the association of scores with the appearance of injuries, therefore, it is a valid and useful tool, and it can guide the clinical practice of perioperative nurses in rehabilitation hospitals in order to reduce risk for injuries due to surgical positioning.
验证手术体位所致损伤发生风险评估量表在康复医院围手术期患者损伤发生风险分层中的有效性。
分析性、纵向和定量研究。对106例患者在围手术期三个阶段使用一种工具和该量表。采用描述性和推断性统计方法分析数据。
大多数患者在量表评分（包括估计时间评分和实时评分）中显示围手术期损伤风险较高，平均分别为19.97（±3.02）和19.96（±3.12）。大多数参与者未出现皮肤损伤（87.8%）或疼痛（92.5%）。推断性分析使我们能够断言，量表评分与体位所致损伤的出现相关，因此，它可以充分预测低风险患者不太可能发生损伤，而高风险患者更有可能发生损伤。
评分与损伤出现之间的关联表明了该量表的有效性，因此，它是一种有效且有用的工具，可指导康复医院围手术期护士的临床实践，以降低手术体位所致损伤的风险。
