University of Colorado, College of Nursing, Aurora, CO.
University of Colorado, College of Nursing, Aurora, CO.
J Perianesth Nurs. 2022 Jun;37(3):308-311. doi: 10.1016/j.jopan.2021.08.010. Epub 2022 Mar 4.
Pressure injuries (PI) are a significant concern for surgical patients due to prolonged immobility and potential exposure to other risk factors associated with procedures. PI prevention strategies should begin early in the patient's surgical encounter starting with preoperative assessment. Much literature has been published to discuss PI risk factors, assessment tools, and evidence-based prevention measures. The purpose of this article is to critically review current best evidence to holistically assess patient risk for Hospital Acquired Pressure Injuries (HAPI) and review current tools used for risk assessment, interventions to combat skin injuries, and discuss implications for practice in perioperative nursing.
压力性损伤(PI)是手术患者的一个重大关注点,这是由于长时间的不动和可能接触到与手术相关的其他风险因素所致。PI 预防策略应在患者的手术过程中尽早开始,从术前评估开始。已经有大量文献讨论了 PI 的风险因素、评估工具和基于证据的预防措施。本文的目的是批判性地回顾当前最佳证据,全面评估患者发生医院获得性压力性损伤(HAPI)的风险,并回顾目前用于风险评估的工具、预防皮肤损伤的干预措施,并讨论围手术期护理实践的意义。