Speth Jennifer
AORN J. 2023 Jul;118(1):37-44. doi: 10.1002/aorn.13948.
Immobility and lack of sensation during perioperative procedures increase the risk of patients developing pressure injuries (PIs). Such injuries can cause pain and result in serious infections, thereby leading to increased health care costs. The recently developed AORN "Guideline for prevention of perioperative pressure injury" provides perioperative nurses and leaders with applicable recommendations for preventing these injuries. In addition to a brief overview of a health care facility's interdisciplinary perioperative PI prevention program, this article discusses a variety of concepts related to PI prevention, including prophylactic materials, intraoperative considerations, hand-over communication, pediatric patient concerns, policies and procedures, quality management, and education. It also provides a pediatric patient-specific scenario that illustrates the implementation of the described recommendations. Perioperative nurses and leaders should review the guideline in its entirety and apply the recommendations to prevent PIs as appropriate for their facility and patient population.
围手术期操作过程中的活动受限和感觉缺失会增加患者发生压疮(PI)的风险。此类损伤会引起疼痛并导致严重感染,进而增加医疗费用。最近制定的AORN《围手术期压疮预防指南》为围手术期护士和管理人员提供了预防这些损伤的适用建议。除了简要概述医疗机构的跨学科围手术期压疮预防计划外,本文还讨论了与压疮预防相关的各种概念,包括预防性材料、术中注意事项、交接沟通、儿科患者问题、政策与程序、质量管理和教育。本文还提供了一个针对儿科患者的具体案例,以说明所描述建议的实施情况。围手术期护士和管理人员应全面审查该指南,并根据其所在机构和患者群体的情况,酌情应用这些建议以预防压疮。