Tobiano Georgia, Huang Tai-Yang, Lee Bih-O, Ou Su Fei, Kuruppu Nipuna Randini, Gillespie Brigid M
Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast, Queensland, Australia.
Gold Coast University Hospital, Gold Coast Health, Gold Coast, Queensland, Australia.
J Adv Nurs. 2025 Mar;81(3):1208-1221. doi: 10.1111/jan.16400. Epub 2024 Aug 20.
To map the existing literature describing medical device-related pressure injuries in patients during surgery, including investigation of the incidence, types of medical devices, risk factors and strategies for preventing medical device-related pressure injuries.
A scoping review.
In April 2023, three databases were searched. Studies about adult patients undergoing surgery, from 2014 onwards, in English and Chinese were included. Data were extracted about study characteristics and data related to research questions. The Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework were used to synthesize findings.
Two different types of evidence were included in this review; 14 research studies and two quality improvement studies. The incidence of medical device-related pressure injuries in the operating room was 0.56%-24.5% and respiratory devices were the most common medical devices investigated. Length of surgery, age and BMI were risk factors for medical device-related pressure injuries in a few studies. The application of a prophylactic dressing and dressing maintenance was the most common prevention strategy.
Ongoing research is needed to confirm the incidence of, and risk factors for, medical device-related pressure injuries in the operating room. Additionally, more high-quality evidence is needed to underpin current prevention strategies.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Operating room nurses need to be aware of the risks of medical device-related pressure injuries and assess and plan prevention strategies accordingly. Once more high-quality evidence is available, operating room nurses could implement prevention strategies like prophylactic dressings.
Scoping Reviews (PRISMA-ScR) checklist.
No patient or public contribution.
梳理现有描述手术患者中与医疗器械相关的压力性损伤的文献，包括调查其发生率、医疗器械类型、风险因素以及预防与医疗器械相关的压力性损伤的策略。
范围综述。
2023年4月，检索了三个数据库。纳入了2014年起关于成年手术患者的中英文研究。提取了有关研究特征以及与研究问题相关的数据。采用“模式、进展、差距、实践证据和研究建议”框架对研究结果进行综合分析。
本综述纳入了两种不同类型的证据；14项研究和两项质量改进研究。手术室中与医疗器械相关的压力性损伤发生率为0.56%-24.5%，呼吸设备是研究最多的医疗器械类型。在一些研究中，手术时长、年龄和体重指数是与医疗器械相关的压力性损伤的风险因素。预防性敷料的应用和敷料维护是最常见的预防策略。
需要持续开展研究以确认手术室中与医疗器械相关的压力性损伤的发生率和风险因素。此外，需要更多高质量证据来支持当前的预防策略。
对专业和/或患者护理的启示：手术室护士需要意识到与医疗器械相关的压力性损伤的风险，并据此进行评估和制定预防策略。一旦有更多高质量证据可用，手术室护士可以实施如预防性敷料等预防策略。
范围综述（PRISMA-ScR）清单。
无患者或公众参与。
