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确定手术相关压力性损伤的发生率,并检查风险因素对压力性损伤形成的影响。 需注意,原句“Determination the incidence...”存在语法错误,正确形式应为“Determine the incidence...” 。

Determination the incidence of surgery related pressure injury and to examine the effects of risk factors on pressure injury formation.

作者信息

İnan Deniz, Ogce Aktas Filiz, Yavan Tülay

机构信息

Ege University Hospital, Izmir, Turkey.

İzmir University of Economics, Faculty of Health Science, Department of Nursing, Izmir, Turkey.

出版信息

J Tissue Viability. 2024 Nov;33(4):814-819. doi: 10.1016/j.jtv.2024.11.002. Epub 2024 Nov 15.

DOI:10.1016/j.jtv.2024.11.002
PMID:39609149
Abstract

Surgical patients are at risk for pressure injuries throughout the entire surgical process. Prevalence and incidence studies are critical to determine risk groups in surgical patient groups. This study was conducted to determine the incidence of pressure injury development in patients hospitalized in surgical clinics and to examine the effects of risk factors on it. The sample of this descriptive study consisted of 138 patients hospitalized in surgical wards. Data collection tools included a patient information questionnaire, The National Pressure Injury Advisory Panel (NPIAP) Pressure Injury and Stages Form, and the Munro Perioperative Pressure Ulcer Risk Assessment Scale. Data were analyzed on the SPSS 24.0 software package by using descriptive statistical tests such as frequency and percentage distribution, chi-square test, independent groups t-test, and univariate logistic regression analysis. The incidence of surgery-related pressure injuries was found to be 18.8 %. Patients' mean scores on the Munro scale were 10.23 ±0 .2.95 before surgery, 12.80 ± 2.57 during surgery, and 23.03 ± 5.07 following surgery, with the mean total score being 24.47 ± 5.44. The mean score on the total Munro scale was statistically significantly higher in patients who developed pressure injuries than in those who did not. Patients' age, blood albumin level, body mass index, presence of oedema, use of medical equipment, mobility status, type of anaesthesia used in surgery, and duration of surgery were determined as effective risk factors in pressure injury development. In conclusion, it was found that pressure injuries developed at a considerable rate in patients undergoing surgical operations. It is recommended that surgical nurses should take the necessary precautions in time.

摘要

手术患者在整个手术过程中都有发生压疮的风险。患病率和发病率研究对于确定手术患者群体中的风险组至关重要。本研究旨在确定外科诊所住院患者压疮发生的发病率,并研究风险因素对其的影响。这项描述性研究的样本包括138名在外科病房住院的患者。数据收集工具包括患者信息问卷、国家压疮咨询小组(NPIAP)压疮及分期表格,以及门罗围手术期压疮风险评估量表。使用频率和百分比分布、卡方检验、独立样本t检验和单因素逻辑回归分析等描述性统计测试,在SPSS 24.0软件包上对数据进行分析。发现与手术相关的压疮发病率为18.8%。患者在门罗量表上的术前平均得分为10.23±2.95,术中为12.80±2.57,术后为23.03±5.07,平均总分24.47±5.44。发生压疮的患者在门罗量表上的平均总分在统计学上显著高于未发生压疮的患者。患者的年龄、血白蛋白水平、体重指数、水肿情况、医疗设备的使用、活动状态、手术中使用的麻醉类型以及手术持续时间被确定为压疮发生的有效风险因素。总之,发现接受手术的患者中压疮发生率相当高。建议外科护士应及时采取必要的预防措施。

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