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心血管手术患者的压疮风险及其在术后24小时内的发生情况。

Pressure ulcer risk in patients undergoing cardiovascular surgery and their occurrence within 24 hours of the operation.

作者信息

Gürer Zeynep, Akansel Neriman, Kahraman Nail

机构信息

Health Sciences University, Bursa City Hospital, Operating Room Staff Nurse, Bursa, Türkiye.

Bursa Uludag University, Faculty of Health Sciences, Department of Surgical Nursing, Bursa, Türkiye.

出版信息

Rev Esc Enferm USP. 2025 Aug 4;59:e20250081. doi: 10.1590/1980-220X-REEUSP-2025-0081en. eCollection 2025.

DOI:10.1590/1980-220X-REEUSP-2025-0081en
PMID:40762991
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12323390/
Abstract

OBJECTIVE

This study aimed to determine the risk of pressure ulcer (PrU) in cardiovascular surgery (CVS) patients and assess their occurrence within 24 hours of the operation.

METHOD

The study was conducted with CVS patients (n = 200) meeting the inclusion criteria. The data was collected using the Patient Introduction Form and the Turkish version of the 3S Intraoperative Pressure Injury Risk Assessment Scale (3S IPIRAS). PrU development was assessed within 24 hours of the operation.

RESULTS

The mean age of patients was 63.61, and 32.0% were under 60 years old. Sixty-five percent of the patients were male, and 40.5% were overweight. Being female and the body mass index (BMI) score influenced the risk of PrU development. Some of the patients (14%) developed a Stage I PrU within 24 hours of the surgery.

CONCLUSION

CVS patients are at risk of developing PrU, and the occurrence of PrU was high in this study. Preventive measures in the perioperative period and increasing awareness of PrU among healthcare personnel are essential.

摘要

目的

本研究旨在确定心血管手术(CVS)患者发生压疮(PrU)的风险,并评估其在手术后24小时内的发生情况。

方法

对符合纳入标准的CVS患者(n = 200)进行了研究。使用患者介绍表和土耳其语版的3S术中压力损伤风险评估量表(3S IPIRAS)收集数据。在手术后24小时内评估PrU的发生情况。

结果

患者的平均年龄为63.61岁,32.0%的患者年龄在60岁以下。65%的患者为男性,40.5%的患者超重。女性和体重指数(BMI)得分影响PrU发生的风险。部分患者(14%)在手术后24小时内发生了I期PrU。

结论

CVS患者有发生PrU的风险,本研究中PrU的发生率较高。围手术期的预防措施以及提高医护人员对PrU的认识至关重要。

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本文引用的文献

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Nurs Crit Care. 2024 Nov;29(6):1706-1720. doi: 10.1111/nicc.13117. Epub 2024 Jul 4.
2
A nomogram to predict the risk of surgery-related pressure ulcers in patients undergoing cardiovascular surgery.用于预测心血管手术患者手术相关压疮风险的列线图。
J Int Med Res. 2024 Feb;52(2):3000605241233149. doi: 10.1177/03000605241233149.
3
Pressure injuries in the operating room: who are at risk?手术室压力性损伤:哪些人有风险?
J Wound Care. 2023 Jul 1;32(Sup7a):cxxviii-cxxxvi. doi: 10.12968/jowc.2023.32.Sup7a.cxxviii.
4
Assessment of the risk factors for intraoperative pressure injuries in patients.患者术中压力性损伤危险因素的评估。
J Tissue Viability. 2023 Aug;32(3):349-354. doi: 10.1016/j.jtv.2023.04.006. Epub 2023 Apr 28.
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Analysis of the clinical features and risk factors of device-related pressure injuries in the operating room.手术室中与器械相关压力性损伤的临床特征及危险因素分析
Int Wound J. 2023 Mar;20(3):706-715. doi: 10.1111/iwj.13912. Epub 2022 Aug 19.
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Operating Room Nurses' Knowledge of and Attitudes About Pressure Injury Prevention: A Descriptive Cross-Sectional Study.手术室护士对压疮预防的知识和态度:一项描述性横断面研究。
Wound Manag Prev. 2022 Dec;68(12):10-19.
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Prevalence and factors associated with pressure injury in patients undergoing open heart surgery: A systematic review and meta-analysis.接受心脏直视手术患者的压疮发生率及相关因素:系统评价和荟萃分析。
Int Wound J. 2023 Aug;20(6):2321-2333. doi: 10.1111/iwj.14040. Epub 2022 Nov 29.
8
Evaluation of pressure ulcer risk and development in operating rooms.手术室压疮风险和发展的评估。
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