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Postoperative Mobility and its Relationship with Surgery-Related Pressure Injuries: Incidence and Risk Factors in
Yasemin Uslu1, Rabia Tülübaş2, Yakup Akyüz3
1Department of Surgical Nursing, Istanbul University, Istanbul, Turkey. yasemin.uslu@istanbul.edu.tr.
Objective:
The objective of this study was to evaluate the incidence of and risk factors for surgery-related pressure injuries (PIs) in bariatric surgery patients and to assess the effect of postoperative mobility on PI development.
Methods:
This prospective, correlational, monocentric study included 279 individuals who underwent bariatric surgery. Patients were assessed for PIs every 8 hours during the first 48 hours postoperatively. Mobility status was evaluated via the Observer Mobility scale, and PI risk was measured via the Munro and Braden scales.
Results:
The incidence of surgery-related PIs was 19%, with most patients classified as stage 1, predominantly affecting the knees, coccyx, and abdominal region. Independent risk factors for PI development included abnormal skin (p = 0.015), higher Munro scale scores (p < 0.001), increased postoperative pain (p < 0.001), and reduced mobility (p = 0.006).
Conclusions:
In bariatric surgery patients, the use of surgery-specific risk assessment tools, effective pain management, early mobilization, and proper device placement play critical roles in reducing the risk of surgery-related PIs.
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