在手术室的压力伤害:谁有风险?
Ezgi Dilan Özdemir1, Yasemin Uslu1, Ukke Karabacak1
1Acıbadem Maslak Hospital, Department of Nursing, Buyukdere Street, Istanbul, Turkey.
Journal of wound care
|July 5, 2023
概括
与手术室 (OR) 相关的压力损伤 (PI) 影响8.4%的患者,男性性别和更长的手术持续时间是关键风险因素. 早期识别这些因素可以帮助预防手术期间的PI.
科学领域:
- 医学研究 医学研究
- 外科手术患者的安全
- 伤口护理 伤口护理
背景情况:
- 与手术室 (OR) 相关的压力损伤 (PI) 是医院获得的PI的重要组成部分.
- 了解OR相关PI的患病率和风险因素对于患者安全至关重要.
研究的目的:
- 为了确定与OR相关的PI的流行率.
- 确定与OR相关PI的发展相关的重大风险因素.
主要方法:
- 在2018年11月至2019年5月期间,在Acıbadem Maslak医院进行了一项队列研究.
- 从403名手术患者收集数据,使用患者身份识别表,3S手术内压力风险评估量表和布拉登量表.
- 在应用纳入标准后,采用随机抽样.
主要成果:
- 在403名被研究的患者中,OR相关PI的患病率为8.4% (42例受伤).
- 大多数PI是第1阶段 (92.8%),其中设备/仪器使用 (11.8%) 和定位设备 (23.5%) 导致其发生.
- 显著的危险因素包括男性性别,大量的手术内出血,干燥/发光的皮肤,长时间的手术,麻醉的类型和医疗器械的使用.
结论:
- 早期识别已识别的风险因素对于减少OR相关的PI至关重要.
- 制定标准化的手术前,手术内和手术后评估指南可以帮助预防和管理与手术有关的PI.
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