减少在正确位置手术中的手术内皮肤损伤
Barbara M Bates-Jensen1, Jessica Crocker, Vicky Nguyen
1At the University of California, Los Angeles (UCLA), Los Angeles, California, US, Barbara M. Bates-Jensen, PhD, RN, FAAN, is Professor of Nursing and Medicine, Los Angeles School of Nursing and David Geffen School of Medicine; Jessica Crocker, BA, is Project Director, Division of Geriatrics, David Geffen School of Medicine; and Vicky Nguyen, MSN, is Graduate Student, School of Nursing. Lauren Robertson, BS, is Senior Quality Control Analytical Associate, ImmunityBio, Los Angeles, California. Deborah Nourmand, MSN, RN, is Registered Nurse, UCLA Santa Monica Surgery Center, Santa Monica, CA. At the School of Nursing, UCLA, Emily Chirila, BSN, is Nursing Student; Mohamed Laayouni, MSN, is Nursing Student; Ofelia Offendel, MSN, is Student Nurse; Kelly Peng, BA, is Graduate Student Research Assistant; and Stephanie Anne Romero, MSN, is Graduate Student Researcher. Gerry Fulgentes, MSN, RN, CWOCN, PCCN, is Clinical Manager, Wounds, Ostomy, and Continence Services, UCLA Santa Monica Medical Center. Heather E. McCreath, PhD, is Adjunct Professor, Division of Geriatrics, David Geffen School of Medicine, UCLA.
在倾斜位置手术前应用的多维柔性泡 (MFSF) 包裹可以减少手术内获得的压力损伤 (IAPI). 皮下湿度 (SEM) 测量检测出比视觉评估更多的损伤,有助于预防.
科学领域:
- 医学研究 医学研究
- 手术创新 在外科创新.
- 患者安全 患者安全
背景情况:
- 术内获得的压力损伤 (IAPI) 是倾斜位置手术期间的风险.
- 早期发现和预防策略对于患者的治疗结果至关重要.
研究的目的:
- 评估皮下湿度 (SEM) 措施在检测和预防IAPI方面的有效性.
- 评估多维柔性泡 (MFSF) 敷料在倾斜位置手术期间减少IAPI的有效性.
主要方法:
- 一个临床试验涉及历史控制,预干预和干预组.
- 在手术前将MFSF敷料应用于脸部,胸部和阴茎上.
- 视觉皮肤评估和SEM措施的监测从术前到术后5天.
主要成果:
- 与干预前的参与者相比,干预后的参与者患有术后红血和SEM定义的IAPI的数量较少.
- MFSF带减轻了IAPI风险因素,包括手术长度,皮肤色调和BMI.
- 在SEM测量中,发现的损伤比视觉皮肤评估更多.
结论:
- 在手术前使用MFSF带显著减少了在接受倾斜位置手术的患者的IAPI.
- SEM 测量是检测亚临床压力损伤的宝贵工具,超过了视觉评估的准确性.
- 在SEM监测的指导下,MFSF包裹是IAPI预防的有希望的方法.
