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Assessment of the risk factors for intraoperative pressure injuries in patients
Affiliation:1. Department of Abdi Sutcu Vocational School of Health Services, Cukurova University, Adana, Turkey;2. Department of Faculty of Health Sciences, Surgical Nursing, Cukurova University, Adana, Turkey;3. Department of Nursing, Tarsus University Faculty of Health Sciences, Mersin, Turkey;5. Department of School Of Health Services, Toros University, Mersin, Turkey;2. Cukurova University, Balcalı Hospital Health Practice Center, COVID Intensive Care Unit, Adana, Turkey
Abstract:AimThis study was conducted to assess the risk factors for pressure injuries in patients during surgery.MethodsIn this descriptive cross-sectional study, the risk of pressure injuries during surgery was evaluated in 250 patients in a university hospital. Data were collected through a Patient Descriptive Information Form (PDIF) and the 3S Intraoperative Pressure Injury Risk Assessment Scale (IPIRAS).ResultsThe mean age of the patients was 44.15 ± 17.00, and 52.4% were female. In addition, it was determined that the mean 3S IPIRAS score was higher in patients who were male, were aged ≥60 years, were obese, had a chronic disease, and had low serum albumin and hemoglobin levels (p < .05). During the surgery of the patients included in the study, support surfaces were used in 67.6%, positioning aids were used in 82.4%, and 55.6% had normal skin. Patients who underwent CVS procedures for more than 6 h, did not use support surfaces during surgery, had moist skin, or used vasopressors had higher and significantly different mean 3S IPIRAS scores (p < .05).ConclusionsAccording to the results, all surgical patients were at risk for pressure injury in the intraoperative period. In addition, it was found that male gender was associated with risk factors and that being aged ≥60 years, obesity, chronic disease, low serum hemoglobin and albumin levels, CVS, operations lasting more than 6 h, moist skin, vasopressor drugs, and not using support surfaces during surgery increased the risk of pressure injuries significantly.
Keywords:Intraoperative care  Nursing  Operating room nursing  Surgery  Pressure injury
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