Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures
Yıl: 2021 Cilt: 9 Sayı: 1 Sayfa Aralığı: 75 - 83 Metin Dili: İngilizce DOI: 10.14235/bas.galenos.2020.3820 İndeks Tarihi: 20-06-2021
Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures
Öz: Objective: To determine the risk factors and prevalence associated with intraoperative pressure injury (IPI) in surgical procedures lasting more than two hours, and to draw attention of surgical nurses to the prevention of IPI.Methods: This cross-descriptive study included 170 patients in whom major surgical procedures were planned in a private foundation university hospital’s orthopedics and general surgery departments between February 2017 and May 2018. The study was approved by the ethics committee and informed written permission was obtained from the institutions and volunteers. Data were collected by using Braden Risk Assessment Tool (BRAT) and literature based patient diagnosis form.Results: The mean age of the participants was 47.72±22.20 years, 55.9% were female and 44.1% were male. Of the participants, 81.8% underwent surgery in the supine position, with a mean surgery duration of 246.707±145.3 minutes. Of the patients 24.1% developed stage I IPI. Forty-one (24.2%) patients with pressure injury had a lower BRAT score (18.434±6.621) than 129 (75.8%) patients without pressure injury (20.243±3.954), (p=0.035). According to multivariate analysis, both preoperative additional nutritional requirement and low albumin level increased the risk of IPI by 2.4 fold (p=0.038; 0.043, respectively). Each one hour of prolongation in duration of surgery increased the risk of IPI by 1.007 times (p=0.002).Conclusion: The risk of development of IPI is high in major surgical procedures. In determining the risk of IPI, the patient’s nutritional deficiency, low albumin level, length of duration of surgery and BRAT score are important.
Anahtar Kelime: Uzun Süren Cerrahi Girişimlerde Basınç Yaralanması Prevalansı ve Risk Faktörleri
Öz: Amaç: İki saatten uzun süren cerrahi girişimlerde ameliyatsırasındaki basınç yaralanması (ASBY) ile ilişkili risk faktörlerinive ASBY prevalansını belirlemek, ASBY’nin önlenmesine cerrahihemşirelerin dikkatini çekmektir. Yöntemler: Kesitsel-tanımlayıcı bir araştırma olarak özel bir vakıfüniversitesi hastanesinin ortopedi, genel cerrahi servislerinde, Şubat2017-Mayıs 2018 tarihlerinde, 170 büyük cerrahi girişim planlanangönüllü bireyin katılımı ile yapıldı. Etik kurul onayı ile kurumve gönüllülerden bilgilendirilmiş yazılı izin alındı. Veriler Bradenbasınç yarası ölçeği ve literatüre dayalı hasta tanımlama formuylatoplandı. Bulgular: Katılımcıların yaş ortalaması 47,72±22,20 yıl idi,%55,9’u kadındı ve %44,1’i erkekti. Katılımcıların %81,8’isupine pozisyonunda ameliyat oldu, ameliyatın ortalama süresi246,707±145,3 dakikaydı. Hastaların %24.1’inde evre 1 ASBYgelişmişti. Basınç yaralanması gelişen 41 (%24,2) hastanınBraden risk puanı (18,434±6,621) basınç yaralanması olmayan129 hastadan (%75,8) (20,243±3,954) daha düşüktü (p=0,035).Multivaryans analizine göre, ameliyat öncesi hem ek beslenmegereksinimi olmak, hem albümin düşüklüğü ASBY riskini 2,4 katartırdı (sırasıyla p=0,038; 0,043). Ameliyat süresinin her bir saatlikuzaması ASBY riskini 1.007 kat yükseltti (p=0,002). Sonuç: Büyük cerrahi girişimlerde ASBY gelişme riski yüksektir.ASBY riskinin belirlenmesinde hastanın beslenme yetersizliği,albümin düşüklüğü, ameliyat süresi uzunluğu ve Braden risk puanıönemlidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | AVCI AKAN C, SAYIN Y (2021). Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. , 75 - 83. 10.14235/bas.galenos.2020.3820 |
| Chicago | AVCI AKAN Cemile,SAYIN Yazile Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. (2021): 75 - 83. 10.14235/bas.galenos.2020.3820 |
| MLA | AVCI AKAN Cemile,SAYIN Yazile Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. , 2021, ss.75 - 83. 10.14235/bas.galenos.2020.3820 |
| AMA | AVCI AKAN C,SAYIN Y Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. . 2021; 75 - 83. 10.14235/bas.galenos.2020.3820 |
| Vancouver | AVCI AKAN C,SAYIN Y Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. . 2021; 75 - 83. 10.14235/bas.galenos.2020.3820 |
| IEEE | AVCI AKAN C,SAYIN Y "Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures." , ss.75 - 83, 2021. 10.14235/bas.galenos.2020.3820 |
| ISNAD | AVCI AKAN, Cemile - SAYIN, Yazile. "Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures". (2021), 75-83. https://doi.org/10.14235/bas.galenos.2020.3820 |
| APA | AVCI AKAN C, SAYIN Y (2021). Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. Bezmiâlem Science, 9(1), 75 - 83. 10.14235/bas.galenos.2020.3820 |
| Chicago | AVCI AKAN Cemile,SAYIN Yazile Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. Bezmiâlem Science 9, no.1 (2021): 75 - 83. 10.14235/bas.galenos.2020.3820 |
| MLA | AVCI AKAN Cemile,SAYIN Yazile Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. Bezmiâlem Science, vol.9, no.1, 2021, ss.75 - 83. 10.14235/bas.galenos.2020.3820 |
| AMA | AVCI AKAN C,SAYIN Y Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. Bezmiâlem Science. 2021; 9(1): 75 - 83. 10.14235/bas.galenos.2020.3820 |
| Vancouver | AVCI AKAN C,SAYIN Y Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures. Bezmiâlem Science. 2021; 9(1): 75 - 83. 10.14235/bas.galenos.2020.3820 |
| IEEE | AVCI AKAN C,SAYIN Y "Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures." Bezmiâlem Science, 9, ss.75 - 83, 2021. 10.14235/bas.galenos.2020.3820 |
| ISNAD | AVCI AKAN, Cemile - SAYIN, Yazile. "Prevalence of Pressure Injuries and Risk Factors in Long-TermSurgical Procedures". Bezmiâlem Science 9/1 (2021), 75-83. https://doi.org/10.14235/bas.galenos.2020.3820 |
