Affiliation:
1. ORN, Shulan (Hangzhou) Hospital, Shulan International Medical College Zhejiang Shuren College Hangzhou China
2. Department of Hepatobiliary Surgery, Shulan (Hangzhou) Hospital, Shulan International Medical College Zhejiang Shuren College Hangzhou China
3. Department of Anesthesiology, Shulan (Hangzhou) Hospital, Shulan International Medical College Zhejiang Shuren College Hangzhou China
Abstract
AbstractTo explore the clinical effect of “micromovement” in preventing intraoperative acquired pressure injures (IAPIs) among patients experiencing surgery in supine position. A total of 200 patients accepting elective surgery in supine position from 10 May 2023 to 4 July 2023 at Shulan (Hangzhou) Hospital were selected and randomized into two groups (experimental group, n = 100; control group, n = 100). For control group patients, soft silicone foam dressing was applied to the sacrococcygeal region. On the basis of the treatment for control group patients, “micromovement” was implemented among experimental group patients. During this process, the operating table was tilted for 15° leftwards and rightwards alternately every 1 h, and the tilt angle was maintained for 5 min to prevent IAPIs. Finally, comparisons between the two groups were made in terms of the sacrococcygeal IAPI incidence, relative temperature differences (ΔT) on sacrococcygeal skin, and job satisfaction of nurses. Compared with control group patients, patients from the experimental group exhibited lower IAPI incidence (2% vs. 10%), reduced ΔT between the sacrococcygeal skin and surrounding normal skin [0 (−0.1, 0.1) vs. 0.2 (−0.2, 0.4)], and elevated job satisfaction of nurses (80% vs. 66%). All the differences were statistically significant (p < 0.05). “Micromovement” implemented intraoperatively among patients receiving surgery in supine position is able to lower the IAPI incidence by five times and elevate job satisfaction of nurses.
Reference28 articles.
1. Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane reviews and network meta‐analysis;Shi C;Cochrane Database Syst Rev,2021
2. Effect of Soft Silicone Foam Dressings on Intraoperatively Acquired Pressure Injuries: A Randomized Study in Patients Undergoing Spinal Surgery
3. A retrospective study of perioperative characteristics in the development of intraoperatively acquired pressure ulcer;Gao XL;Huli Xue Zazhi,2020
4. A Change in Focus: Shifting From Treatment to Prevention of Perioperative Pressure Injuries
5. The construction of operating room nursing quality sensitive indicator system;Yu MR;Zhonghua Huli Xue Zazhi,2017