Determining the Risk of Intraoperative Pressure Injury in Patients Undergoing Elective Cranial Surgery

Author:

BALCI Fatma1ORCID,SEYHAN AK Ezgi1ORCID,ÇELEBİ Cemile2ORCID,İĞCİ ŞANLI Selda3ORCID,ÖZBAŞ Ayfer1ORCID

Affiliation:

1. ISTANBUL UNIVERSITY-CERRAHPASA, FLORENCE NIGHTINGALE FACULTY OF NURSING

2. MUGLA SITKI KOCMAN UNIVERSITY, FACULTY OF HEALTH SCIENCES

3. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAŞAKŞEHİR ÇAM VE SAKURA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, BEYİN VE SİNİR CERRAHİSİ ANABİLİM DALI

Abstract

Purpose: Neurosurgical interventions are long and complex, and additional difficulties are encountered in positioning in the operating room.The aim of the study is to determine the risk of pressure injury development in the intraoperative period of patients undergoing elective cranial surgery. Methods: This descriptive cross-sectional study was conducted with 127 patients who met the inclusion criteria and underwent elective cranial surgery in a city hospital between September and October 2021. 3S Operating Room Pressure Injury Risk Diagnostic Scale were used to collect data. Results: It was determined that 55.1% of the patients were female, their mean age was 53.22±13.47 years, and 61.4% had at least one chronic disease. It was determined that 71.7% of the patients were operated with the diagnosis of cerebellar tumor. Stage 1 pressure ulcers were observed in 37% of the patients. It was determined that the total score obtained from the scale was 14.87±2.83 and the patients were at low risk for pressure injury. Age, body mass index and duration of the surgical procedure were found to be independent factors affecting the patients' operating room pressure ulcer risk assessment scale score. Conclusion:It was determined that the risk of pressure injury in patients who underwent cranial surgery was low level.

Funder

None

Publisher

Dokuz Eyul Universitesi Saglik Bilimleri Enstitusu

Subject

General Medicine

Reference28 articles.

1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers; quick reference guide. Washington DC. National Pressure Ulcer Advisory Panel; 2009.

2. Peixoto, C. D. A., Ferreira, M. B. G., Felix, M. M. D. S., Pires, P. D. S., Barichello, E., & Barbosa, M. H. Risk assessment for perioperative pressure injuries. Revista latino-americana de enfermagem, 2019;27.

3. Chen HL, Chen XY, Wu J. The incidence of pressure ulcers in surgical patients of the last 5 years: a systematic review. Wounds. [Internet]. 2012 Sep [cited Dec 22, 2017];24(9):234-41.

4. Adıbelli, S., & Korkmaz, F. The Scales used to assess the risk of pressure ulcer development in adult patients. Süleyman Demirel University Journal of Health Sciences, 2018;9(2), 136-140.

5. Primiano, M., Friend M., McClure, C., et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN Journal, 2011;94(6), 555-566. doi: 10.1016/j.aorn.2011.03.014.

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