Prevention of pressure injuries in patients undergoing prolonged trauma surgery, a challenge for nursing
Prevention of pressure injuries in patients undergoing prolonged trauma surgery, a challenge for nursing
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DOI：
10.1016/j.rmclc.2021.09.006
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发表时间：
2021-09-27
影响因子：
--
通讯作者：
Onate, Martha
中科院分区：
文献类型：
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作者：
Chaparro, Javiera;Onate, Martha
压力性损伤（PI），以前称为压力性溃疡（PU），是与医疗保健质量相关的不良事件之一。手术患者有特定的风险因素，使他们特别容易发展PI。目前，关于其流行率和发病率的文献越来越多，但在地方一级却很少，智利围手术期患者的流行病学数据也不容易获得。尽管如此，现有资料支持采取预防措施，认为长期接受创伤手术的病人具有特殊风险。本综述的目的是根据现有文献探讨、描述和讨论围手术期患者的风险因素和预防措施。对Elsevier、PubMed、Lilacs和Google Scholar数据库进行了审查，以检索过去10年内发表的西班牙语、英语和葡萄牙语文章，发现24篇相关文献。毫无疑问，需要进一步的研究来解决这个问题，从而设想一个新的挑战，护理;它也很清楚，风险评估和采取具体措施，这类病人的围手术期护理的责任的一部分，以及手术团队。
Pressure injuries (PI), formerly known as pressure ulcers (PU), are one of the adverse events related to quality in health care. Surgical patients have specific risk factors that make them especially susceptible to the development of PI. Currently there is a growing literature about its prevalence and incidence, which is scarce at the local level, and epidemiological data in perioperative patients in Chile is not readily available. Despite this, the available information supports the implementation of preventive measures, considering patients subjected to prolonged trauma surgeries as of special risk. The objective of this narrative review is to explore, describe and discuss those risk factors and preventive measures in perioperative patients based on the current literature. The Elsevier, PubMed, Lilacs and Google Scholar databases were reviewed in search of articles in Spanish, English and Portuguese published in the last 10 years, finding 24 related documents. Undoubtedly, further studies are required to address this issue, thus envisioning a new challenge for nursing; it is also clear that risk assessment and the adoption of specific measures for this type of patient are part of the responsibility of perioperative nursing, as well as the surgical team.