Assessment scale of risk for surgical positioning injuries

Moraes, Camila Mendonça de; Haas, Vanderlei José; Dantas, Rosana Aparecida Spadoti; Oliveira, Cheila Gonçalves de; Galvão, Cristina María

doi:10.1590/1518-8345.0644.2704

Cited by 63 publications

(127 citation statements)

References 13 publications

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“…According to Torra i‐Bou, the ideal characteristics of a pressure ulcer risk assessment scale (PURAS) should include high sensitivity and specificity, good predictive value, be easy to use, have clear and well‐defined criteria, and be applicable to different health care settings. We applied these criteria to the previously published tools for assessing pressure ulcer risk among surgical patients . Details of these tools are summarised in Tables and .…”

Section: Introductionmentioning

confidence: 99%

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A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Aloweni

Ang

Fook‐Chong

et al. 2018

International Wound Journal

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Surgical patients are prone to developing hospital‐acquired pressure ulcers (HAPU). Therefore, a better prediction tool is needed to predict risk using preoperative data. This study aimed to determine, from previously published HAPU risk factors, which factors are significant among our surgical population and to develop a prediction tool that identifies pressure ulcer risk before the operation. A literature review was first performed to elicit all the published HAPU risk factors before conducting a retrospective case‐control study using medical records. The known HAPU risks were compared between patients with HAPU and without HAPU who underwent operations during the same period (July 2015‐December 2016). A total of 80 HAPU cases and 189 controls were analysed. Multivariate logistic regression analyses identified eight significant risk factors: age ≥ 75 years, female gender, American Society of Anaesthesiologists ≥ 3, body mass index < 23, preoperative Braden score ≤ 14, anaemia, respiratory disease, and hypertension. The model had bootstrap‐corrected c‐statistic 0.78 indicating good discrimination. A cut‐off score of ≥6 is strongly predictive, with a positive predictive value of 73.2% (confidence interval [CI]: 59.7%‐84.2%) and a negative predictive value of 80.7% (CI: 74.3%‐86.1%). SPURS contributes to the preoperative identification of pressure ulcer risk that could help nurses implement preventive measures earlier.

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Section: Introductionmentioning

confidence: 99%

“…We applied these criteria to the previously published tools for assessing pressure ulcer risk among surgical patients. [15][16][17][18] Details of these tools are summarised in Tables A2 and A3.…”

mentioning

confidence: 99%

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Aloweni

Ang

Fook‐Chong

et al. 2018

International Wound Journal

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“…The 1.00‐point difference in average scores between the first and second evaluations and the 0.86‐point difference in scores between the second and fifth evaluations for the NOC outcome Immobility Consequences: Physiological demonstrates that immobility contributes significantly to the development of surgical positioning‐related injuries. Immobility is an inherent necessity of surgical procedures, and, combined with factors such as mode of anaesthesia and operative time, contributes to the development of injuries, especially of the integumentary system (Lopes & Galvão, ; Lopes et al, ). Extended immobility in critical surgical positions, such as the lithotomy position, can also contribute to the development of nerve plexus injuries and chronic compartment syndrome of the lower limbs (Boyer‐Ferullo, ; Rao & Jayne, ).…”

Section: Discussionmentioning

confidence: 99%

Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study

Bjorklund-Lima

Müller‐Staub

Cardozo

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To test the validity and reliability of Nursing Outcomes Classification outcomes and their clinical indicators for patients with the nursing diagnosis ‘Risk for perioperative positioning injury’. Background Surgical positioning is an essential part of perioperative nursing practice. The use of a standardised language values the clinical evaluation of the perioperative nurse, reinforcing its contribution to surgical patient care. Design Longitudinal concept validation cohort study. Methods Patients were selected based on the operating room surgical schedule. The sample included adult patients who underwent elective surgical procedures requiring anaesthesia, classified as surgical class 2, 3 or 4. Outcomes were measured with an instrument, which included 33 clinical indicators for eight outcomes. The patients were assessed at five distinct time points in the perioperative phases. This study followed the STROBE guidelines. Results A total of 50 patients were included. Each underwent five clinical assessments, for a total of 250 documented assessments. Differences in evaluations were mostly related to reduced scores of clinical indicators in the immediate postsurgical time points, which recovered to the highest score at the end of the fifth (and last) evaluation. The results of factor analysis and Cronbach's alpha calculations suggested a new configuration for this nursing outcomes, consisting of five outcomes—Circulation Status, Tissue Perfusion: peripheral, Neurological Status: peripheral, Tissue Integrity: skin and mucous membranes and Thermoregulation—and 13 clinical indicators. Conclusions Nursing Outcomes Classification outcomes and clinical indicators for the nursing diagnosis at ‘Risk for perioperative positioning injury’ are sensitive to patient states during the perioperative period. Relevance to clinical practice Use of nursing taxonomies during the perioperative period may contribute to the discussion on the role of perioperative nurses and their relevance in patient care.

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“…Apply pressure ulcer risk scales (Norton, Braden, Waterlow Scale and Care Dependency Scale). [9][10][11]15,[18][19][20][21]29, 2. Apply pressure ulcer risk scales (Norton, Braden, Waterlow Scale and Care Dependency Scale).…”

Section: Nursing Interventions For Pressure Ulcer Treatment and Prevementioning

confidence: 99%

“…It is pointed out that these scales provide subsidies for the clinical evaluation of the patient and for the DISCUSSION https://periodicos.ufpe.br/revistas/revistaenfermagem/index determination of priority care, reducing damage and suffering, as well as costs for the institutions. 9,10,11,15,[18][19][20][21]23,29, Other relevant behaviors were found, such as maintaining adequate nutritional support and hydration and managing the nutritional status of the client. This is an important practice because a wound can cause numerous deleterious effects on the body, resulting from its catabolic process, which increase nutritional needs, making the process of tissue repair and reconstruction, resulting in healing, and leading, consequently, a longer hospitalization time.…”

Section:  Nursing Interventions For Patient Pu Preventionmentioning

confidence: 99%

Intervenções de enfermagem para pacientes com lesão por pressão

Oliveira

Costa

Malagutti

2019

Rev enferm UFPE on line.

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Objetivo: analisar a produção científica acerca das intervenções de enfermagem da CIPE® para pacientes com lesão por pressão. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa em artigos publicados entre 2014 a 2018, realizado nas bases da Biblioteca Virtual de Saúde e portal de periódicos CAPES. Analisaram-se os dados de forma descritiva pelos resultados apresentados em figuras. Resultados: selecionaram-se 31 artigos, que evidenciaram diversas intervenções de enfermagem, como a supervisão periódica da pele, mudança de decúbito, uso de coberturas e escalas, ensino do autocuidado, educação continuada da equipe e desenvolvimento de protocolos. Conclusão: espera-se o desenvolvimento de novos estudos envolvendo a temática, considerando a complexidade do cuidar de lesões, evidenciando a necessidade de mais pesquisas com intervenções direcionadas a sistematizar o cuidado, minimizar o sofrimento e alcançar a cicatrização da lesão. Descritores: Enfermagem; Lesão por Pressão; Processo de Enfermagem; Ferimentos e Lesões; Cuidados de Enfermagem; Terminologia Padronizada em Enfermagem.ABSTRACTObjective: to analyze the scientific production about ICNP® nursing interventions for patients with pressure injury. Method: this is a bibliographic study, integrative review type in articles published from 2014 to 2018, conducted in the bases of the Virtual Health Library and CAPES journal portal. Data were analyzed descriptively by the results presented in figures. Results: 31 articles were selected, which showed various nursing interventions, such as periodic supervision of the skin, change of position, use of covers and scales, self-care teaching, continuing education of the team and development of protocols. Conclusion: it is expected the development of new studies involving the theme, considering the complexity of caring for injuries, highlighting the need for further research with interventions aimed at systematizing care, minimizing suffering and achieving wound healing. Descriptors: Nursing; Pressure Injury; Nursing Process; Wounds and Injuries; Nursing Care; Standardized Nursing Terminology.RESUMEN Objetivo: analizar la producción científica sobre las intervenciones de enfermería ICNP® para pacientes con lesión por presión. Método: este es un estudio bibliográfico, tipo revisión integradora en artículos publicados de 2014 a 2018, realizado en las bases de la Biblioteca Virtual en Salud y el portal de la revista CAPES. Los datos fueron analizados descriptivamente por los resultados presentados en las figuras. Resultados: se seleccionaron 31 artículos que mostraban diversas intervenciones de enfermería, tales como supervisión periódica de la piel, cambio de posición, uso de cubiertas y escalas, enseñanza de autocuidado, educación contínua del equipo y desarrollo de protocolos. Conclusión: se espera el desarrollo de nuevos estudios que involucren el tema, considerando la complejidad del cuidado de las lesiones, destacando la necesidad de una mayor investigación con intervenciones destinadas a sistematizar la atención, minimizar el sufrimiento y lograr la curación de la herida. Descriptores: Enfermería; Lesión por Presión; Proceso de Enfermería; Heridas y Lesiones; Atención de Enfermería; Terminología Normalizada de Enfermería.

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Assessment scale of risk for surgical positioning injuries

Cited by 63 publications

References 13 publications

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score

Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study

Intervenções de enfermagem para pacientes com lesão por pressão

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