Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi

Tülay Kılınç; Zeynep Karaman Özlü; Ayşegül Yayla; Nurhan Bağaçlı

doi:10.38108/ouhcd.1370576

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Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi

Öz

Amaç: Araştırma cerrahi girişim uygulanan hastalarda basınç yaralanması riski ve etkileyen faktörlerin incelenmesi amacıyla yapılmıştır. Yöntem: Tanımlayıcı nitelikte tasarlanan araştırma Temmuz-Aralık 2022 tarihleri arasında bir üniversite hastanesinin ameliyathane bölümünde yürütülmüştür. Araştırma 400 hasta ile tamamlanmıştır. Verilerin toplanmasında “Hasta Bilgi Formu” ve “3S Ameliyathane Basınç Yarası Risk Tanılama Ölçeği” kullanılmıştır. Veriler tanımlayıcı istatistikler (yüzde, ortalama, sayı vb), Mann-Whitney U, Kruskal-Wallis, pearson korelasyon analizi ve çoklu doğrusal regresyon analizi kullanılarak değerlendirilmiştir. Bulgular: Araştırmada hastaların 3S Ameliyathane Basınç Yarası Risk Tanılama Ölçeği toplam puan ortalamasının 15.66±4.21; basınç yaralanması riskinin %8.5 olduğu belirlenmiştir. Yaş (β=0.052), BKI (β=0.153), steroid kullanımı (β=1.580), ameliyat sırası kan kaybı gelişme durumu (β=2.470.), ameliyat sırası hipotansiyon gelişme durumu (β=1.470), ameliyat sırası hipotermi gelişme durumu (β=2.988), ameliyat süresi (β=5.164), ameliyat öncesi albümin (β=-0.435) ve kan glukoz (β=0.011) düzeyinin basınç yaralanması gelişimi için istatistiksel olarak anlamlı risk faktörleri olduğu saptanmıştır (p < 0.05). Sonuç: Araştırmada cerrahi hastalarında basınç yaralanması riskinin düşük olduğu belirlenmiştir. Bazı sosyodemografik özellikler, steroid ilaç kullanımı, ameliyat öncesi albümin ve kan glukoz düzeyi, ameliyat sırasında kan kaybı, hipotansiyon ve hipotermi gelişiminin basınç yaralanmasını etkileyen faktörler olduğu saptanmıştır. Ayrıca basınç yaralanması gelişimini etkileyen en önemli faktörün ameliyatın süresinin 6 saatten uzun olması sonucuna varılmıştır.

Anahtar Kelimeler

Ameliyathane , Basınç yaralanması , Cerrahi girişim , Hemşire

Investigation of Pressure Injury Risk and Affecting Factors in Patients Undergoing Surgical Intervention

Abstract

Objective: The aim of this study was to examination the risk of pressure injury and the factors affecting in patients undergoing surgical intervention. Methods: The descriptive study was conducted in the operating room department of a university hospital between July and December 2022. The study was completed with 400 patients. "Patient Information Form" and "3S Intraoperative Pressure Injury Risk Assessment Scale" were used to collect the data. The data were evaluated using descriptive statistics (percentage, mean, number, etc.), Mann-Whitney U, Kruskal-Wallis, pearson correlation analysis and multiple linear regression analysis. Results: The study determined that the mean score of the 3S Intraoperative Pressure Injury Risk Assessment Scale was 15.66±4.21; the risk of pressure injury was 8,5%. Age (β=0.052), BMI (β=0.153), steroid use (β=1.580), intraoperative blood loss status (β=2.470.), intraoperative hypotension development status (β=1.470), intraoperative hypothermia development status (β=2.988), operative time (β=5.164), preoperative albumin (β=-0.435) and blood glucose (β=0.011) levels were found to be statistically significant risk factors for the development of pressure injury (p < 0.05). Conclusion: In the study, it was determined that the risk of pressure injury was low in surgical patients. Some sociodemographic characteristics, the use of steroid drugs, the level of albumin and blood glucose before surgery, blood loss during surgery, hypotension and the development of hypothermia were found to be factors affecting pressure injury. In addition, it was concluded that the most important factor affecting the development of pressure injury was the operation's duration was longer than 6 hours.

Keywords

Operating room , Pressure injury , Surgical intervention , Nurse

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Details

Primary Language

Turkish

Subjects

Surgical Diseases Nursing

Journal Section

Research Article

Authors

Tülay Kılınç ^*
0000-0002-9809-0643
Türkiye

Zeynep Karaman Özlü
0000-0001-8896-5461
Türkiye

Ayşegül Yayla
0000-0002-8751-6477
Türkiye

Nurhan Bağaçlı
0009-0009-1048-5703
Türkiye

Early Pub Date

November 12, 2024

Publication Date

December 1, 2024

Submission Date

October 3, 2023

Acceptance Date

January 25, 2024

Published in Issue

Year 2024 Volume: 7 Number: 3

DOI

https://doi.org/10.38108/ouhcd.1370576

IZ

https://izlik.org/JA59YB85NG

APA

Kılınç, T., Karaman Özlü, Z., Yayla, A., & Bağaçlı, N. (2024). Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 7(3), 655-666. https://doi.org/10.38108/ouhcd.1370576

AMA

1.Kılınç T, Karaman Özlü Z, Yayla A, Bağaçlı N. Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi. Ordu University J Nurs Stud. 2024;7(3):655-666. doi:10.38108/ouhcd.1370576

Chicago

Kılınç, Tülay, Zeynep Karaman Özlü, Ayşegül Yayla, and Nurhan Bağaçlı. 2024. “Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski Ve Etkileyen Faktörlerin İncelenmesi”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7 (3): 655-66. https://doi.org/10.38108/ouhcd.1370576.

EndNote

Kılınç T, Karaman Özlü Z, Yayla A, Bağaçlı N (December 1, 2024) Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7 3 655–666.

IEEE

[1]T. Kılınç, Z. Karaman Özlü, A. Yayla, and N. Bağaçlı, “Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi”, Ordu University J Nurs Stud, vol. 7, no. 3, pp. 655–666, Dec. 2024, doi: 10.38108/ouhcd.1370576.

ISNAD

Kılınç, Tülay - Karaman Özlü, Zeynep - Yayla, Ayşegül - Bağaçlı, Nurhan. “Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski Ve Etkileyen Faktörlerin İncelenmesi”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 7/3 (December 1, 2024): 655-666. https://doi.org/10.38108/ouhcd.1370576.

JAMA

1.Kılınç T, Karaman Özlü Z, Yayla A, Bağaçlı N. Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi. Ordu University J Nurs Stud. 2024;7:655–666.

MLA

Kılınç, Tülay, et al. “Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski Ve Etkileyen Faktörlerin İncelenmesi”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 7, no. 3, Dec. 2024, pp. 655-66, doi:10.38108/ouhcd.1370576.

Vancouver

1.Tülay Kılınç, Zeynep Karaman Özlü, Ayşegül Yayla, Nurhan Bağaçlı. Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi. Ordu University J Nurs Stud. 2024 Dec. 1;7(3):655-66. doi:10.38108/ouhcd.1370576

Cerrahi Girişim Uygulanan Hastalarda Basınç Yaralanması Riski ve Etkileyen Faktörlerin İncelenmesi

Öz

Anahtar Kelimeler

Investigation of Pressure Injury Risk and Affecting Factors in Patients Undergoing Surgical Intervention

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