PREVENTION OF PRESSURE INJURIES IN SURGICAL PATIENTS

Abstract

Pressure injury is a common disease in the whole World and our county. Pressure injury is an important health problem that causes pain, affects their life quality and places a financial burden on health care institutions. Even though there are different opinions about the definition of pressure injury due to surgery, it is generally accepted that injuries which develop within the first 48-72 hours after the operation are pressure injury caused by surgery. Risk factors for pressure injuries caused by surgery include; anesthesia, duration of surgery, type of surgery, duration of immobilization, patient's position during surgery, supporting surfaces used during surgery, skin humidity, blood loss, hypotension, use of warming blanket, hypothermia and hyperthermia, tools used in positioning and use of vasopressor. Pressure injuries caused by surgery might be ignored as a result of focusing on various conditions like surgical intervention, patient's present health problems. Nurses must know the risk factors for pressure injury during surgery and apply the required interventions according to the recommendations of evidence-based guides in the prevention of pressure injuries, which are an indicator of nursing care.

Keywords

• Nursing
• pressure injury
• pressure ulcer
• operating room
• prevention

AMELİYAT GEÇİREN HASTALARDA BASINÇ YARALANMALARININ ÖNLENMESİ

Abstract

Basınç yaralanması, tüm dünyada olduğu gibi ülkemizde de sık görülen, hastanın ağrı ve acı çekmesine yol açarak yaşam kalitesini etkileyen ve sağlık bakımına mali yük getiren önemli bir sağlık sorunudur. Ameliyata bağlı basınç yarasının tanımıyla ilgili farklı görüşler bulunmasına rağmen genel kabul gören görüş ameliyat sonrası ilk 48-72 saat içerisinde gelişen yaralar, ameliyata bağlı basınç yaralanması olarak kabul edilmektedir. Ameliyata bağlı basınç yaralanması için risk faktörleri; anestezi, ameliyatın süresi, ameliyatın tipi, immobilizasyon süresi, hastanın ameliyat sırasındaki pozisyonu, ameliyat sırasında kullanılan destek yüzeyler, derinin nemli olması, kan kaybı, hipotansiyon, ısıtıcı araç/gereç kullanımı, hipotermi ve hipertermi, pozisyon vermede kullanılan aletler ve vazopressör kullanımıdır. Ameliyata bağlı basınç yaraları cerrahi girişim, hastanın mevcut sağlık sorunları gibi çeşitli durumlara odaklanılması nedeniyle göz ardı edilebilmektedir. Hemşireler, ameliyat sırasında basınç yaralanması risk faktörlerinin farkında olmalı ve hemşirelik bakımının göstergesi olan basınç yaralanmarının önlenmesinde kanıta dayalı rehberlerin önerileri doğrultusunda gerekli girişimleri uygulamalıdır.

Keywords

• Hemşirelik
• basınç yaralanması
• basınç ülseri
• ameliyathane
• önleme

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