Effect of "micromovement" in preventing intraoperative acquired pressure injuries among patients undergoing surgery in supine position.
intraoperative acquired pressure injury
job satisfaction of nurses
patients undergoing surgery
supine position
“micromovement”
Journal
International wound journal
ISSN: 1742-481X
Titre abrégé: Int Wound J
Pays: England
ID NLM: 101230907
Informations de publication
Date de publication:
17 Oct 2023
17 Oct 2023
Historique:
revised:
06
09
2023
received:
14
07
2023
accepted:
07
09
2023
medline:
18
10
2023
pubmed:
18
10
2023
entrez:
18
10
2023
Statut:
aheadofprint
Résumé
To explore the clinical effect of "micromovement" in preventing intraoperative acquired pressure injures (IAPIs) among patients experiencing surgery in supine position. A total of 200 patients accepting elective surgery in supine position from 10 May 2023 to 4 July 2023 at Shulan (Hangzhou) Hospital were selected and randomized into two groups (experimental group, n = 100; control group, n = 100). For control group patients, soft silicone foam dressing was applied to the sacrococcygeal region. On the basis of the treatment for control group patients, "micromovement" was implemented among experimental group patients. During this process, the operating table was tilted for 15° leftwards and rightwards alternately every 1 h, and the tilt angle was maintained for 5 min to prevent IAPIs. Finally, comparisons between the two groups were made in terms of the sacrococcygeal IAPI incidence, relative temperature differences (ΔT) on sacrococcygeal skin, and job satisfaction of nurses. Compared with control group patients, patients from the experimental group exhibited lower IAPI incidence (2% vs. 10%), reduced ΔT between the sacrococcygeal skin and surrounding normal skin [0 (-0.1, 0.1) vs. 0.2 (-0.2, 0.4)], and elevated job satisfaction of nurses (80% vs. 66%). All the differences were statistically significant (p < 0.05). "Micromovement" implemented intraoperatively among patients receiving surgery in supine position is able to lower the IAPI incidence by five times and elevate job satisfaction of nurses.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Hangzhou Medical and Health Technology Project
ID : B20210683
Organisme : Hangzhou Medical and Health Technology Project
ID : B20220840
Organisme : Shaoxing Public Welfare Project
ID : 2020A13014
Organisme : Zhejiang Province Traditional Chinese Medicine Science and Technology Plan Project
ID : 2023ZL593
Informations de copyright
© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Références
Shi C, Dumville JC, Cullum N, et al. Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane reviews and network meta-analysis. Cochrane Database Syst Rev. 2021;8(8):CD013761.
Yang TY, Shin SH. Effect of soft silicone foam dressings on intraoperatively acquired pressure injuries: a randomized study in patients undergoing spinal surgery. Wound Manag Prev. 2020;66(11):22-29.
Gao XL, Xiong C, Yang Y, et al. A retrospective study of perioperative characteristics in the development of intraoperatively acquired pressure ulcer. Huli Xue Zazhi. 2020;35(3):42-45.
Kimsey DB. A change in focus: shifting from treatment to prevention of perioperative pressure injuries. AORN J. 2019;110(4):379-393.
Yu MR, Dan S, Zhang MH, Ni YJ. The construction of operating room nursing quality sensitive indicator system. Zhonghua Huli Xue Zazhi. 2017;52(4):418-421.
Zhang Y, Hu YY, Wu GW, et al. Preventive effect of pressure-redistribution air pad for intraoperative acquired pressure injury in patients with aortic dissection surgery. Wenzhou Yike Daxue Xuebao. 2022;52(7):587-591.
Inoue Y, Uchiyama A, Sekiguchi A, et al. Protective effect of dimethyl fumarate for the development of pressure ulcers after cutaneous ischemia-reperfusion injury. Wound Repair Regen. 2020;28(5):600-608.
Connor T, Sledge JA, Bryant-Wiersema L, et al. Identification of pre-operative and intra-operative variables predictive of pressure ulcer development in patients undergoing urologic surgical procedures. Urol Nurs. 2010;30(5):289-295.
Pickham D, Ballew B, Ebong K, Shinn J, Lough ME, Mayer B. Evaluating optimal patient-turning procedures for reducing hospital-acquired pressure ulcers (LS-HAPU): study protocol for a randomized controlled tria. Trials. 2016;17:190.
Gillespie BM, Walker RM, Latimer SL, et al. Repositioning for pressure injury prevention in adults. Cochrane Database Syst Rev. 2020;6(6):CD009958.
Kottner J, Cuddigan J, Carville K, et al. Prevention and treatment of pressure ulcers/injuries: the protocol for the second update of the international clinical practice guideline 2019. J Tissue Viability. 2019;28(2):51-58.
Langemo DK, Spahn JG. A reliability study using a long-wave infrared thermography device to identify relative tissue temperature variations of the body surface and underlying tissue. Adv Skin Wound Care. 2017;30(3):109-119.
Chung ML, Widdel M, Kirchhoff J, et al. Risk factors for pressure injuries in adult patients: a narrative synthesis. Int J Environ Res Public Health. 2022;19(2):761.
Kimura N, Nakagami G, Minematsu T, Sanada H. Non-invasive detection of local tissue responses to predict pressure ulcer development in mouse models. J Tissue Viability. 2020;29(1):51-57.
Peirce SM, Skalak TC, Rodeheaver GT. Ischemia-reperfusion injury in chronic pressure ulcer formation:a skin model in the rat. Wound Repair Regen. 2000;8(1):69-76.
Yoshimura M, Iizaka S, Kohno M, et al. Risk factors associated with intraoperatively acquired pressure ulcers in the park-bench position:a retrospective study. Int Wound J. 2016;13(6):1206-1213.
Beaupre LA, Khong H, Smith C, et al. The impact of time to surgery after hip fracture on mortality at 30- and 90-days: does a single benchmark apply to all? Injury. 2019;50(4):950-955.
Neo TG, Koo SH, Chew STH, et al. A randomized controlled trial to compare the interface pressures of alternating pressure overlay with gel pad versus gel pad alone during prolonged surgery. J Tissue Viability. 2021;30(2):222-230.
Sousa I, Kapp S, Santamaria N. Positioning immobile critically ill patients who are at risk of pressure injuries using a purpose-designed positioning device and usual care equipment: an observational feasibility study. Int Wound J. 2020;17(4):1028-1038.
Putnam K. Minimizing pressure ulcer risk for surgical patients. AORN J. 2016;103(4):7-9.
Tarigan S, Yusuf S, Syam Y. Effect of interface pressure and skin surface temperature on pressure injury incidence: a turning schedule pilot study. J Wound Care. 2021;30(8):632-641.
Bilska A, Stangret A, Pyzlak M, Wojdasiewicz P, Szukiewicz D. Skin surface infrared thermography in pressure ulcer outcome prognosis. J Wound Care. 2020;29(12):707-718.
Bridges E, Whitney J, Metter D, et al. Prevention of pressure injuries during military aeromedical evacuation or prolonged field care: a randomized trial. Nurs Outlook. 2022;70(6 Suppl 2):S115-S126.
Amrani G, Peko L, Hoffer O, Ovadia-Blechman Z, Gefen A. The microclimate under dressings applied to intact weight-bearing skin: infrared thermography studies. Clin Biomech. 2020;75:104994.
Wu Y, Jiang Z, Huang S, Shi B, Wang C, Zeng Y. Identification of risk factors for intraoperative acquired pressure injury in patients undergoing neurosurgery: a retrospective single-center study. Med Sci Monit. 2021;27:e932340.
Shui AM, Kim P, Aribindi V, et al. Dynamic risk prediction for hospital-acquired pressure injury in adult critical care patients. Crit Care Explor. 2021;3(11):e0580.
Cox J, Roche S. Vasopressors and development of pressure ulcers in adult critical care patients. Am J Crit Care. 2015;24(6):501-510.
Lee HJ, Han MY, Hwang JH, et al. Risk factors for heel pressure injury in cardiovascular intensive care unit patients. Int Wound J. 2022;19(5):1158-1164.