Risk factors in the prevention of pressure ulcers in patients undergoing spine surgery, in a third-level hospital
DOI:
https://doi.org/10.51422/ren.v19i3.314Keywords:
pressure ulcer, surgical patient, spine surgery, risk factors, surfaces.Abstract
Introduction: pressure ulcers (PU) are a public health and social impact problem, so we present some factors for prevention in patients undergoing spine surgery, in a third-level hospital.
Objective: to identify risk factors for the development of pressure ulcers (PU) in the care agent undergoing spine surgery in prone decubbital positioning in a third-level hospital.
Material and methods: quantitative, prospective and longitudinal study, carried out in a third-level institution, with an n of 20 patients. The statistical analysis was descriptive.
Results: the percentage of gender for the study was 50% for male and 50% for female, the outstanding age predominance between 40 and 59 years with 60%, weight and size represent a determining factor, PU that developed with higher prevalence in care agents were stage I at 72% and stage II at 28%, related to surgical time and pressure between two planes exerted during the surgical procedure , finally, therapeutic devices account for a latent risk factor for the onset of UPP in 100% of cases.
Conclusion: it is important that the nursing professional in conjunction with the multidisciplinary team in the neurosurgical area perform the necessary care for their prevention, as the risk factors associated with the development of PU are: weight, size, hours of surgery and the type of support surface.
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References
Godoy Galindo MV, Huamani Flores B. Prevalencia de úlcera por presión en pacientes hospitalizados en una institución prestadora de servicios de salud. Tesis Universidad Peruana Cayetano Heredia. Facultad de Enfermería. Perú, 2017.
Thompson Rowling J. Pathological changes in mummies. Proc R Soc Med. 1961; 54:409-14.
Agrawal K, Chauhan N. Pressure ulcers: Backs to the basics. Indian J Plast Surg. 2012;45(2):244-54.
Adams F. The genuine Works of hippocrates (translated from the Greek). Baltimore: Williams and Wilkins; 1939.
Torra-Bou JE, Verdú-Soriano J, Sarabia-Lavin R, Paras-Bravo P, Soldevilla-Agreda JJ, López-Casanova P, et. al. Una contribución al conocimiento del contexto histórico de úlceras por presión. Gerokomos 2017;28(3):151-7.
Braden B, Bergstron N. A Conceptual schema for the study of the etiology of pressure sores. Rehab Nurs. 1987;12(1):8-16.
Coleman S, Gorecki C, Nelso AE, Closs SJ, Defloor T, Halfens R, et al. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud. 2013;50(7):974-1003. Disponible en: https://t.ly/nHMY
Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas (GNEAUPP). Directrices Generales sobre tratamiento de las úlceras por presión. Logroño; 2014. Disponible en: https://t.ly/Zl78
Torra-Bou JE, García-Fernández FD, Pérez-Acevedo G, Sarabia-Lavin R, Paras_Bravo P, Soldevilla-Ágreda JJ, et al. El impacto económico de las lesiones por presión. Revisión bibliográfica integrativa. Gerokomos 2017;28(2):83-97.
Galván-Martínez I, Narro-Llorente R, Lezama-de-Luna F, Arredondo-Sandoval J, Fabian-Victoriano M, Garrido-Espindola X, et al. Point prevalence of pressure ulcers in three second-level hospitals in Mexico. Intl Wound J. 2012; 11:605-10.
María Adrover R; Josefina Cardona R; Juana M.ª Fernández M. Prevención y tratamiento de las úlceras por presión. España; Illes Balears: Consejería de Salud. 2018
Ostabal I, Traverso J, Almagro LM. Las úlceras de decúbito. Med Integral 2002;39(3):121-9. Disponible en http://www.elsevier.es/es-revista-medicina-integral-63-articulo-las-ulceras-decubito-13028067
