Nursing Steps to Prevent Surgery-Related Pressure Ulcers in Patients Undergoing Combined Hysteroscopy and Laparoscopy: A Double-Blind, Randomized, and Controlled Trial
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Published
Jul 21, 2015
Abstract
OBJECTIVE To evaluate the preventive effect of perioperative nursing interventions on acute pressure ulcer in patients undergoing combined hysteroscopy and laparoscopy.
METHODS A total of 144 patients who undergoing combined hysteroscopy and laparoscopy were randomly divided into an experimental group and a control group. The patients of the experiment were implemented by new interventions throughout the perioperative period. The patients in the control were provided only routine care. Assessment for skin integrity and pressure ulcer risk factors carried out during three periods. The outcomes including the patients’ feedback, the incidence and the stage of pressure ulcer were collected.
RESULTS The incidence of pressure ulcer in the experiment was significantly less than that in the control group. The experimental group was placed in positions that they were able to tolerate comfortably. The score of their satisfaction is significantly higher than those in the control group. The patients of both groups developed stage I pressure sores, but no statistical difference.
CONCLUSION The nursing interventions of the experiment can be considered as an effective method of decreasing the incidence of pressure ulcer in patients undergoing combined hysteroscopy and laparoscopy. Those strategies that start in the preadmission areas and continue through the intraoperative to postoperative periods can have a noticeable impact on patient’s outcomes.
METHODS A total of 144 patients who undergoing combined hysteroscopy and laparoscopy were randomly divided into an experimental group and a control group. The patients of the experiment were implemented by new interventions throughout the perioperative period. The patients in the control were provided only routine care. Assessment for skin integrity and pressure ulcer risk factors carried out during three periods. The outcomes including the patients’ feedback, the incidence and the stage of pressure ulcer were collected.
RESULTS The incidence of pressure ulcer in the experiment was significantly less than that in the control group. The experimental group was placed in positions that they were able to tolerate comfortably. The score of their satisfaction is significantly higher than those in the control group. The patients of both groups developed stage I pressure sores, but no statistical difference.
CONCLUSION The nursing interventions of the experiment can be considered as an effective method of decreasing the incidence of pressure ulcer in patients undergoing combined hysteroscopy and laparoscopy. Those strategies that start in the preadmission areas and continue through the intraoperative to postoperative periods can have a noticeable impact on patient’s outcomes.
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Keywords
Pressure Ulcer, Nursing Interventions, Operating Room
References
1. Aronovitch SA. Intraoperatively acquired pressure ulcer prevalence: A national study. Wound Ostomy Continence Nurs 1999; 26: 130-136.
2. Schoonhoven L, Defloor T, Gryrpdonck MH. Incidence of pressure ulcers due to surgery. Clin Nurs 2002; 11: 479-487.
3. Heizenroth PA. Positioning the patient for surgery. Alexander’s Care of the Patient in Surgery. Rothrock JC (Ed). ISBN: 978-0-323-06916-8. Mosby, Elsevier. 2011; pp144-173.
4. 4 Hamlin L, Jenkins M, Conlon L. Patient saftety. Periopeative Nursing An introductory text. Hamlin L, Richardson-Tench M, Davies M (Ed). ISBN: 978-0-7295-3887-9. Mosby, Elsevier. 2009; pp70-98.
5. Harvey C. Wound healing, skin intergrity and wound care. Potter&Perry’s Fundamentals of Nursing. Crisp J, Taylor C (Ed). ISBN: 978-0-7295-3862-6. Mosby, Elsevier. 2009; pp1326-1386.
6. Perez RO, Pecora RA, Giannini CG. Lower limb compartment syndrome associated with Lloyd-Davies/lithotomy position in colorectal surgery. Hepatoqastroenterology 2004; 51: 100-102.
7. Szalay G, Meyer C, Ait V, Heiss C, Schnettler R, Hackethal A. Acute compartment syndrome of the lower leg as an interdisciplinary complication after long duration intervention in the lithotomy position. Zentralbl Chir 2010; 135: 163-167.
8. Struck AT, Hogg N, Thomas JP, Kalyanaraman B. Nitrc Oxide compounds inhibit the toxicity low density lipoprotein to endothelial. Febs Lett 1995; 361: 291-293.
9. Karadag M, Gumuskaya N. The incidence of pressure ulcers in surgical patients: A sample hospital in Turkey. Clin Nurs 2006; 15: 413-421.
10. Xie HQ, Guo JS. Room temperature synthesis and mechanical properties of two kinds of elastomeric interpenetrating polymer networks based on castor oil. Eur Polymer J 2002; 11: 38.
11. Tran NB, Vialle J, Pham QT. Castor oil-based polyurethanes. Polymer 1997; 38: 2467-2473.
2. Schoonhoven L, Defloor T, Gryrpdonck MH. Incidence of pressure ulcers due to surgery. Clin Nurs 2002; 11: 479-487.
3. Heizenroth PA. Positioning the patient for surgery. Alexander’s Care of the Patient in Surgery. Rothrock JC (Ed). ISBN: 978-0-323-06916-8. Mosby, Elsevier. 2011; pp144-173.
4. 4 Hamlin L, Jenkins M, Conlon L. Patient saftety. Periopeative Nursing An introductory text. Hamlin L, Richardson-Tench M, Davies M (Ed). ISBN: 978-0-7295-3887-9. Mosby, Elsevier. 2009; pp70-98.
5. Harvey C. Wound healing, skin intergrity and wound care. Potter&Perry’s Fundamentals of Nursing. Crisp J, Taylor C (Ed). ISBN: 978-0-7295-3862-6. Mosby, Elsevier. 2009; pp1326-1386.
6. Perez RO, Pecora RA, Giannini CG. Lower limb compartment syndrome associated with Lloyd-Davies/lithotomy position in colorectal surgery. Hepatoqastroenterology 2004; 51: 100-102.
7. Szalay G, Meyer C, Ait V, Heiss C, Schnettler R, Hackethal A. Acute compartment syndrome of the lower leg as an interdisciplinary complication after long duration intervention in the lithotomy position. Zentralbl Chir 2010; 135: 163-167.
8. Struck AT, Hogg N, Thomas JP, Kalyanaraman B. Nitrc Oxide compounds inhibit the toxicity low density lipoprotein to endothelial. Febs Lett 1995; 361: 291-293.
9. Karadag M, Gumuskaya N. The incidence of pressure ulcers in surgical patients: A sample hospital in Turkey. Clin Nurs 2006; 15: 413-421.
10. Xie HQ, Guo JS. Room temperature synthesis and mechanical properties of two kinds of elastomeric interpenetrating polymer networks based on castor oil. Eur Polymer J 2002; 11: 38.
11. Tran NB, Vialle J, Pham QT. Castor oil-based polyurethanes. Polymer 1997; 38: 2467-2473.
How to Cite
Fu, D. Y. (2015). Nursing Steps to Prevent Surgery-Related Pressure Ulcers in Patients Undergoing Combined Hysteroscopy and Laparoscopy: A Double-Blind, Randomized, and Controlled Trial. Science Insights, 13(1), 452–456. https://doi.org/10.15354/si.15.sc019
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