RISCO DE DESENVOLVIMENTO DE LESÃO EM DECORRÊNCIA DE POSICIONAMENTO CIRÚRGICO: ESTUDO OBSERVACIONAL

Aline Coutinho Sento Sé; Eduarda Borges dos Santos Oliveira; Lorena Lourenço Massarra de Lima; Raquel Costa e Silva de  Oliveira; Gesiane dos Santos Trivino; Ivanete de Souza   Lobato; Flavia  de Melo Medeiros; Luana Cardoso  Pestana; Raquel Calado da Silva Gonçalves; Eduardo Ferreira  Gonçalves; Vera Lúcia Freitas

Authors

Aline Coutinho Sento Sé Universidade Federal do Estado do Rio de Janeiro – Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0001-9301-0379
Eduarda Borges dos Santos Oliveira Universidade Federal do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0001-8105-8359
Lorena Lourenço Massarra de Lima Universidade Federal do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0002-3023-3089
Raquel Costa e Silva de Oliveira Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0003-0260-2024
Gesiane dos Santos Trivino Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0001-7809-9395
Ivanete de Souza Lobato Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0002-0601-2868
Flavia de Melo Medeiros Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0001-7856-869X
Luana Cardoso Pestana Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0002-2629-8584
Raquel Calado da Silva Gonçalves Universidade Federal do Estado do Rio de Janeiro – Hospital Federal Cardoso Fontes – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0003-0158-5031
Eduardo Ferreira Gonçalves Universidade Estácio de Sá – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0002-9930-2054
Vera Lúcia Freitas Universidade Federal do Estado do Rio de Janeiro – Rio de Janeiro (RJ), Brazil. https://orcid.org/0000-0003-1324-5640

Abstract

Objective: To classify the risk of developing injury due to surgical positioning. Method: Observational, longitudinal, prospective study with a quantitative approach carried out in a public hospital, with 135 patients undergoing elective surgery. Instruments containing sociodemographic, clinical, and surgical characteristics and a risk assessment scale for the development of injuries due to surgical positioning were used. Descriptive analysis, Fisher’s exact test or χ2 test and odds ratio association measure were used as appropriate. Results: Most participants were male (51.11%), adults (52.59%) and were classified as having a higher risk for developing injuries due to surgical positioning (51.85%). Elderly, hypertension, diabetes mellitus and urological surgeries were statistically significant (p < 0.05) for a higher risk of developing lesions. The incidence of pressure injuries was 0.74%, with observation only in the sacral region. Conclusion: There was a greater risk of developing lesions due to surgical positioning and low incidence of pressure injury. Perioperative nursing should incorporate validated risk measurement tools into care practice for safe, individualized and quality care for surgical patients.

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