Cargando…
Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study
BACKGROUND AND AIM: Patients undergoing surgery are at high risk of developing pressure ulcers. However, pressure ulcer prevention in the operating room department is demanding and restricted. New techniques, such as continuous pressure mapping that visualizes interface pressure, are now available....
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930190/ https://www.ncbi.nlm.nih.gov/pubmed/36817631 http://dx.doi.org/10.1002/hsr2.1112 |
_version_ | 1784889002193584128 |
---|---|
author | Sving, Eva B. M. Gunningberg, Lena A. C. Bååth, Carina B. Björn, Catrine U. S. |
author_facet | Sving, Eva B. M. Gunningberg, Lena A. C. Bååth, Carina B. Björn, Catrine U. S. |
author_sort | Sving, Eva B. M. |
collection | PubMed |
description | BACKGROUND AND AIM: Patients undergoing surgery are at high risk of developing pressure ulcers. However, pressure ulcer prevention in the operating room department is demanding and restricted. New techniques, such as continuous pressure mapping that visualizes interface pressure, are now available. The aim of the study was to determine whether pressure mapping information of interface pressure intraoperatively leads to (1) more frequent intraoperative micro repositioning and a reduced amount of pressure on the sacrum area and (2) a lower frequency of pressure ulcer development. METHODS: A quasi‐experimental ABA design was used. A total of 116 patients undergoing surgery were included. During the B phase, the need to consider repositioning the patient according to interface pressure readings was initiated. RESULTS: The result showed that there was significantly higher interface pressure in the A2 phase than in the B phase. Micro repositioning of the patient during surgery was performed in the B phase, but not in the A phase. The regression model showed that a higher BMI was associated with higher interface pressure. None of the patients developed hospital‐acquired pressure ulcers up to Day 1 postoperatively. CONCLUSION: Pressure mapping involves moving away from expert opinion and tradition towards objective assessment and flexibility and we see the benefits of using pressure‐mapping equipment in operating room contexts. However, more research is needed in this area. |
format | Online Article Text |
id | pubmed-9930190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99301902023-02-16 Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study Sving, Eva B. M. Gunningberg, Lena A. C. Bååth, Carina B. Björn, Catrine U. S. Health Sci Rep Original Research BACKGROUND AND AIM: Patients undergoing surgery are at high risk of developing pressure ulcers. However, pressure ulcer prevention in the operating room department is demanding and restricted. New techniques, such as continuous pressure mapping that visualizes interface pressure, are now available. The aim of the study was to determine whether pressure mapping information of interface pressure intraoperatively leads to (1) more frequent intraoperative micro repositioning and a reduced amount of pressure on the sacrum area and (2) a lower frequency of pressure ulcer development. METHODS: A quasi‐experimental ABA design was used. A total of 116 patients undergoing surgery were included. During the B phase, the need to consider repositioning the patient according to interface pressure readings was initiated. RESULTS: The result showed that there was significantly higher interface pressure in the A2 phase than in the B phase. Micro repositioning of the patient during surgery was performed in the B phase, but not in the A phase. The regression model showed that a higher BMI was associated with higher interface pressure. None of the patients developed hospital‐acquired pressure ulcers up to Day 1 postoperatively. CONCLUSION: Pressure mapping involves moving away from expert opinion and tradition towards objective assessment and flexibility and we see the benefits of using pressure‐mapping equipment in operating room contexts. However, more research is needed in this area. John Wiley and Sons Inc. 2023-02-15 /pmc/articles/PMC9930190/ /pubmed/36817631 http://dx.doi.org/10.1002/hsr2.1112 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Research Sving, Eva B. M. Gunningberg, Lena A. C. Bååth, Carina B. Björn, Catrine U. S. Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title | Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title_full | Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title_fullStr | Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title_full_unstemmed | Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title_short | Using pressure mapping intraoperatively to prevent pressure ulcers—A quasi‐experimental study |
title_sort | using pressure mapping intraoperatively to prevent pressure ulcers—a quasi‐experimental study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930190/ https://www.ncbi.nlm.nih.gov/pubmed/36817631 http://dx.doi.org/10.1002/hsr2.1112 |
work_keys_str_mv | AT svingevabm usingpressuremappingintraoperativelytopreventpressureulcersaquasiexperimentalstudy AT gunningberglenaac usingpressuremappingintraoperativelytopreventpressureulcersaquasiexperimentalstudy AT baathcarinab usingpressuremappingintraoperativelytopreventpressureulcersaquasiexperimentalstudy AT bjorncatrineus usingpressuremappingintraoperativelytopreventpressureulcersaquasiexperimentalstudy |