Risk of injury related to surgical positioning: evaluation in a Brazilian university hospital

• Autor(a) principal: Souza da Luz , Mateus
• Data de Publicação: 2022
• Outros Autores: Gonçalves de Oliveira Azevedo Matos, Fabiana, Bernal Faruch, Soraia, Cristina Ignácio Alves, Debora, Rodrigues da Silva Carvalho, Ariana, Pereira Lima, Daniela, Damasceno Trevilato, Denilse, Campos de Oliveira , João Lucas
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Baiana de Enfermagem (Online)
• Texto Completo: https://periodicos.ufba.br/index.php/enfermagem/article/view/45800
• topic: Pressure ulcer; Patient positioning; Perioperative nursing; Patient safety; Risk assessment; Úlcera por presión; Posicionamiento del paciente; Enfermería perioperatória; Seguridad del paciente; Medición de riesgo; Lesão por pressão; Posicionamento do paciente; Enfermagem perioperatória; Segurança do paciente; Medição de risco

Objective: to assess the risk of developing injuries related to surgical positioning. Method: a cross-sectional study was carried out at the Surgical Center of a public university hospital in Paraná, Brazil. A sample (n=146) of elective surgical adults was evaluated from February to April 2019, using the Risk Assessment Scale for the Development of Injuries resulting from Surgical Positioning and extraction of sociodemographic variables. Descriptive and inferential statistical analysis was performed. Results: we identified a homogeneous distribution between men (49.3%) and women (50.7%). Orthopedics was the most frequent surgical specialty (39.7%). According to the Risk Assessment Scale for the Development of Injuries Resulting from Surgical Positioning, the following variables were disregarded: use of conventional mattress + cotton field cushions as a support surface (100%); supine position (78%); upper limbs with an opening less than 90º (70.5%); regional anesthesia (54.1%); surgical time of 1-2 hours (46.6%) and age group from 18 to 39 years (41.1%). The mean score was 17.6 (±3.29) points, indicating that 75.3% of the sample had a low risk of developing injuries related to surgical positioning. Conclusion: around a quarter of the sample had a higher risk of injury due to the surgical position.