Influencing factors of pressure injury in infants and young children undergoing operation
10.3760/cma.j.cn115682-20220406-01619
- VernacularTitle:行手术治疗婴幼儿发生压力性损伤的影响因素分析
- Author:
Sisi TENG
1
;
Si CHEN
;
Lihong PENG
Author Information
1. 湖南省儿童医院麻醉手术科，长沙 410007
- Keywords:
Pressure injury;
Infants and young children;
Operation;
Duration of operation;
Intraoperative hypothermia
- From:
Chinese Journal of Modern Nursing
2022;28(23):3189-3192
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the occurrence of pressure injury in infants undergoing operation and analyze the risk factors of pressure injury.Methods:Using the retrospective analysis method, a total of 657 infants and young children who were admitted to Department of Anesthesia Surgery and underwent operation in Hunan Children's Hospital from July 2018 to June 2021 were selected as research objects. According to National Pressure Ulcer Advisory Panel (NPUAP) , infants and young children undergoing operation were evaluated. They were divided into the pressure injury group ( n=15) and the no pressure injury group ( n=643) according to the occurrence of pressure injury. The age of infants and young children, operation time, body temperature of 30 minutes after operation, fasting time, body mass index (BMI) , operation position, pressure injury time, pressure injury location, pressure injury classification and operation type were collected. The occurrence of postoperative pressure injury was investigated and the related factors were analyzed. Results:Among the 657 infants and young children undergoing operation, 21 cases had pressure injury. Logistic regression analysis showed that the operation duration was≥3 h ( OR=4.362, 95% CI: 3.322-5.728) , the body temperature of 30 minues after surgery was lower than 34.0℃ ( OR=1.066, 95% CI: 1.009-1.127) and BMI greater than 17.9 kg/m 2 ( OR=2.683, 95% CI: 1.133-6.356) were risk factors for pressure injury in infants undergoing surgery ( P<0.05) . Conclusions:The incidence of pressure injury in infants and young children undergoing operation is relatively high. Therefore, it is necessary to focus on evaluating the influencing factors of pressure injury in the perioperative period and implement effective preventive measures to reduce the incidence of pressure injury as much as possible.
