Nursing Steps to Prevent Surgery-Related Pressure Ulcers in Patients Undergoing Combined Hysteroscopy and Laparoscopy: A Double-Blind, Randomized, and Controlled Trial
Journal Title: Science Insights - Year 2015, Vol 13, Issue 1
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.
Authors and Affiliations
Dongying Fu
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