术中获得性压力性损伤预防专家共识

Expert consensus on prevention of intraoperatively acquired pressure injury

目的形成《术中获得性压力性损伤预防专家共识》,为预防手术患者术中获得性压力性损伤提供实践指导。方法通过文献检索,提取术中压力性损伤预防相关的证据和专家推荐意见,形成初稿,通过2轮专家咨询和4次线上会议进行修改和完善。结果术中获得性压力性损伤预防专家共识内容包括术中获得性压力性损伤风险因素与护理评估、评估工具选择、评估时机选择、风险界定与分级、分级预防措施和管理6个方面。结论该共识基于证据与指南,通过循证方法构建,操作性、实用性强,可为手术患者术中获得性压力性损伤预防和手术室护理管理提供理论依据和实践指导。

Objective To form an expert consensus report on the prevention of intraoperatively acquired pressure injury(IAPI),and to provide a practical guidance for the prevention of IAPA in surgical patients.Methods Through literature retrieval,the evidence and expert recommendations related to intraoperative pressure injury prevention were extracted,and the first draft of the expert consensus report was formed.The first draft was then revised and refined through two rounds of expert consultation and four times of online meetings.Results The expert consensus report on the prevention of IAPA includes six aspects:risk factors and nursing assessment of acquired pressure injury,selection of assessment tools,selection of assessment timing,risk definition and classification,graded prevention and management.Conclusion Based on evidence and guidelines,this consensus is constructed through evidence-based methods,which is operable and practical,and can provide theoretical basis and practical guidance for the IAPA prevention of surgical patients and the nursing management of operating room.