Risk assessment for injuries resulting from positioning and incidence of neuropathy and skin lesions.

IF 1.2 Q3 NURSING
Revista Brasileira De Enfermagem Pub Date : 2026-09-28 eCollection Date: 2026-01-01 DOI:10.1590/0034-7167-2025-0126
Renata Elizabete Pagotti da Fonseca, Thamires Carraro Gatto, Carina Aparecida Marosti Dessotte
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Abstract

Objectives: to assess the risk of developing injuries resulting from surgical positioning in adult patients undergoing elective surgery and to identify the incidence of neurological complications and skin lesions in the perioperative period.

Methods: an observational, longitudinal, prospective, and quantitative study conducted in a medium-sized hospital in the countryside of São Paulo, Brazil.

Results: the study sample was predominantly female (57%), with a median age of 55 years. Of these, 72.8% had pre-existing conditions, with overweight (41.8%) or obesity (34.8%). The Risk Assessment Scale for the Development of Injuries Resulting from Surgical Positioning score was low risk (75.9%), with an incidence of 6.4% of peripheral neuropathy and 0.8% of pressure injury (stage 1/sacral region).

Conclusions: using risk assessment scales for the development of injuries helps to systematize nursing care. Studies on the incidence of injuries (skin and peripheral neuropathy) are essential for situational diagnosis and subsequent creation of strategies to reduce risks.

由体位和神经病变及皮肤损伤发生率引起的损伤风险评估。
目的:评估成人择期手术患者手术体位导致损伤的风险,并确定围手术期神经系统并发症和皮肤病变的发生率。方法:在巴西圣保罗农村的一家中型医院进行了一项观察性、纵向、前瞻性和定量研究。结果:研究样本以女性为主(57%),中位年龄为55岁。其中,72.8%的人有既往病史,超重(41.8%)或肥胖(34.8%)。手术定位损伤发展风险评估量表评分为低风险(75.9%),周围神经病变发生率为6.4%,压迫性损伤(1期/骶区)发生率为0.8%。结论:采用损伤发展风险评估量表有助于护理的系统化。研究损伤(皮肤和周围神经病变)的发生率对于情景诊断和随后制定降低风险的策略至关重要。
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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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