Year 2020, Volume 4 , Issue 9, Pages 830 - 834 2020-09-01

Metabolik cerrahi sonrası hospitalize hastalarda bası yarası riskinin değerlendirilmesi
Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery

Fatih Can KARACA [1] , Kıvılcım ULUSAN [2]


Amaç: Operasyon geçiren hastalar, ameliyat süresi, immobilizasyon ve varolan komorbiditeleri nedeniyele bası yarası gelişimi için risk grubunda bulunmaktadır. Bu çalışmada sleeve gastrektomi ve transit bipartisyon (SG+TB) ameliyatı sonrası hastanede yatış sırasında bası yarası riskini Braden Ölçeği ile değerlendirmeyi amaçladık. Yöntemler: Bu retrospektif kohort çalışmada, Braden Ölçeği değerlendirmesi, duyusal algılama, nem, aktivite, hareketlilik, beslenme ve sürtünme/yırtılma olmak üzere altı alt ölçekten oluşan çizelge ile hastanede yatış süresince günlük olarak yapıldı. Hastalar bası yarası riski açısından toplam Braden skoruna göre alt gruplara ayrıldı. Bulgular: Çalışma grubu SG+TB uygulanan 33 hastadan oluşturuldu. Ortalama Braden skoru hastanede kalış süresi boyunca 19,2(2,77) idi (12-23 arası). Hastaların Braden skorları postoperatif 2. (P<0,001), 3. (P<0,001), 4. (P=0,005) ve 5. (P=0,004) günlerde postoperatif 1. güne göre anlamlı olarak düşüktü. Braden skorları postoperatif 3., 4., 5. ve 6. günlerde postoperatif 2. güne göre anlamlı olarak düşüktü (her biri için P<0.001). Verilerimize göre PU riski açısından oranlar ameliyat sonrası 2., 3., 4. ve 5. günlerde 1. güne göre anlamlı olarak farklıydı (her biri için P<0,001). Sonuç: Metabolik cerrahi hastaları, hastanede kaldıkları süre boyunca yüksek bası yarası riski taşır. Protein takviyesi, hastaların beslenme durumlarını iyileştirebilecek ve hastanede yatış sırasında bası yarası riskini azaltabilecek faktörler arasındadır.
Aim: Patients who underwent surgery are in the risk group for development of pressure ulcers (PU) due to several factors including surgery time, immobilization and preexisting comorbidities. We aimed to evaluate the PU risk using The Braden Scale in patients during their hospitalization after sleeve gastrectomy with transit bipartition (SG+TB) surgery. Methods: This is a retrospective cohort study evaluating the PU risk using The Braden Scale, which consists of six subscales including sensory perception, moisture, activity, mobility, nutrition, and friction/shear. The patients were sub-grouped in terms of PU risk based on total Braden score. Results: The study group consisted of 33 patients who underwent SG+TB. The mean Braden score was 19.2(2.77) (range 12-23) during the hospitalization period. The Braden scores of the patients were lower on the 2nd (P<0.001), 3rd (P<0.001), 4th (P=0.005), and 5th (P=0.004) postoperative days compared to postoperative day 1, and on the 3rd, 4th, 5th, and 6th postoperative days compared to postoperative day 2 (P<0.001 for each). According to our data, the PU risk was significantly different between the 1st postoperative day and the 2nd, 3rd, 4th, and 5th postoperative days (P<0.001 for each). Conclusion: Metabolic surgery patients have an elevated risk for PU during the hospitalization period. Protein supplementation is among the factors that might improve the nutritional status of patients and decrease PU risk during hospitalization.
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Primary Language en
Subjects Surgery
Journal Section Research article
Authors

Orcid: 0000-0001-8959-0294
Author: Fatih Can KARACA (Primary Author)
Institution: ISTANBUL BILGI UNIVERSITY
Country: Turkey


Orcid: 0000-0002-4793-5714
Author: Kıvılcım ULUSAN
Institution: University of Health Sciences, Istanbul Education and Research Hospital, Department of General Surgery, Istanbul, TURKEY
Country: Turkey


Dates

Publication Date : September 1, 2020

Bibtex @research article { josam799157, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {830 - 834}, doi = {10.28982/josam.799157}, title = {Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery}, key = {cite}, author = {Karaca, Fatih Can and Ulusan, Kıvılcım} }
APA Karaca, F , Ulusan, K . (2020). Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery . Journal of Surgery and Medicine , 4 (9) , 830-834 . DOI: 10.28982/josam.799157
MLA Karaca, F , Ulusan, K . "Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery" . Journal of Surgery and Medicine 4 (2020 ): 830-834 <http://jsurgmed.com/en/pub/issue/56766/799157>
Chicago Karaca, F , Ulusan, K . "Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery". Journal of Surgery and Medicine 4 (2020 ): 830-834
RIS TY - JOUR T1 - Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery AU - Fatih Can Karaca , Kıvılcım Ulusan Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.799157 DO - 10.28982/josam.799157 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 830 EP - 834 VL - 4 IS - 9 SN - -2602-2079 M3 - doi: 10.28982/josam.799157 UR - https://doi.org/10.28982/josam.799157 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery %A Fatih Can Karaca , Kıvılcım Ulusan %T Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 9 %R doi: 10.28982/josam.799157 %U 10.28982/josam.799157
ISNAD Karaca, Fatih Can , Ulusan, Kıvılcım . "Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery". Journal of Surgery and Medicine 4 / 9 (September 2020): 830-834 . https://doi.org/10.28982/josam.799157
AMA Karaca F , Ulusan K . Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery. J Surg Med. 2020; 4(9): 830-834.
Vancouver Karaca F , Ulusan K . Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery. Journal of Surgery and Medicine. 2020; 4(9): 830-834.