J Korean Clin Nurs Res.  2022 Apr;28(1):45-53. 10.22650/JKCNR.2022.28.1.45.

Risk Factors of Pressure Injury related to Surgery in Neurosurgery Patients

• Kim SO
• Choi SM
• Lee SA
• Kang JY

• KMID: 2529721
• DOI: http://doi.org/10.22650/JKCNR.2022.28.1.45

Abstract

Purpose
The purpose of this study was to evaluate risk factors of pressure injuries in patients after neurosurgery.
Methods
A retrospective case-control study was conducted using 273 patients undergoing neurosurgery admitted to a general hospital from 2015 to 2021. Data were collected from September 1 to 30, 2021. The data were analyzed using the SPSS/WIN 26.0 program.
Results
Risk factors significantly influencing the occurrence of pressure injuries in the patients undergoing neurosurgery were hypertension (OR=3.12, p=.024), postoperative hypoalbuminemia (OR=0.30, p=.028), and prolonged operative duration (OR=1.00, p=.001). The regression model explained 86.0% of the variance of the outcome variable.
Conclusion
In order to prevent surgery-related pressure injuries in patients undergoing neurosurgery, thorough blood pressure management, avoidance of hypoalbuminemia, and preventive nursing intervention considering operative duration are required.

Keyword

Pressure Injury; Neurosurgery; Surgery; Risk Factors