Contemporary Nursing

Objective To explore the risk factors of pressure injury in gynecological laparoscopic lithotomy and the nursing countermeasures in the operating room. Methods The clinical data of 50 patients undergoing gynecological laparoscopic lithotomy in our hospital from January 2020 to December 2022 were retrospectively analyzed. The independent risk factors of stress injury were analyzed by single factor and multiple factor logistic regression, and nursing intervention measures were formulated for the operation room. Results Statistical studies showed that 5 (10.00%) of the 50 patients suffered from pressure injury, including stage I injury 3 (60.00%) and stage II injury 2 (40.00%). Logistic regression analysis showed that the operation time was ≥ 4 hours, the use of uterine lifting device was unreasonable, the sacrum of the operating table was compressed, the body temperature was low during the operation, the timing of the lithotomy position was unreasonable, and local skin moisture was the independent risk factors for pressure injury. Conclusion The analysis shows that gynecological laparoscopic lithotomy has a high risk of pressure injury, and there are many risk factors affecting pressure injury. In order to reasonably avoid pressure injury, effective nursing measures in the operating room are very important, which can effectively reduce the incidence of pressure injury and help patients recover as soon as possible.

Gynecologic laparoscopic lithotomy; Pressure injury; Risk factors; Nursing countermeasures in operating room