SUMMARY OF THE BEST EVIDENCE FOR PREVENTION OF INTRAOPERATIVE PRESSURE SKIN INJURY IN NEUROSURGICAL PATIENTS IN LATERAL/PRONE POSITION

Jinbao Mao¹, Guangying Liu¹, Manman Zhang¹, Lijuan Yang^{2, *}

¹Operating Room, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China - ²Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China

Objective: To select and obtain the relevant evidence of intraoperative pressure skin injury of neurosurgery patients in side / prone position, and summarize the best evidence, so as to provide decision-making basis for the protection of pressure skin injury of operating room nurses.

Methods: Systematic search of Up To Date, Cochrane Library, PubMed, Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, US Guide Network (NGC), Scottish Inter-School Guide Network (SIGN), Ontario Ontario Nursing Association website (RNAO), All evidence for prevention of intraoperative pressure skin lesions in patients undergoing neurosurgical/prone surgery in databases such as the National Institute for Healthcare Optimization (NICE), China Guide Network, China Knowledge Network, Wanfang Database and China Biomedical Literature Database. Includes guidelines, systematic reviews, best practice information books, evidence summaries, expert consensus, and more. The researcher evaluates the quality of the included literature and combines the judgments of the professionals to extract and summarize the documents that meet the criteria. 

Result: A total of 4 articles were included, including 1 guide, 2 support systems, and 1 evidence. The best evidence includes four aspects: training and education, risk assessment, protection plan development, and protective measures. 

Conclusion: Medical staff should regularly receive knowledge training on stress skin injuries and conduct scientific risk assessment and protection. Evidence applicators should select the best evidence in a targeted manner based on the actual environment and work characteristics.