Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress ePosters 51 266 The Effect of Visits by Operating Room Nurses Before Cardiac Surgery onAnxiety and Pain Management Nurgül Arpag1 2, Seher Deniz Öztekin3 1Istanbul Atlas University Faculty of Health Sciences, Faculty of Nursing, Turkey, 2Istanbul Atlas University Faculty of Health Sciences, Department of Nursing, Turkey, 3Doğuş University School of Health Sciences, Department of Nursing, Turkey Background: It is recommended that preoperative visits be made to ascertain the physiological, social, and psychological status of patients, and that care be maintained in the operating room. The preoperative patient visits by operating room nurses contribute to the improvement of postoperative patient outcomes and support the development of the Enhanced Recovery for Cardiac Surgery (ERCS) protocol in cardiac surgery. Objectives: The study investigates the effects of preoperative visits by operating room nurses to patients scheduled for cardiac surgery on postoperative anxiety, pain severity and frequency, and the type and dose of analgesic medication. Methods: The study is a quasi-experimental with a pretest-posttest control group design involving nonrandomized groups. It was conducted in a hospital between 20.08.2020-15.04.2021 in Istanbul. Included in the study were patients selected based on a nonprobability sampling approach who met the study inclusion criteria. The treatment group was visited preoperatively by operating room nurses, and followed-up for the first 72 hours after surgery. Results: The intervention was effective in reducing postoperative state anxiety levels. In the control group, each one-point increase in the preoperative state-anxiety level caused a 9% increase in the length of stay in the intensive care unit. Pain severity increased as the preoperative state-anxiety and trait anxiety levels, and the postoperative state-anxiety levels, increased. While there was no significant difference in pain severity, the intervention proved to be effective in reducing pain frequency. It was further noted that the intervention reduced the use of opioid and nonopioid analgesics for the first 12 hours. The probability of using opioid analgesics increased 1.56 times with each one point increase in pain severity reported by the patients. Conclusion: The participation of operating room nurses in preoperative patient care can contribute to the management of anxiety and pain and the reduction of opioids. 270 Determination of Pressure Injury Risk Factors in COVID-19 Intensive Care Unit Patients ilknur tura1, Fatmagül Üstünel1, Sevİlay Erden1 1Cukurova Universty, Adana BACKGROUND: The prevalence of pressure injuries (PI) in COVID-19 patients has been extensively studied, and many risk factors play a role in pressure injuries. OBJECTIVE: To determine the risk factors for pressure injury (PI) in intensive care unit (ICU) patients with COVID-19. METHODS: This study was carried out as a retrospective by examining the observation forms of 270 COVID-19 patients who were hospitalized in the ICU between April 2020 and July 2022 and met the sampling criteria. Patients aged 18 and over, who did not have acquired pressure injury on admission, who were patients Braden Score not between 6-12 points on ICU admission, and who were hospitalized in the intensive care unit for at least 24 hours were included in the study. RESULTS: PI developed in 25.2% of the patients and it was determined 79.4% of the patients who developed PI were Stage I: redness and 36.8% was in the sacrum. A significant difference was found between age, length of hospital stay, GCS and Braden score, albumin-hemoglobin levels, oxygen and medications used in patients PI and non-PI (p<.05). The factors independently associated with PI in the scale for the evaluation of the risk of PI (Braden) (1.398 [1.122-1.742]), hemoglobin (0.067 [0.007-0.643]), high-dose steroids (0.026 [0.002-0.317]) and oxygen (0.108 [0.012-0.964]). CONCLUSIONS: It was found that stage I developed in patients and the most PIs were in the sacrum. The risk of PI was associated with the Braden score, hemoglobin, high-dose steroids, and oxygen. Nurses should evaluate the risk of developing PI in the ICU. They should minimize the conditions that will threaten the safety of patients at risk.
RkJQdWJsaXNoZXIy Mzc2ODc=