Effect Of Closed Wound Care Protocol On Nurses.Practices And Patients Wound Healing | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 7, Volume 7, Issue 2, June 2020, Page 220-246 PDF (613.75 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2020.99677 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Manal Tharwat AbouZaid* 1; Labiba Abd El-Kader Mohamed2; Mossad Mahmud Morshed3; Eman saleh shahin4; Amal Bakr Abo-El-Ata4 | ||||
| 1Medical Surgical Nursing, Faculty of Nursing, Ain Shams University egypt | ||||
| 2Medical-Surgical Nursing, Faculty of Nursing, Caire University, Egypt | ||||
| 3Surgery, Faculty of Medicine - Mansoura University, Egypt | ||||
| 4Medical Surgical Nursing,Faculty of Nursing - Port Said University, Egypt | ||||
| Abstract | ||||
| Background: care of wounds is a dynamic, complex process and requires specific knowledge of the nursing team, comprising professionals who will develop this care both in prevention and in the specific treatment. This study aimed to assess nurses' practice regarding closed wound care in the surgical unit, and evaluate the effect of a wound care protocol on nurses' practice in, and assess patients' wound healing pre- and post-applying wound care protocol in at two hospital Mansoura University and emergency hospitals. The study sample includes two groups first group, consisted of 55 nurses from the two hospitals, and second group consist 207 patients with closed wound. The sample of nurses received a suggested protocol regarding wound care. Data collection was accomplished utilizing three tools; Astructured interview for the nurses, wound care observational checklist, andBraden scale, wound assessment tool. Data was collected from both nurses and patients three times; one time before implementing the wound care protocol, and a second time after its implementation and third one after 12 week's follow up. The result of this study revealed a statistically significant improvement in nurses' practice regarding wound care after implementing wound care protocol with (P-value = 0.014 and 0.000 respectively). Additionally, wound degeneration decreased in post-protocol implementation and during follow-up. The wound regeneration significantly improved with (P-value = 0.000) after implementing the wound care protocol. Conclusion: the study concluded presence of an improvement in nurses' practice after implementing the wound care protocol. Also, the wound healing improved significantly. Recommendations: nurses’ practice about surgical wound care and infection control in general needs to be updated, through in-service training protocol. The hospital should have policies regarding infection control measures, to be reviewed periodically. | ||||
| Keywords | ||||
| Closed Surgical Wounds; Patients; Wound Regeneration; WOund Degeneration; Assess; Complications; Braden Scale | ||||
| References | ||||
|
Amer A.M., Amin, S.Z., Farid, S., (2015). The Egyptian Fertility Survey. 4 vols. Cairo: Central Agency for Public Mobilization and Statistics
Anderson I. (2014). Debridement methods in wound care. Nursing Standard; 20:65-72.
Andrews and Boyle.(2014) Antibiotic Use after Cefuroxime Prophylaxis in Surgery. Clin PharmacologicalTherapy; 50(2): pp215–220
Anthony, W.T. (2016). Physiology of the acute wound. Clin Plas Surg; 25(3): PP 321– 340.
Anthony, W.T., Burns N. G., Rove S. (2013). The practice of nursing research: Conduct, Critique, and Utilization5th edition. Elsevier: Saunders.
Australian Medicines Handbook (Internet) (2015). Monitoring pressure ulcer healing in persons with disabilities. Rehabil Nurs; 30(3):pp92-98.
Baranoski S., Ayello E. (2015).Wound care essentials: Practice principles. Lippincott Williams & Wilkins Philadelphia.PP21-29
Bates-Jensen BM. (2011).The pressure sore status tool: a few thousand assessments later. Adv Wound Care. -73
Braden B., Bergstrom N. (2015). Braden Wound Assessment Scale and A conceptual schema for the study of the etiology of pressure sores. Rehab Nurs; 12:8-1
Burk L.A.(2015).Aging and wound healing. World journal of surgery, 28(3), PP 321– 326.,
Caldwell, M.T. (2015). Wound healing. In: Aston SJ, Besley RW, Thorn CH, editors. Grabb and Smith’s plastic surgery. fifth edition. Philadelphia: Lippincott-Raven; p. 3.
Canadian Association of Wound Care (2014): Evaluation of Blunt Suture Needles in Preventing Percutaneous Injuries Among Health-Care Workers during Gynecologic Surgical Procedures, New York City, March 2014-June 2013. MMWR Morb Mortal Wkly Rep; 46(2): 25-9.
Carpenito, A. (2015). Factors Influencing Wound Healing after Surgery for Metastatic Disease of the Spine. Spine; 23:pp 726-633.
Chou & Conifer (2012). Post surgical Infections Associated with Nonsterile Implantable Devices. MMWR Morb Mortal Wkly Rep; pp 41(15): 263
Chvapil T., Elsayed, S., Gupta, S., Mendonca, A. D., Tayton, K. J. J. (2015). Choice of dressing has a major impact on blistering and healing outcomes in orthopedic patients. Journal of Wound Care, 14(1), pp27–29.
Dawodu C. (2014). Topical vitamins. J Drugs Dermatol 7(7 Suppl):s2-s6 [PubMed]
Delaune G., 2nd, Janis J.E., Attinger C.E. (2015). The basic science of wound healing (retraction of Witte M., Barbul A. In: Surg Clin North Am; 77:509-528). Plast Reconstr Surg 117 (7 Suppl):PP12S-34S[PubMed).
Demographic and Health Survey (2015). Calverton, Maryland: Ministry of Health and Population [Arab Republic of Egypt], El-Zanaty and Associates, and Macro International.Dolly J. (2013). Nutrition management of pressure ulcers. Nutr Clin Pract; 25:50-60- Pub Med . HTTP://www.PubMed.comEastes (2015) Wound healing: General principles of wound healing. Surg Clin N Am; 77:pp509– 28Falanga M.S. (2013): Wound Infection Rates in Clean Surgery: A Potentially Misleading Risk Classification. Infect Control Hosp Epidemiol; 13(8): 457-62.Furlan K.A., Fehling's D.J. (2016). Effects of acute ethanol exposure on the early inflammatory response after excisional injury. Alcohol Clin Exp Res 31:317-323[PubMed]Gaynes R.P., Horan T.C. (2012): Surveillance of Nosocomial Infections. In: Mayhall C.G. (Ed.): Hospital Epidemiology and Infection Control. Baltimore: Williams & Wilkins; pp. 1017-1031.Haiduven L.A. (2015). Aging and wound healing. World journal of surgery, 28(3), 321– 326.Hall M.D., Hall C., Bates-Jensen B., Parslow N., Raizman R., Singh M., Ketchen R. (2012). Bates-Jensen Wound AssessmentTool: pictorial guide validation project. J Wound Ostomy:pp 35-45Harding W.D., Morris, Patel, (2014). Pressure ulcer scale for healing: derivation and validation of the PUSH tool. The PUSH Task Force. Adv Wound Care 1997; 10(5):PP96-101.Hollowly H. (2016). Benefits of an oral nutritional supplement on pressure ulcer healing in long-term care residents. J Wound Care 17:PP 476- 480 [PubMed] Johnny W.T., Talbot T.L., Norton J.A. (2014). Preoperative or postoperative doxorubicin hydrochloride (Adriamycin): which is better for wound healing? Surgery 100:9-13 [Pub Med],
Kavaler, J., Spiegel, B. (2015). Essential Medical Statistics. Second edition. Massachusetts: Blackwell Science.PP 33-37
Levenson L., Schwartz-Arad D. (2016). The effect of cigarette smoking on dental implants and related surgery. Implant Dent pp14:357-361 [PubMed].
Lippincott (2015) A prospective evaluation of emergency department bedside ultrasonography for the detectionof acute cholecystitis. Ann Emerg Med. 2010;pp 115-121.
Lit A.P., Webster A., Gruneberg R.N., Treasure T., Sturridge M.F. (2015). Repeatability of the asepsis wound scoring method. Lancet; 24(1) (8491):1208-9.
Pachowsky M., Gould, Lisa et al. (2015). ‘Chronic Wound Repair And Healing In Older Adults: Current Status And Future Research’. Wound Repair and Regeneration. Pp 23.1: 1-13.
Paudyal T.M., Golub J.E. (2015): New Approaches to Reduce Staphylococcus Aureus Nosocomial Infection Rates: Treating S. Aureus Nasal Carriage. Ann Pharmacother; 32: PP7-16.
Robson N., Sorrell J., Bielby A., Searle R. (2016). A survey of postoperative wound dressing practice before and after implementing national guidelines. Clinical Research. Wound UK; 7, (4): 12-22.
Rodriguez P. G., Felix, F. N., Woodley, D. T., Shim, E.K. (2015). The role of oxygen in wound healing: a review of the literature. Dermatologic surgery: official publication for American Society for Dermatologic Surgery [et al.], 34(9), 1159–1169.
Sussman C. Bates-Jensen B. (2016). Tools to measure wound healing. In Sussman C, Bates-Jensen B, editors. Wound Care, a Collaborative Practice Manual for Health Professionals, 4 ed. Baltimore (US); P. 131-72
Tooth A., Mckenna D.M., Geraghty L.H. (2013). The Effects of Diabetes Mellitus on Wound Healing. Plast Surg Nurs; 11(1): pp20-25.
TaylorA.J., Reichner J.S., Albina J.E. (2016), Macrophage-induced neutrophil apoptosis. J Immunol165:PP 435-441 [PubMed]Ulrich M.A, Guo, S., DiPietro, L.A. (2013). Factors Affecting Wound Healing. Journal of Dental Research. 89: PP 219-229.Wilson J.A. (2014). toward an intelligent wound assessment system. Ostomy Wound Manage; 41(7A Suppl.): S80-S6; discussionS7.pp 77Yra, P.E., Walsh M.G. (2016). Development, validity, reliability, and responsiveness of a new leg ulcer measurement tool. Adv Skin Wound Care; 17(4 Pt.1):PP 187-196.Zulkowsk (2015). The impact of warming on pain and wound healing after hernia surgery: a preliminary study. J Wound Care 2006;15(3):pp104-8.Zumbudio K.J., Furnary A.P., Grunkemeier G.L., Bookin S., Kanhere V., Starr A. (2014). Glucose Control Lowers the Risk of Wound Infection in Diabetics after Open Heart Operations. Ann ThoracicSurge; 63(2): 356-61. | ||||
|
Statistics Article View: 412 PDF Download: 403 |
||||
