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Patients' Ability to Self‐Manage Their Surgical Wound to Prevent Wound Complications: A Cross‐Sectional Study
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-11-25 , DOI: 10.1111/jan.16644
Hannah Groenen, Nathan Bontekoning, Susan Van Dieren, Ricardo G. Orsini, Marja A. Boermeester, Georgia Tobiano, Anne M. Eskes

AimsTo provide insights into postdischarge patients' experiences and preferences regarding surgical wound care education at discharge in the Netherlands.BackgroundPatient involvement in wound care practices postdischarge is beneficial for the prevention of surgical site infections and has become an essential component in reducing the burden on healthcare systems. Surgical wound care discharge education is crucial to achieve this.MethodsA cross‐sectional survey was conducted using the 18‐item Surgical Wounds And Patient Participation Questionnaire on patients who underwent surgery between January and May 2022. The survey was administered 2 weeks postoperatively.ResultsIn total, 213 patients completed the survey. Most patients preferred verbal instructions about their surgical wound care (n = 146; 84.9%) at the time of discharge, with 52.3% indicating a preference for multiple forms of information. Approximately three‐quarters of patients (n = 99; 76.7%) responded that they were able to successfully take care of their wounds at home and 16.3% indicated wound self‐care inability.ConclusionOur study highlighted patients' preferences for verbal instructions about their surgical wound care at the time of discharge. Notably, half of the patients expressed a desire for multiple forms of information. Furthermore, we identified gaps in the information provided to patients, indicating areas for improvement in discharge communication.ImplicationsThe identified gaps in surgical wound care discharge education offer opportunities to enhance in‐hospital education by aligning it more closely with patient preferences and providing education of topics often missed. This could ultimately improve their ability to self‐manage their surgical wound at home. Future research should delve deeper into understanding the factors influencing patients' ability to self‐manage their wounds.Impact Despite the acknowledged importance of patient education on surgical wound care, there is limited literature regarding patients' experiences and preferences in this area. The findings of this study highlight patients' preferences for verbal instructions and reveal gaps in the information provided to patients about surgical wound care at the time of discharge. The identified gaps in information provided to surgical patients offer opportunities to enhance in‐hospital education by healthcare professionals. Reporting MethodWe adhered to the STROBE guideline.Patient or Public ContributionNo patient or public contribution.

中文翻译:


患者自我管理手术伤口以预防伤口并发症的能力:一项横断面研究



Aims提供对荷兰出院后患者对手术伤口护理教育的经验和偏好的见解。背景患者在出院后参与伤口护理实践有利于预防手术部位感染,并已成为减轻医疗保健系统负担的重要组成部分。外科伤口护理出院教育对于实现这一目标至关重要。方法使用 18 项手术伤口和患者参与问卷对 2022 年 1 月至 5 月期间接受手术的患者进行横断面调查。该调查在术后 2 周进行。结果共有 213 名患者完成了调查。大多数患者在出院时更喜欢关于手术伤口护理的口头指示 (n = 146;84.9%),52.3% 的患者表示更喜欢多种形式的信息。大约四分之三的患者 (n = 99;76.7%) 回答说他们能够在家中成功护理伤口,16.3% 的患者表示伤口无法自我护理。结论我们的研究强调了患者在出院时对手术伤口护理的口头指导的偏好。值得注意的是,一半的患者表示希望获得多种形式的信息。此外,我们确定了提供给患者的信息中的差距,指出了出院沟通需要改进的领域。影响外科伤口护理出院教育中已发现的差距为加强院内教育提供了机会,使其更紧密地与患者偏好保持一致,并提供经常被遗漏的主题的教育。这最终可以提高他们在家中自我管理手术伤口的能力。 未来的研究应该更深入地了解影响患者自我管理伤口能力的因素。影响 尽管患者教育对手术伤口护理的重要性已得到公认,但关于患者在该领域的体验和偏好的文献有限。这项研究的结果突出了患者对口头指示的偏好,并揭示了在出院时提供给患者的手术伤口护理信息的差距。已确定的提供给手术患者的信息差距为加强医疗保健专业人员的院内教育提供了机会。报告方法我们遵守 STROBE 指南。患者或公众捐款没有患者或公众捐款。
更新日期:2024-11-25
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