Evaluation of Surgical Wound Healing in Orthopedic Patients with Impaired Tissue Integrity According to Nursing Outcomes Classification

Abstract

PURPOSE

To assess the surgical wound (SW) healing in orthopedic patients with Impaired tissue integrity according to the Nursing Outcomes Classification (NOC).

METHODS

A prospective longitudinal study performed with 24 patients. Data collection was performed through an instrument containing the NOC indicators.

FINDINGS

The indicators skin approximation, drainage, surrounding skin erythema, periwound edema, increased skin temperature, and foul wound odor presented a statistically significant increase when compared the means between the first and the last day of evaluation.

CONCLUSION

The NOC indicators allowed to monitor the SW healing indicating an improvement.

IMPLICATIONS FOR NURSING PRACTICE

The NOC can favor an earlier identification of the degree of commitment for each patient and enables implementation of care to achieve target outcomes.

Keywords

Nursing orthopedics outcome assessment wound healing wounds and injuries

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References

Almeida

M. A.

Seganfredo

D. H.

Menna Barreto

L. N.

Lucena

A. F.

(2014). Validation of indicators of the nursing outcomes classification for hospitalized adults at risk of infection. Texto & Contexto Enfermagem, 23(2), 309–317.

Barreto

Rocha

L. O.

Souza

A. C. S.

Tipple

A. F. V.

Suzuki

Bisinoto

S. A.

(2009). Handwashing: The adhesion among nursing professional on post-anesthetic recovery room. Revista Eletrônica de Enfermagem, 11(2), 334–340.

Dealey

(2013). Cuidando de feridas: Um guia para as enfermeiras (3rd ed.). São Paulo: Atheneu Editora.

Ercole

F. F.

Franco

L. M. C.

Macieira

T. G. R.

Wenceslau

L. C. C.

Resende

H. I. N.

Chianca

T. C. M.

(2011). Risk of surgical site infection in patients undergoing orthopedic surgery. Revista Latino-Americana de Enfermagem [online], 19(6), 1362–1368.

Herdman

T. H.

Kamitsuru

(Eds.). (2018). Nursing diagnoses: Definitions & classification, 2018–2020. Oxford: Thieme.

Laureano

Rodrigues

(2011). Cicatrização de Feridas. Revista da Sociedade Portuguesa de Dermatologia e Venereologia, 69(3), 355–367.

Medeiros

A. C.

Dantas-Filho

A. M.

(2016). Healing of surgical wounds. Journal of Surgical and Clinical Research, 7(2), 87–102.

Moorhead

Johnson

Maas

M. L.

Swanson

(Eds.). (2012). Nursing outcomes classification (NOC) (5th ed.). MO: Mosby.

Munro

J. T.

Masri

B. A.

Duncan

C. P.

Garbuz

D. S.

(2014). High complication rate after revision of large-head metal-on-metal total hip arthroplasty. Clinical Orthopaedics Related Research, 472(2), 523–528.

10.

North

W. T.

Mehran

Davis

J. J.

Silverton

C. D.

Weir

R. M.

Laker

M. W.

(2016). Topical vs. intravenous tranexamic acid in primary total hip arthroplasty: A double-blind, randomized controlled trial. The Journal of Arthroplasty, 31(5), 1022–1026.

11.

Novaes

Torres

Oliva

(2015). Nursing diagnoses in surgical clinic. Acta Paulista de Enfermagem, 28(1), 26–31.

12.

Panato

B. P.

(2014). Caracterização clínica de pacientes com o diagnóstico de enfermagem integridade tissular prejudicada (Master's degree dissertation). Universidade do Rio Grande do Sul, Brazil.

13.

Pinto

C. Z. S.

Alpendre

F. T.

Stier

C. J. N.

Maziero

E. C. S.

Alencar

P. G. C.

Cruz

E. D. A.

(2015). Characterization of hip and knee arthroplasties and factors associated with infection. Revista Brasileira de Ortopedia, 50(6), 694–699.

14.

Silva

C. G.

Crossetti

M. G. O.

(2012). Dressings for the treatment of abdominal surgical wounds: A systematic review. Revista Gaúcha de Enfermagem, 33(3), 182–189.

15.

Silva

M. B.

Menna Barreto

L. N.

Panato

B. P.

Engelman

Figueiredo

M. S.

Rodríguez-Acelas

A. L.

Almeida

M. A.

(2018). Clinical indicators for evaluation of outcomes of impaired tissue integrity in orthopedic patients: Consensus study. International Journal of Nursing Knowledge, 29(XX), 1–10.

16.

Silva

R. R.

Santos

A. A. M.

Carvalho Júnior

J. S.

Matos

M. A.

(2014). Quality of life after total knee arthroplasty: Systematic review. Revista Brasileira de Ortopedia, 49(5), 520–527.

17.

Slaven

E. J.

(2012). Prediction of functional outcome at six months following total hip arthroplasty. Physical Therapy, 92(11), 1386–1394.

18.

Szwed

D. N.

Santos

V. L. P.

(2016). Growth factors involved in skin healing. Cadernos da Escola de Saúde, 1(15), 7–17.

19.

World Health Organization . (2010). Guidelines for safe surgery: Safe surgery saves lives. Rio de Janeiro, Brazil: Pan American Health Organization.

20.

Von Elm

Altman

D. G.

Egger

Pocock

S. J.

Gotzsche

P. C.

Vandenbroucke

J. P.

(2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344–349.