Traditional compared to modified method of disinfection before hip fracture surgery - Experiences of nursing personnel

IF 1.5 Q3 NURSING
Noelle Probert , Karin Blomberg , Per Wretenberg , Åsa G. Andersson
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引用次数: 0

Abstract

Background

National guidelines in Sweden recommend preoperative full-body disinfection (FBD) with 4% chlorhexidine to prevent surgical-site infection (SSI) after hip fracture surgery, a method causing patients’ severe pain. Although, due to little evidence in research, orthopedic clinics in Sweden are wavering in favor of simpler methods such as local disinfection (LD) of the surgical site.

Purpose

The aim of this study was to describe the experiences of nursing personnel regarding the performance of preoperative LD on patients prior to hip fracture surgery after having switched from FBD.

Methods

This study has a qualitative design where data were collected via focus-group discussions (FGDs) including in total 12 participants and analysed using content analysis.

Results

Six categories were identified describing the aim: sparing the patients' physical harm, sparing the patients’ psychological distress, involving the patients in the procedure, improving the working environment for personnel, preventing unethical situations and a more adequate utilization of resources.

Conclusions

All participants considered LD of the surgical site as a favorable method to FBD, witnessing of an increased wellbeing in patients and the method facilitating a better involvement of patients in the procedure, findings that are supported by other studies promoting person-centered care.

髋部骨折手术前传统消毒方法与改良消毒方法的比较——护理人员的体会
瑞典国家指南推荐术前用4%氯己定全身消毒(FBD)来预防髋部骨折手术后手术部位感染(SSI),这种方法会导致患者剧烈疼痛。虽然,由于研究证据很少,瑞典的骨科诊所倾向于更简单的方法,如手术部位的局部消毒(LD)。目的本研究的目的是描述护理人员在髋部骨折手术前从FBD转换为术前LD的经验。方法本研究采用定性设计,通过焦点小组讨论(fgd)收集数据,共包括12名参与者,并使用内容分析进行分析。结果将护理目的分为6个类别:避免患者的身体伤害、避免患者的心理困扰、让患者参与到护理过程中来、改善医护人员的工作环境、防止不道德的情况和更充分地利用资源。所有参与者都认为手术部位的LD是FBD的一种有利方法,见证了患者的幸福感增加,该方法促进了患者更好地参与手术,其他研究也支持了这一发现,促进了以人为本的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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