Patients' Ability to Self-Manage Their Surgical Wound to Prevent Wound Complications: A Cross-Sectional Study.
Hannah Groenen, Nathan Bontekoning, Susan Van Dieren and 4 others
PMID 39584563WHAT IT FOUND
After surgery, 15.1% of discharged patients reported no wound-care information, and only 42.0% were invited into wound-care decisions.
Nurses can verify what wound-care teaching was given before discharge.
Key findings
0115.1% of patients reported receiving no wound-care information, and 52.8% reported receiving instructions about signs of infection.
02Only 42.0% were invited to participate in wound-care decision-making, although 79.8% had pain-management options discussed.
03Most patients said they could manage their wound at home (76.7%), but 16.3% said they could not; 84.9% preferred verbal discharge instructions from nursing or medical staff.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Convenience sample from two sites of one tertiary academic centre, so it may not represent other hospitals or surgery types. The Dutch SWAPP-Q had content validity testing but not full questionnaire validation, so some responses may not measure the intended concepts reliably. Patients rated their own ability to manage wounds, which can be subjective. Patients still hospitalised at the time of the survey were excluded, and not applicable responses were removed from each question, so percentages are based on the patients who answered each question. No data were collected on whether patients received home care or went to rehabilitation, so it is unclear why 43 patients answered not applicable to the self-management question.
Declared interests
One author reported institutional grants from J&J and 3M and speaker or instructor roles for J&J, 3M, BD, Gore, Smith & Nephew, TelaBio, Angiodynamics, GDM, Medtronic and Molnlycke outside the submitted work. Another author reported a European Wound Management grant outside the submitted work. No other disclosures, including AI use, were reported.
The easy way to misread this
Do not conclude that current discharge education is adequate because 76.7% felt able to self-manage. In the same survey, 15.1% received no wound-care information and only 42.0% were invited into wound-care decisions.