الفهرس 
Wound HealingOnly 14 pages are availabe for public view
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Abstract
Surgical site infections (SSIs) are infections that occur at or near surgical incision. SSIs are a major cause of morbidity and mortality worldwide, affecting 5.6% of surgical procedures in developing countries. According to a World Health Organization (WHO) report, the incidence of SSIs ranges from 1.2 to 23.6 per 100 surgical procedures. Worldwide, it has been reported that more than one-third of postoperative deaths are related to SSIs. In addition, SSIs threaten the lives of millions of patients each year. (WHO 2018)
The purpose of the current study
The purpose of the current study was to evaluate the effect of preoperative and intraoperative nursing intervention on the prevention of surgical wound infection among surgical patients.
Setting
The study was carried out at the outpatient general surgery clinic, general surgical department, and operating theater of Menoufia University Hospital.
Subjects
A consecutive sample of 110 adult patients of both genders was divided into two equal groups, 55 patients in each group (Study and control).
Study group (I): 55 patients (received preoperative and intraoperative nursing intervention).
Control group (II): 55 patients (received only routine hospital care).
Instruments of the study: Three instruments were used for data collection.
The instrument I: Structured interview questionnaire.
Instrument II: Biophysiological measurements.
Instrument III: Bates-Jensen Wound Assessment tool.
Main findings of the present study:
1. Regarding intraoperative wound swab reveals that
• 3.6% versus 9.0% respectively of the study and control group had intraoperative surgical wound infection.
• Type of microorganism in both the study and control group was gram positive (+ve) bacteria 50% versus 80 % respectively.
• There were no significant differences between study and control groups regarding intraoperative wound swab (P>0.05 for each).
2. Regarding postoperative wound swab
• Reveals that 10.9% versus 36.4% respectively of both the study and control group had surgical wound infection,
• Gram positive bacteria was the main cause of surgical site infection in both study and control group (83.3% VERSUS 90%) respectively.
• There was a highly significant difference between study and control groups regarding postoperative wound swabs (P<0.002).
3. In relation to sings and symptoms of surgical wound infection (10.9% versus 36.4%) respectively of the study and control group had signs and symptoms of surgical wound infection. There was a highly significant difference between the study and control group (P<0.001).
4. Regarding wound assessment tool, the majority of the study group had healthy tissue (89.1%) compared to about two third among the control group
(63.6%) had healthy tissue. Regarding wound severity, two thirds (66.7%) in the study group and half (50%) of the control group had minimal severity.There was ahighly significant difference between study and control group
(p<0.001).
Conclusion
Preoperative and intraoperative nursing interventions have a highly significant effective on the prevention of surgical wound infection
Recommendations
Based on the findings of the present study, the following recommendations are derived and suggested:
D. Recommendations for patients:
Simplified booklet about preoperative preparation should be available for patients and their families
Patient should follow all health care instructions regarding preoperative care as skin preparation and nutritional recommendations.
E. Recommendations for nurses
Simplified booklet about intraoperative nursing care.
Nurses should follow all preoperative and intraoperative instructions for prevention of SSI.
F. Recommendations for further researches:
The study should be replicated in larger samples to validate and generalize the findings.
The study should be replicated at different surgical departments.