https://scholars.lib.ntu.edu.tw/handle/123456789/461924
標題: | Postoperative showering for clean and clean-contaminated wounds. A prospective, randomized controlled trial | 作者: | Hsieh P.-Y. KUEN-YUAN CHEN Chen H.-Y. WANG-HUEI SHENG Chang C.-H. Wang C.-L. Chiag P.-Y. Chen H.-P. Shiao C.-W. PO-CHU LEE HAO-CHIH TAI Chien H.-F. Yu P.-J. BEEN-REN LIN YEUR-HUR LAI JIN-SHING CHEN HONG-SHIEE LAI |
公開日期: | 2016 | 出版社: | Lippincott Williams and Wilkins | 卷: | 263 | 期: | 5 | 起(迄)頁: | 931-936 | 來源出版物: | Annals of Surgery | 摘要: | Objective: To evaluate wound infection rates, pain scores, satisfaction with wound care, and wound care costs starting 48 hours after surgery. Background: Showering after surgery is a controversial issue for wound care providers and patients. We investigated the benefits and detriments of showering for postoperative wound care. Methods: Patients undergoing thyroid, lung, inguinal hernia, and face and extremity surgeries with clean or clean-contaminated wounds were included. The patients were randomized to allow showering (shower group) or to keep the wound dry (nonshower group) for postoperative wound care starting 48 hours after surgery. The primary endpoint was the rate of surgical wound infection. The secondary endpoints included the wound pain score, satisfaction with wound care, and cost of wound care. Results: Between May 2013 and March 2014, there were 222 patients randomized to the shower group and 222 to the nonshower group. Two patients in each group were lost to follow-up. There were 4 superficial surgical site infections in the shower group and 6 in the nonshower group (4/220, 1.8% vs 6/220, 2.7%, P=0.751). Postoperative pain scores were comparable between the 2 groups. Patients in the shower group were more satisfied with their method of wound care, and their wound care costs were lower when compared with the nonshower group. Conclusions: Clean and clean-contaminated wounds can be safely showered 48 hours after surgery. Postoperative showering does not increase the risk of surgical site complications. It may increase patients' satisfaction and lower the cost of wound care. Copyright ? 2015 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84949908292&doi=10.1097%2fSLA.0000000000001359&partnerID=40&md5=b7945b6047b6a86139ea8f9cd457708f https://scholars.lib.ntu.edu.tw/handle/123456789/461924 |
ISSN: | 0003-4932 | DOI: | 10.1097/SLA.0000000000001359 | SDG/關鍵字: | antibiotic agent; povidone iodine; sodium chloride; tetracycline; absorbable suture; add on therapy; adhesive bandage; adult; antibiotic therapy; Article; bath; chest tube; controlled study; drainage tube; face surgery; female; follow up; gauze dressing; health care cost; hernioplasty; human; infection rate; inguinal hernia; intervention study; lung surgery; major clinical study; male; middle aged; nylon suture; open study; pain assessment; patient satisfaction; postoperative care; postoperative pain; priority journal; prospective study; randomized controlled trial; surgical infection; surgical patient; thyroid surgery; wound care; wound drain; wound drainage; wound dressing; wound healing; bath; pain measurement; postoperative pain; procedures; Surgical Wound Infection; time factor; treatment outcome; wound healing; Baths; Female; Humans; Male; Middle Aged; Pain Measurement; Pain, Postoperative; Patient Satisfaction; Prospective Studies; Surgical Wound Infection; Time Factors; Treatment Outcome; Wound Healing |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。