The Effect of Continuous Care Model on Surgical Site Infection in Patients Undergoing Spine Surgery: A QuasiExperimental Study.

Background: Surgical site infection is an irreversible complication of spine surgery. Postoperative care instructions are of utmost significance and can decrease surgical complications, including surgical site infection. Aim: The present study was performed with aim to evaluate the impact of the con...

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Publicado en:Journal of Evidence-based Care Vol. 14; no. 1; pp. 42 - 51
Autores principales: Faghani, Fatemeh, Anboohi, Sima Zohari, Pazokian, Marzieh, Nasiri, Malihe
Formato: clinical trial research tables/charts Journal Article
Publicado: Mashhad University of Medical Science Apr2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2024
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      pub: Mashhad University of Medical Science
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        10.22038/EBCJ.2024.72318.2870
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        atl: The Effect of Continuous Care Model on Surgical Site Infection in Patients Undergoing Spine Surgery: A QuasiExperimental Study.
      aug:
        au:
          Faghani, Fatemeh
          Anboohi, Sima Zohari
          Pazokian, Marzieh
          Nasiri, Malihe
        affil: Student Research Committee, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
      sug:
        subj:
          Spine Surgery
          Surgical Wound Infection Risk Factors
          Risk Assessment
          Postoperative Complications Prevention and Control
          Surgical Wound Infection Prevention and Control
          Continuity of Patient Care Methods
          Treatment Outcomes
          Human
          Male
          Female
          Quasi-Experimental Studies
          Iran
          Academic Medical Centers
          Questionnaires
          Descriptive Statistics
          Clinical Trials
          Male
          Female
      ab: Background: Surgical site infection is an irreversible complication of spine surgery. Postoperative care instructions are of utmost significance and can decrease surgical complications, including surgical site infection. Aim: The present study was performed with aim to evaluate the impact of the continuous care model on surgical site infection in patients undergoing spine surgery. Method: This quasi-experimental study was conducted on seventy spine surgery patients referred to a teaching hospital in Tehran, Iran. The sampling process lasted from June 1 until November 30, 2022.The patients were assigned into two equal groups. The intervention involved education to patients undergoing spine surgery from admission until four weeks post-discharge based on a fourstage continuous care model. Bluebelle Wound Healing Questionnaire (BWHQ) was completed in both groups four weeks after discharge. Results: Despite the non-significant statistical difference in demographic and clinical information between the two groups, the mean total score of post-intervention infection was 9.37±5.93 in the control group and 2.65±1.43 in the intervention group. This finding indicates a significant reduction in surgical site infection in the intervention group compared to the control group (p<0.001). Implications for Practice: This study suggests that patient education based on the continuous care model following spine surgery is effective in decreasing surgical complications, specifically surgical site infection in these patients. Thus, the design and implementation of such postoperative care models are recommended for patients undergoing spine surgery.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
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      ougenre: Article
    language: English
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