Ten-years results of out patient service of patients with surgical wound

Authors

  • José Ferreira Pires Júnior1 Enfermeiro. Graduado pela Escola de Enfermagem da Universidade Federal de Minas Gerais (UFMG).
  • Eline Lima Borges Doutora em Enfermagem. Professora Associada do Departamento de Enfermagem Básica da Escola de Enfermagem da UFMG.
  • Aidê Ferreira Ferraz Doutora em Enfermagem. Professora Associada do Departamento de Enfermagem Básica da Escola de Enfermagem, UFMG.
  • Vera Lúcia de Araújo Nogueira Lima Doutora em Enfermagem. Professora Associada do Departamento de Enfermagem Básica da Escola de Enfermagem, UFMG.

Keywords:

Wound Healing. Surgical Wound Dehiscence. Nursing. Risk Factors.

Abstract

Objective: To identify the healing rate complex surgical wound and to characterize these patients. Method: Retrospective, descriptive, exploratory study conducted in the outpatient clinic of a large hospital from 2003 to 2013, with a sample of 138 patients, 18 years or older, with wounds located on the breast and abdomen. Results: The healing rate was 71.74%, with an average of 3 months of treatment. The majority were female, biracial, married, with an average age of 47.4 years old and a low education level. Cancer was the main reason for surgery. Conclusion: The majority of patients were discharged with their wound healed. The knowledge produced in the study can contribute to the strengthening of the nurse’s clinical practices in terms of the importance of evaluating patients with a surgical wound and the expected time it takes for it to heal.

References

Korting HC, Schöllmann C, White RJ. Management of minor acute cutaneous wounds: importance of wound healing in a moist environment. J Eur Acad Dermatol Venereol. 2011;25(2):130-7.

Ali M, Saeeda, Israr M, Niamat-ullah H. Frequency of abdominal wound dehiscence and role of wound infection as a major causative factor. Pak j surg. 2014;30(1):4-8.

Ramneesh G, Sheerin S, Surinder S, Bir S. A prospective study of predictors for post-laparotomy abdominal wound dehiscence. J Clin Diagn Res. 2014;8(1):80-3.

Kenig J, Richter P, Lasek A, Zbierska K, Zurawska S. The efficacy of risk scores for predicting abdominal wound dehiscence: a casecontrolled validation study. BMC surgery. 2014;14(65):1-6.

Khorgami Z, Shoar S, Laghaie B, Aminian A, Araghi NH, Soroush A. Prophylactic retention sutures in midline laparotomy in high-risk patients for wound dehiscence: a randomized controlled trial. J Surg Res. 2013;180(2):238-43.

Carvalho DV, Borges EL. Tratamento ambulatorial de pacientes com ferida cirúrgica abdominal e pélvica. REME rev. min. enferm. 2011;15(1):25-33.

Novetsky AP, Zighelboim I, Guntupalli SR, Ioffe YJ, Kizer NT, Hagemann AR, et al. A phase II trial of a surgical protocol to decrease the incidence of wound complications in obese gynecologic oncology patients. Gynecol oncol. 2014;134(2):233-7.

Brasil. Ministério do Planejamento, Orçamento e Gestão. Instituto Brasileiro de Geografia e Estatística (IBGE). Síntese de indicadores sociais 2014 - Uma análise das condições de vida da população brasileira. Rio de Janeiro: Ministério do Planejamento, Orçamento e Gestão; 2014.

World Health Organization (WHO). Global strategy on diet, physical activity and health. Geneva: WHO; 2004.

Graf K, Ott E, Vonberg RP, Kuehn C, Haverich A, Chaberny IF. Economic aspects of deep sternal wound infections. Eur J Cardiothorac Surg. 2010;37(4):893-6.

Lázaro-da-Silva A, Vieira RG, Anjos GC. Recidiva da hérnia incisional após o tratamento pela transposição peritonioaponeurótica longitudinal bilateral. Arq. Gastroenterol. 2004; 41(2):134-6.

Manuel J, Kokuba EN, Sabino Neto M, Santos AS, Ferreira LM. Perfil de pacientes submetidas à reconstrução mamária tardia atendidas em hospital universitário do município de São Paulo. Saúde Coletiva. 2010;7(39):82-6.

Souza MKB, Matos IAT. Percepção do portador de feridas crônicas sobre sua sexualidade. Rev Enferm UERJ. 2010;18(1):19-24.

Amaral AV, Melo RMM, Santos NO, Lôbo RCMM, Benute GRG, Lucia MCS, et al. Qualidade de vida em mulheres mastectomizadas: as marcas de uma nova identidade impressa no corpo. Psicol. hosp. 2009;7(2):36-54.

Van Ramshorst GH, Nieuwenhuizen J, Hop WCJ, Arends P, Boom J, Jeekel J, Lange JF. Abdominal Wound Dehiscence in Adults: Development and Validation of a Risk Model. World J Surg. 2010;34(1):20-7.

Dias CA, Burgos MGPA. Diagnóstico nutricional de pacientes cirúrgicos. ABCD, arq. bras. cir. dig. 2009;22(1):2-6.

Amaral AFS, Pulido KCS, Santos VLCG. Prevalência de lesões por fricção em pacientes hospitalizados com câncer. Rev. esc. enferm. USP. 2012;46(spe):44-50.

Afzal S, Bashir MM. Determinants of wound dehiscence in abdominal surgery in public sector hospital. Annals. 2008;14(3):110-5.

Dumville JC, Crosbie EJ, Peinemann F, Owens GL. Negative pressure wound therapy for treating surgical wounds healing by secondary intention (open surgical wounds). The Cochrane Library. [Internet] 2014. [acesso em 2015 Set 11]. Disponível em: http://www.cochrane.org/CD011278/WOUNDS_negative-pressure-wound-therapy-fortreating-surgical-wounds-healing-by-secondary-intention-opensurgical-wounds.

Published

2015-09-30

How to Cite

Júnior1, J. F. P., Borges, E. L., Ferraz, A. F., & Lima, V. L. de A. N. (2015). Ten-years results of out patient service of patients with surgical wound. Revista SOBECC, 20(3), 143–149. Retrieved from https://revista.sobecc.org.br/sobecc/article/view/83

Issue

Section

ORIGINAL ARTICLES