Prendin Angela, Tabacco Benedicta, Fazio Paola Claudia, Strini Veronica, Brugnaro Luca, De Barbieri Ilaria
Independent Researcher, 35100 Padua, Italy.
Independent Researcher, Kirkland, WA 98034, USA.
Healthcare (Basel). 2021 Jul 9;9(7):869. doi: 10.3390/healthcare9070869.
(1) Background: a review of the literature found a lack of standardized pediatric guidelines regarding wound management after cardiac surgery. (2) Objective: the aim of the study is to investigate the cardiac surgical wound management in Italian pediatric cardiac intensive care units. (3) Methods: we sent an online questionnaire to the 13 Italian pediatric cardiac intensive care units. (4) Results: ten pediatric cardiac intensive care units (77%) have a protocol for the management of the cardiac surgical wound. The staff members that mainly have the responsibility for the wound management after cardiac surgery are registered nurses and physicians together both in the pediatric cardiac intensive care units (69%), and when a patient is transferred to another ward (62%). Thirty-eight percent of the pediatric cardiac intensive care units have a protocol used to monitor wound infection, and the staff mostly uses a written shift report (54%) to monitor the infection. (5) Discussion: this is the first survey to investigate the management of the wound after cardiac surgery in Italian pediatric cardiac intensive care units. The small sample size and the fact that the centers involved are only Italian cardiac intensive care units are the limits of this study. (6) Conclusions: in the Italian pediatric cardiac intensive care units it emerged that there is a diversity in the treatments adopted and a lack of specific protocols in the management of the pediatric cardiac surgical wound.
(1) 背景：对文献的回顾发现，缺乏关于心脏手术后伤口处理的标准化儿科指南。(2) 目的：本研究的目的是调查意大利儿科心脏重症监护病房的心脏手术伤口处理情况。(3) 方法：我们向意大利的13个儿科心脏重症监护病房发送了一份在线问卷。(4) 结果：10个儿科心脏重症监护病房（77%）有心脏手术伤口处理方案。在儿科心脏重症监护病房，心脏手术后主要负责伤口处理的工作人员是注册护士和医生（69%），当患者转至另一病房时也是如此（62%）。38%的儿科心脏重症监护病房有用于监测伤口感染的方案，工作人员大多使用书面交班报告（54%）来监测感染情况。(5) 讨论：这是首次对意大利儿科心脏重症监护病房心脏手术后伤口处理情况进行调查的研究。本研究的局限性在于样本量小，且所涉及的中心仅为意大利的心脏重症监护病房。(6) 结论：在意大利儿科心脏重症监护病房，发现所采用的治疗方法存在差异，且在儿科心脏手术伤口处理方面缺乏具体方案。
