Department of Hospital Infection Control and Epidemiology, Rouen University Hospital, Rouen, France.
Dynamiques et Évènements des Soins et des Parcours, Rouen University Hospital, Rouen, France.
Surg Infect (Larchmt). 2024 Apr;25(3):206-212. doi: 10.1089/sur.2023.329. Epub 2024 Mar 11.
Patients' experience of the pre-operative shower remains poorly assessed in the literature although it is an essential step in the prevention of surgical site infection. For obese patients, a pre-operative shower could be challenging. The goal was to assess patient satisfaction and experience with the process of pre-operative shower, and the effect of obesity status. This study was a multicenter prospective survey of consecutive surgical patients from nine hospitals. Data on the pre-operative shower were collected via telephone interview two to four weeks after surgery, and included the place (hospital, home), time, information received, difficulties experienced, the presence or absence of a visual assessment of skin cleanliness by a healthcare professional after the pre-operative shower, and overall patient satisfaction with the pre-operative shower technique. Data on the surgical procedure and patients' characteristics were collected from patients' records, and included age, gender, and body mass index. Factors associated with patient satisfaction were assessed. Among 430 patients, 91.6% declared having received information on the pre-operative shower and 94.8% were very or rather satisfied with the pre-operative shower. Two factors were independently associated with satisfaction: showering at home and having received information on the pre-operative shower, but not obesity status. Only 17% of patients reported a visual assessment of skin cleanliness by a healthcare professional after the pre-operative shower. Overall, regardless of obesity status, patients were satisfied with the pre-operative shower and reported no difficulties. However, this survey highlights the fact that skin cleanliness was seldom assessed by healthcare professionals, which may represent an unidentified weakness in skin preparation before surgery.
患者对术前沐浴的体验在文献中评估不佳，尽管这是预防手术部位感染的重要步骤。对于肥胖患者，术前沐浴可能具有挑战性。目的是评估患者对术前沐浴过程的满意度和体验，以及肥胖状况的影响。
这项研究是对来自九家医院的连续手术患者进行的多中心前瞻性调查。术后两到四周，通过电话访谈收集术前沐浴的数据，包括地点（医院、家中）、时间、接受的信息、遇到的困难、术前沐浴后医护人员是否对皮肤清洁度进行了视觉评估，以及患者对术前沐浴技术的总体满意度。手术程序和患者特征的数据从患者记录中收集，包括年龄、性别和体重指数。评估了与患者满意度相关的因素。
在 430 名患者中，91.6%的患者表示已收到术前沐浴的信息，94.8%的患者对术前沐浴非常满意或满意。有两个因素与满意度独立相关：在家中沐浴和接受术前沐浴信息，但与肥胖状况无关。只有 17%的患者报告说在术前沐浴后医护人员对皮肤清洁度进行了视觉评估。
总的来说，无论肥胖状况如何，患者对术前沐浴都很满意，没有遇到任何困难。然而，这项调查突出了一个事实，即医护人员很少对皮肤清洁度进行评估，这可能是手术前皮肤准备中一个未被识别的弱点。
