Groenen Hannah, Bontekoning Nathan, Van Dieren Susan, Orsini Ricardo G, Boermeester Marja A, Tobiano Georgia, Eskes Anne M
Amsterdam UMC Location University of Amsterdam, Department of Surgery, Amsterdam, The Netherlands.
Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, The Netherlands.
J Adv Nurs. 2025 Jul;81(7):4208-4215. doi: 10.1111/jan.16644. Epub 2024 Nov 25.
To provide insights into postdischarge patients' experiences and preferences regarding surgical wound care education at discharge in the Netherlands.
Patient involvement in wound care practices postdischarge is beneficial for the prevention of surgical site infections and has become an essential component in reducing the burden on healthcare systems. Surgical wound care discharge education is crucial to achieve this.
A cross-sectional survey was conducted using the 18-item Surgical Wounds And Patient Participation Questionnaire on patients who underwent surgery between January and May 2022. The survey was administered 2 weeks postoperatively.
In total, 213 patients completed the survey. Most patients preferred verbal instructions about their surgical wound care (n = 146; 84.9%) at the time of discharge, with 52.3% indicating a preference for multiple forms of information. Approximately three-quarters of patients (n = 99; 76.7%) responded that they were able to successfully take care of their wounds at home and 16.3% indicated wound self-care inability.
Our study highlighted patients' preferences for verbal instructions about their surgical wound care at the time of discharge. Notably, half of the patients expressed a desire for multiple forms of information. Furthermore, we identified gaps in the information provided to patients, indicating areas for improvement in discharge communication.
The identified gaps in surgical wound care discharge education offer opportunities to enhance in-hospital education by aligning it more closely with patient preferences and providing education of topics often missed. This could ultimately improve their ability to self-manage their surgical wound at home. Future research should delve deeper into understanding the factors influencing patients' ability to self-manage their wounds.
Despite the acknowledged importance of patient education on surgical wound care, there is limited literature regarding patients' experiences and preferences in this area. The findings of this study highlight patients' preferences for verbal instructions and reveal gaps in the information provided to patients about surgical wound care at the time of discharge. The identified gaps in information provided to surgical patients offer opportunities to enhance in-hospital education by healthcare professionals.
We adhered to the STROBE guideline.
No patient or public contribution.
深入了解荷兰出院患者在出院时接受手术伤口护理教育的经历和偏好。
患者参与出院后的伤口护理实践有利于预防手术部位感染，已成为减轻医疗系统负担的重要组成部分。手术伤口护理出院教育对于实现这一目标至关重要。
采用18项手术伤口与患者参与调查问卷，对2022年1月至5月接受手术的患者进行横断面调查。调查在术后2周进行。
共有213名患者完成了调查。大多数患者在出院时更喜欢关于手术伤口护理的口头指导（n = 146；84.9%），52.3%的患者表示更喜欢多种形式的信息。约四分之三的患者（n = 99；76.7%）回答说他们能够在家中成功护理伤口，16.3%的患者表示无法进行伤口自我护理。
我们的研究突出了患者在出院时对手术伤口护理口头指导的偏好。值得注意的是，一半的患者表示希望获得多种形式的信息。此外，我们发现了向患者提供的信息存在差距，表明出院沟通方面有待改进的领域。
手术伤口护理出院教育中发现的差距提供了机会，通过使其更紧密地符合患者偏好并提供经常被遗漏主题的教育来加强院内教育。这最终可以提高他们在家中自我管理手术伤口的能力。未来的研究应更深入地探究影响患者伤口自我管理能力的因素。
尽管患者教育对手术伤口护理的重要性已得到认可，但关于患者在该领域的经历和偏好的文献有限。本研究的结果突出了患者对口头指导的偏好，并揭示了出院时向患者提供的手术伤口护理信息存在的差距。向手术患者提供的信息中发现的差距为医疗专业人员加强院内教育提供了机会。
我们遵循了STROBE指南。
无患者或公众参与。
