Evaluation of Surgical Wound Healing in Orthopedic Patients with Impaired Tissue Integrity According to Nursing Outcomes Classification

Abstract

PURPOSE To assess the surgical wound (SW) healing in orthopedic patients with Impaired tissue integrity according to the Nursing Outcomes Classification (NOC). METHODS A prospective longitudinal study performed with 24 patients. Data collection was performed through an instrument containing the NOC indicators. FINDINGS The indicators skin approximation, drainage, surrounding skin erythema, periwound edema, increased skin temperature, and foul wound odor presented a statistically significant increase when compared the means between the first and the last day of evaluation. CONCLUSION The NOC indicators allowed to monitor the SW healing indicating an improvement. IMPLICATIONS FOR NURSING PRACTICE The NOC can favor an earlier identification of the degree of commitment for each patient and enables implementation of care to achieve target outcomes.

Correspondence of nurses' and physiotherapists' records for orthopedic patients with the Nursing Outcomes Classification

“…The Wound healing: Primary intention and Infection Severity outcomes had a prevalence of 57% for nurses and 3% for physiotherapists. A study that evaluated the surgical wound of orthopedic patients showed that the Wound healing: Primary intention NO showed progressive improvement in the indicators of skin approximation, drainage, surrounding skin erythema, edema, increase skin temperature and foul wound odor when comparing the averages between the first and the last day of assessment (19) .…”

“…Within the scope of the Nursing practice, the records prioritized the monitoring of the surgical wound due to the concern with the risk of infection for patients in the post-operative period of THA (19) . Intrinsically, when the healing status is monitored, the presence of signs and symptoms of infection is also assessed.…”

Low-laser light therapy in venous ulcer healing: a randomized clinical trial

“…refusals, which resulted in a sample of 40 patients (20 in each group), based on previous studies (14)(15)(16)(17) .…”

“…These outcomes assess cell and tissue regeneration in wounds and the physiological functions of skin and mucous membranes, respectively (13) . NOC has been used in wound repair studies, in which it has demonstrated clinical applicability in different scenarios (14)(15)(16)(17) .…”

“…The use of standardized instruments in comparative studies of different wound treatment modalities is also very scarce (14,16) . Still, reliable assessment of wounds and their healing process is essential for producing reliable evidence, which can have a beneficial impact on patient outcomes and treatment monetary cost.…”