Identifying and exploring physical and psychological morbidity and patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery: a systematic review

Abstract

The aim of this article was to identify the literature that examined and explored physical and psychological morbidity and patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery. A systematic review of the literature using the databases MEDLINE, CINAHL and EMBASE was undertaken. The papers were examined using title and abstract for relevance to the primary and secondary outcomes. The primary outcome of interest was family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery. The search yielded 275 records after removing any duplicates; eight studies were considered eligible and were reviewed as full text. Following full review, none of the studies was included in this article. To conclude, there were no papers that investigated or examined the concept of resilience in relation to the management of acute post-surgical orthopaedic wounds. Four of the papers identified, following the review process, did discuss quality of life outcomes and how these may be improved following wound development; most papers focused on the management of chronic wounds. It is apparent from the review that there is no evidence currently available that explores patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery.

Effective research without walls – Reflections on an international partnership

“…In this successful research collaboration these nurses have undertaken research into a previously unreported area of nursing care practice, that of resilience for patients with acute wounds and implications of this for patient care. Results of a systematic literature review focussed on physical and psychological morbidity and patient and family care giver resilience following acute wound development (Ousey et al, 2013), revealed two hundred and seventy five potential records for inclusion in the review, following full review none of the studies were included due to inappropriate study design, not in the inclusion criteria of the review or not focussed on patient and family carer perspectives following acute wound development.…”

“…The review revealed that there were no papers written that focussed on this area; as such the researchers published the review for dissemination in an international wound care journal to inform other academics, practitioners and clinicians of their findings and to add to the body of knowledge. Results of this review have provided background information and clear identification of a clinical need to develop and embark on a pilot study in this underresearched area of care (Ousey, Edward, & Lui, 2013). It was interesting to note that there were a range of research papers exploring the concept of wellbeing in patients with chronic or infected wounds, yet there were none for patients discharged home with an acute noninfected wound.…”

Effect of lower extremity amputation on caregiving burden in caregivers of patients with diabetic foot: Prospective cohort study

“…Lower extremity amputation causes physical, psychological, and emotional dysfunction, necessitating caregiver's support for rehabilitation and general health care . Several previous studies have associated amputation care with psychological and financial burden and physical and mental stress on the family; moreover, amputation care has an impact on social relationships.…”

Evaluation of Absorbent Versus Conventional Wound Dressing

“…Besides impaired wound healing, blistering is a potential post-operative complication with incidence rates of 6 to 24% reported in the literature (12,13,19,20). Lack of elasticity and insufficient flexibility of adhesive dressings are among the factors promoting the formation of blisters (21,22).…”

“…Selection of the best suited wound dressing is key (30). According to Ousey et al, criteria for the fitting wound dressing include adhesion level, thickness of wound dressing, shape of the direct wound contact area of the dressing, absorbability of the dressing, as well as friction (4,20). Similar criteria have been compiled by the National Institute for Health and Clinical Excellence (NICE) (31).…”