Use of technology for self-care in surgical wound infection surveillance: integrative review

Abstract

Objectives: to synthesize knowledge about technology for self-care in surgical wound infection surveillance. Methods: integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors “surgical wound infection” and “self-care”, in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer. Results: nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out. Conclusions: the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.

Revisión bibliográfica: Infección de herida quirúrgica: profilaxis y tratamiento

“…La infección de la herida quirúrgica dependerá del tipo de incisión (Mahmud et al,2022), incisiones superficiales que se manifiestan 30 días después de la cirugía y que involucran la piel y el tejido subcutáneo, con los siguientes requisitos: drenaje purulento, eliminación de microorganismos, fluidos o tejidos corporales e inflamación, dolor, enrojecimiento y fiebre, son signos clínicos que advierten infección (Zhao et al, 2022;Oliveira et al, 2022;Turcotte et al,2022).…”

Patient participation in surgical site infection prevention: perceptions of nurses, physicians and patients

“…It is worth noting the use of mobile technology as a postdischarge surveillance strategy for SSI, which has shown promise by national and international studies (18)(19)(20) . A review study evidenced the importance of technology in patient education about self-management of health and remote monitoring by health professionals, showing that patients are willing to use mobile technologies and mHealth applications (18) .…”

Participação do paciente na prevenção de infecção do sítio cirúrgico: percepções de enfermeiros, médicos e pacientes

“…Vale destacar a utilização da tecnologia móvel como estratégia de vigilância pós-alta de ISC, que tem se mostrado promissora pelos estudos nacionais e internacionais (18)(19)(20) . Estudo de revisão evidenciou a importância da tecnologia na educação do paciente sobre o autogerenciamento da saúde e monitoramento remoto pelos profissionais de saúde, evidenciando que os pacientes estão dispostos a utilizar tecnologias móveis e aplicativos de mHealth (18) .…”