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Related Experiment Videos

Mélanie Consiglio, Élodie Delfrate, Marie-Jeanne Lourenco

    Recherche En Soins Infirmiers
    |June 20, 2022
    PubMed
    Summary

    Obese patients and their caregivers face challenges with preoperative showering, particularly regarding clear instructions and skin cleanliness checks, which may impact surgical site infection prevention. Further research is needed to address these issues.

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    Area of Science:

    • Medical care
    • Patient safety
    • Surgical preparation

    Background:

    • Preoperative showering is crucial for preventing surgical site infections.
    • Obesity can present unique challenges to the preoperative showering process.
    • Effective patient guidance and caregiver assessment are vital components of preoperative hygiene.

    Purpose of the Study:

    • To investigate potential difficulties obese patients and their caregivers encounter during the preoperative shower process.
    • To identify if patient obesity is a contributing factor to challenges in preoperative showering.
    • To inform improvements in preoperative care protocols for obese surgical patients.

    Main Methods:

    • A pilot qualitative survey utilizing semi-structured interviews.

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  • Inclusion of 9 obese surgical patients and 11 caregivers in the study.
  • Exploration of patient and caregiver experiences with preoperative showering techniques and assessments.

    • Main Results:

    • Obese patients reported receiving limited explanation on showering techniques and no visual skin cleanliness assessment.
    • Caregivers found equipment inadequate and skin cleanliness assessment difficult, despite believing they provided detailed information.
    • Neither patients nor caregivers reported feelings of discrimination related to obesity.

    Conclusions:

    • A significant gap exists in the visual skin cleanliness assessment by caregivers post-preoperative shower.
    • Preoperative showering protocols may require adaptation to better support obese patients.
    • Additional research, including quantitative and qualitative methods, is recommended to fully understand and address these showering difficulties.