None listed
Conditions
Brief summary
Postoperative wound complications are common after the discharge of surgical patients, which may cause unplanned readmission of the patients back to the hospital during the first 30 days of recovery after surgery. In developing countries, poor knowledge of patients regarding postsurgical care at home is one of the significant risk factors that result in a negative outcome in post-discharge patients. Previous literature suggests that providing written guidelines on postoperative wound care to patients will significantly improve patient outcomes, reduce readmissions to the hospital, promote self-efficacy, and improve healthcare efficiency. However, none of the studies reported that designed postsurgical wound care guidelines for Pakistani hospital settings and evaluated their effectiveness. we hypothesized that our designed postsurgical wound care guideline will comparatively increase patient knowledge and satisfaction levels more than routine verbal postsurgical wound care instructions provided by the doctors at the time of discharge. Therefore, the primary objective of this study is to assess the effect of our designed wound care guideline in Urdu on the knowledge of postsurgical patients with limited or no English proficiency following their discharge from tertiary care hospitals in Pakistan. The secondary objective of the study is to evaluate the level of satisfaction and comprehension among postsurgical patients when written guidelines are provided to them and the patient's preference over the mode of delivery (verbally, written, or both) of postsurgical wound care. 300 postoperative patients from general surgery and orthopedic ward will be recruited for the study from the different hospitals in Karachi, Pakistan. One group will receive written postsurgical wound care guidelines and the other group (control group) will receive routine verbal post-surgical wound care instruction from their doctor. Then the same self-report questionnaire will get filled out by both group patients at the time of their discharge to assess the primary and secondary outcomes of the study.
Interventions
intervention: A standard (non-specific for each patient) printed guideline on postsurgical wound care was explicitly designed for this study. The guideline covers four domains of information;1) problems that patients could face during wound healing,2)how to change the wound dressing at home if needed, and 3)how to care for wound stitches,4)thing to do or not to do during the wound healing period. The guideline is translated into the native language (Urdu) and contains simple images and figures f
intervention: A standard (non-specific for each patient) printed guideline on postsurgical wound care was explicitly designed for this study. The guideline covers four domains of information;1) problems that patients could face during wound healing,2)how to change the wound dressing at home if needed, and 3)how to care for wound stitches,4)thing to do or not to do during the wound healing period. The guideline is translated into the native language (Urdu) and contains simple images and figures for illustration. mode of delivery: an intervention group is a group that will read written postsurgical wound care guideline explicitly designed for this study and then fills out a questionnaire. A time of 40-60 minutes will be given to the patient to properly read and understand the guidelines. however, if the patient is a slow reader more time will be granted to him/her .researcher will accompany the patient to make sure that the patient is reading guidelines or not. For the intervention group, a questionnaire will be given to patients after they have read and understood the written discharge guideline. time of intervention delivery and assessment: at the time of the patient getting discharged
Sponsors
muhammad muhib
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
1. Patient who can read and understand the Urdu language. 2. Patients from 18 to 50 years of age. 3. Patients who underwent elective orthopedic or general surgery and have a clean wound (not an infected wound)
Exclusion criteria
1. Patients with a duration of stay of more than 72 hours in the hospital after surgery. 2. Patients with contaminated and infected wounds 3. Patients who underwent minimally invasive procedures like laparoscopic and arthroscopic surgeries 4. Patients who are referred to other hospitals for further treatment on their discharge 5. Patients who don’t feel well enough to participate. 6. Patients who are mentally unstable e.g. (down syndrome or other sociological diseases)
Outcome results
None listed