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

Oliveira, Mayra de Castro; Dalcól, Camila; de Carvalho, Rhanna Emanuela Fontenele Lima; Poveda, Vanessa de Brito

doi:10.1590/1980-220X-REEUSP-2022-0459en

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 57 • 2023 • https://doi.org/10.1590/1980-220X-REEUSP-2022-0459en copy

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

Participación del paciente en la prevención de la infección del sitio quirúrgico: percepciones de enfermeras, médicos y pacientes

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To analyze the perception of patients and health professionals regarding patients’ participation in surgical site infection prevention.

Methods:

Cross-sectional study conducted in two hospitals in the city of São Paulo, with a convenience sample of 123 patients in the postoperative period of elective surgeries and 92 health professionals (physicians and nurses) acting in direct care of surgical patients.

Results:

Patients (78.9%) and professionals (79.4%) fully agreed with the importance of patient participation to prevent surgical site infection. The impact of patient participation on infection rates was significant for those undergoing previous surgery (p = 0.021). Patients and professionals disagreed about the best time to prepare the patient about the topic (p<0.001). The participation strategies considered most effective by patients and professionals were, respectively, oral presentation (47.2% and 75%), videos (40.7% and 58.7%) and leaflets (30.9% and 58.7%).

Conclusion:

Patients and health professionals believe that patient participation in surgical site infection prevention is important.

DESCRIPTORS
Patient Participation; Surgical Wound Infection; Health Education; Perioperative Nursing; Infection Control

Variables	Importance of patient participation			Desire for involvement in SSI prevention
Variables	OR	CI 95%	p-value^* OR: odds ratio; CI: Confidence Interval SSI: surgical site infection; *Ordinal Logistic Regression.	OR	CI 95%	p-value^* OR: odds ratio; CI: Confidence Interval SSI: surgical site infection; *Ordinal Logistic Regression.
Age	1,01	[0,97; 1,06]	0,542	1,01	[0,97; 1,05]	0,718
Men	0,50	[0,15; 1,59]	0,245	0,33	[0,11; 0,94]	0,043
Schooling
Basic Schooling	8,52	[0,41; 300,50]	0,179	14,25	[1,00; 426,04]	0,069
High School	3,24	[0,23; 45,02]	0,372	3,58	[0,41; 32,62]	0,248
College	1,60	[0,07; 36,46]	0,767	1,64	[0,13; 21,72]	0,705
Postgraduate	1,73	[0,06; 47,63]	0,745	1,35	[0,08; 22,83]	0,836
Income	1,01	[0,98; 1,05]	0,575	1,02	[0,99; 1,07]	0,237
Previous Surgery	1,82	[0,46; 6,89]	0,380	0,65	[0,17; 2,24]	0,507
Public hospital	0,72	[0,10; 4,43]	0,732	0,35	[0,06; 1,68]	0,206

Variables	Importance of patient participation			Impact of the involvement in SSI prevention
Variables	OR	CI 95%	p-value^* OR: odds ratio; CI: Confidence Interval SSI: surgical site infection; *Ordinal Logistic Regression.	OR	CI 95%	p-value^* OR: odds ratio; CI: Confidence Interval SSI: surgical site infection; *Ordinal Logistic Regression.
Age	0,91	[0,79; 1,04]	0,154	0,89	[0,79; 1,00]	0,060
Men	1,82	[0,28; 11,19]	0,520	2,27	[0,46; 11,58]	0,314
Professional group (physician)	0,53	[0,06; 4,52]	0,560	0,87	[0,13; 6,05]	0,884
Length of professional experience	1,06	[0,93; 1,21]	0,364	1,08	[0,96; 1,21]	0,218
Public hospital	0,42	[0,13; 1,43]	0,150	0,64	[0,20; 2,32]	0,474
Implementing a strategy for preventing SSI	0,90	[0,18; 3,51]	0,887	0,38	[0,05; 1,65]	0,246

Variables	Patients (n = 123) n (%)	Health practitioners (n = 92) n (%)	p-value^* SSI: surgical site infection; *Pearson’s X2;
Participation Strategies
Oral Presentation	58 (47,2)	69 (75,0)	<0,001
Video	50 (40,7)	54 (58,7)	0,009
Leaflets	38 (30,9)	54 (58,7)	<0,001
Roundtables	22 (17,9)	11 (12,0)	0,234
Focus groups	4 (3,3)	7 (7,6)	0,152
Incident reporting	4 (3,3)	6 (6,6)	0,261
Others^† † Other: explanatory materials, SMS, e-mail, and office dialogue.	3 (2,4)	2 (2,2)	0,899
Post-discharge follow-up
WhatsApp® message	66 (53,7)	44 (47,8)	0,398
Videocall	51 (41,5)	20 (21,7)	0,002
Outpatient follow-up	39 (31,7)	61 (66,3)	<0,001
Phone contact	27 (22,0)	32 (34,8)	0,037
Cell phone app	26 (21,1)	38 (41,3)	0,001

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Vanessa de Brito Poveda Av. Dr. Enéas de Carvalho Aguiar, 419, Cerqueira Cesar 05403-000 – São Paulo, SP, Brazil vbpoveda@usp.br