Evaluation of Surgical Wound Healing in Orthopedic Patients with Impaired Tissue Integrity According to Nursing Outcomes Classification

Int J Nurs Knowl. 2019 Oct;30(4):228-233. doi: 10.1111/2047-3095.12233. Epub 2018 Nov 26.

Abstract

Purpose: To assess the surgical wound (SW) healing in orthopedic patients with Impaired tissue integrity according to the Nursing Outcomes Classification (NOC).

Methods: A prospective longitudinal study performed with 24 patients. Data collection was performed through an instrument containing the NOC indicators.

Findings: The indicators skin approximation, drainage, surrounding skin erythema, periwound edema, increased skin temperature, and foul wound odor presented a statistically significant increase when compared the means between the first and the last day of evaluation.

Conclusion: The NOC indicators allowed to monitor the SW healing indicating an improvement.

Implications for nursing practice: The NOC can favor an earlier identification of the degree of commitment for each patient and enables implementation of care to achieve target outcomes.

Keywords: Nursing; orthopedics; outcome assessment; wound healing; wounds and injuries.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Orthopedics*
  • Outcome Assessment, Health Care*
  • Prospective Studies
  • Surgical Wound / nursing*
  • Surgical Wound / physiopathology
  • Wound Healing*