Surgical wound care: A survey of parental knowledge and expectations.
Parent/guardian education
Parent/guardian survey
Postoperative care
Wound care
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
10
08
2019
accepted:
24
08
2019
pubmed:
17
9
2019
medline:
24
3
2020
entrez:
17
9
2019
Statut:
ppublish
Résumé
Parents play an integral role in postoperative wound care. Existing parental knowledge is potentially variable. Our aim was to evaluate for any gaps or misconceptions in the parental knowledge base to determine the need for targeted educational programs. Parents of children presenting to a tertiary pediatric center were surveyed in the preoperative stage. This consisted of 26 questions relating to wound healing, complications, and postoperative care. Participants were asked to complete the questionnaire for a same-day, clean abdominal procedure with a 2 cm incision to standardize responses. Expert responses from pediatric surgeons were utilized as a benchmark for nominating concordant answers. 200 parents were surveyed. 129 parents (64.5%) had previous experience with surgical wound care. Only 64.5% of parents recognized the most concerning features of wound infection, with 65% of parents correctly identifying when infection is most likely to occur. Parents misjudged the time required before return to school (73.5%) and physical activity (51%). More than half of parents (51.5%) expected postoperative antibiotics to be given. Contrary to our routine surgical practice, 80% and 46% of parents respectively felt that regular dressing changes and application of antiseptics to the wound were necessary postoperatively. There is a deficit of parental knowledge concerning wound healing in children. Therefore, there is a requirement for standardization of advice provided to parents with regards to wound and dressing care, development of wound complications, antibiotic and antiseptic use, and the timing of return to regular activities. Survey. III.
Sections du résumé
BACKGROUND
BACKGROUND
Parents play an integral role in postoperative wound care. Existing parental knowledge is potentially variable. Our aim was to evaluate for any gaps or misconceptions in the parental knowledge base to determine the need for targeted educational programs.
METHODS
METHODS
Parents of children presenting to a tertiary pediatric center were surveyed in the preoperative stage. This consisted of 26 questions relating to wound healing, complications, and postoperative care. Participants were asked to complete the questionnaire for a same-day, clean abdominal procedure with a 2 cm incision to standardize responses. Expert responses from pediatric surgeons were utilized as a benchmark for nominating concordant answers.
RESULTS
RESULTS
200 parents were surveyed. 129 parents (64.5%) had previous experience with surgical wound care. Only 64.5% of parents recognized the most concerning features of wound infection, with 65% of parents correctly identifying when infection is most likely to occur. Parents misjudged the time required before return to school (73.5%) and physical activity (51%). More than half of parents (51.5%) expected postoperative antibiotics to be given. Contrary to our routine surgical practice, 80% and 46% of parents respectively felt that regular dressing changes and application of antiseptics to the wound were necessary postoperatively.
CONCLUSIONS
CONCLUSIONS
There is a deficit of parental knowledge concerning wound healing in children. Therefore, there is a requirement for standardization of advice provided to parents with regards to wound and dressing care, development of wound complications, antibiotic and antiseptic use, and the timing of return to regular activities.
TYPE OF STUDY
METHODS
Survey.
LEVEL OF EVIDENCE
METHODS
III.
Identifiants
pubmed: 31522795
pii: S0022-3468(19)30564-0
doi: 10.1016/j.jpedsurg.2019.08.024
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2606-2613Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.