Effectiveness of HealthTracker for post-caesarean section surgical site infection surveillance: An intervention study.

Autor: Ohr SO; HNE Nursing and Midwifery Research Centre, Hunter New England Local Health District, New Lambton, New South Wales, Australia.; School of Nursing and Midwifery, The College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia., Ball J; HNE Nursing and Midwifery Research Centre, Hunter New England Local Health District, New Lambton, New South Wales, Australia., Teber E; Clinical Research Design, IT and Statistical Support, The University of Newcastle Hunter Medical Research Institute (HMRI), New Lambton, New South Wales, Australia., Ferguson JK; HNE Infection Prevention Service, Hunter New England Local Health District, New Lambton, New South Wales, Australia., Petherbridge R; HNE Nursing and Midwifery Research Centre, Hunter New England Local Health District, New Lambton, New South Wales, Australia.; School of Nursing and Midwifery, The College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia., Giles M; HNE Nursing and Midwifery Research Centre, Hunter New England Local Health District, New Lambton, New South Wales, Australia.; School of Nursing and Midwifery, The College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Nursing & health sciences [Nurs Health Sci] 2024 Mar; Vol. 26 (1), pp. e13108.
DOI: 10.1111/nhs.13108
Abstrakt: This intervention study aimed to implement and evaluate the effectiveness of HealthTracker, a post-discharge surgical site infection surveillance system. Participants were 730 women birthing by caesarean section at a large hospital over a 6-month period. Data were downloaded from clinical data systems and HealthTracker. Receiver operating characteristics were used to assess HealthTracker. Over a 6-month period, 382 women completed HealthTracker, with 83 scoring ≥6, indicating signs and symptoms of surgical site infection. Of this 83, 58 sought advice from health professionals, 29 returned to hospital, and 45 received antibiotics. A total of 20 infections from a total population of 730 were confirmed, with 14 out of 382 respondents confirmed via HealthTracker. Receiver operating characteristics identified HealthTracker as an excellent indicator of surgical site infection. HealthTracker is a feasible mHealth option for monitoring post-discharge surgical site infection post-caesarean section. In addition, by providing alerts, advising women to monitor their symptoms and seek treatment if necessary, HealthTracker has the potential to enhance self-efficacy for surgical wound monitoring at home.
(© 2024 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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