Nurse-Led Care Plan on Detecting Surgical Site Infection by Clinical Predictors, Length of Stay, and Patients’ Satisfaction
DOI:
https://doi.org/10.48047/rs0p7e73Keywords:
Laparotomy, Length of stay, Nurse-led care plan, Patient satisfaction, Surgical site infectionsAbstract
Surgical site infections significantly contribute to prolonged hospital stays, higher healthcare costs, and reduced patient satisfaction, particularly in resource-limited settings. It accounts for nearly 40% of all healthcare-associated infections among general surgical patients and is associated with a mortality rate of 70%. Additionally, it leads to extensive length of stay as well as affects patient satisfaction. The study aims to assess the impact of nurse-led care on detecting surgical site infections, length of stay, and patient satisfaction. Moreover, to explore the relationship between these variables. This quasi-experimental study utilized purposive sampling to recruit 50 laparotomy patients from a teaching hospital in Lahore: 25 participants in the control group (intervention withheld) and 25 in the intervention group. Data collected using checklists and an adopted questionnaire and analyzed using SPSS 23. The study signifies benefits of the intervention, lowering surgical site infections, particularly fever (16% vs. 56%), drainage (8% vs. 40%), and abscesses (12% vs. 52%), with p < 0.05 confirming statistical significance. About 60% of the intervention group accounted for shorter lengths of stay, while 24% of the control group did. Satisfaction scores slightly favored the intervention group (3.80 vs. 3.68), though not statistically significant (p = 0.458). Notably, the intervention group showed a strong positive correlation (r = 0.686, p < 0.01) between severe wounds and satisfaction, unlike the control group, which revealed a negative trend (r = -0.422, p < 0.05). Nurse-led care plans significantly reduced surgical site infections, shortened hospital stays, and improved outcomes. Further research should be done on a larger scale.
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Copyright (c) 2025 Jerry Zahid, Prof. Sarfraz Masih, Assistant Prof. Azeem Kaleem (Author)
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