The Quality of Wound Care in Surgical in Kermanshah and Sanandaj Teaching Hospitals, 1994.

Abstract

Abstract: This research is a Descriptive analytic study is carried out for the survey quality care of surgical wounds in surgical wards of Medical University Hospitals of the cities Kermanshah and Sanandaj. The purpose of this study are as follow: 1) to determine some of the demographic characteristics of the population studied. 2) To determine the quality care of surgical wound before, during and after dressing in surgical wards of the Hospitals Mentioned above. 3) The comparison of the quality care of the surgical wards in these two cities. 4) To determine the correlation of the quality care of the quality care of the surgical wounds and demographic variable's. The study population included care givers participated in wound care and were employed in the hospitals previously mentioned. Sampling population included of the 39 units that were selected randomly. Tools of data collection in this study are questionnaire and check list. The research questionnaire consist 13 questions concerning demographic variables of the care givers. Check list too consists 27 questions concerning the previous cares, 48 questions concerning during cares and 20 questions concerning cares after dressing, and regarding the importance the point one or two point is given to each question. The data of the study in two stages (two days) are obtained relating to four dressing from units. For determine care quality, data check list are graded on the basis of one hundred score after adding them up and taking mean value, and indicate: Gaining point 0-39/ poor care quality, Gaining point 40-69 moderate care quality, Gaining point 70-< suitable care quality. The findings of the investigating showed that 56.4% units in the Kermanshah and 43.6% in Sanandaj were employed. 53.8% of units under investigation were carried out poorly the care of the surgical wound before dressing, and 46.2% moderately and none did it satisfactory. With regards to the care during dressing 20.5% did the job poorly, 76.9% moderately and 2.6% well. On the whole, the care quality in this stage could be considered as moderate. Regarding the care after dressing 7.7% of the units were poor, 43.6% moderate and the remaining 48.7% well, presenting a better and a more satisfactory result in comparison with the first and the second cases. The general quality care of surgical wounds in these two cities were moderate, since the findings show that the majority of units (76.9%) were moderate and only 15.4% were poor and 7.7% were good. The comparison of the gained average points concerning the care quality of the surgical wounds carried out by the units in these two coos, using T –test (α=0.05) has indicated that there was no significant statistical differences, thus the care quality of surgical wounds could be considered to be the same in these two cities, in the case of care quality of surgical wounds and it's correlation with the demographic characteristics of the units, chi –square test (α=0.05) showed that there is a significant statistical correlation between the care quality and the marital status, occupational record and the number of works shifts. There is an inverse correlation and relationship between the occupational record and the care quality, since the lesser occupational record the better the care quality. On the other hand there is a direct correlation between the number of work shifts and care quality as a result single units were presented better services than married ones. Regarding the tree mentioned characteristics, the findings show that a more suitable care quality regards younger care givers and high education. Finally the application of the obtained findings study in different aspects of nursing are presented, and suggestion are made for further investigations.