Effects of Wound Irrigation Using Pressure Controlled Technique on Wound Infection and Satisfaction Towards Wound Cleansing Among Persons with Large Laceration Wounds
Keywords:
Laceration wound, Wound cleansing, Wound irrigation, Wound Infection, SatisfactionAbstract
Wound cleansing is an essential procedure for decreasing the likelihood of wound infection. This quasi-experimental research aimed to examine the effects of wound irrigation using a pressure-controlled technique on wound infection and satisfaction towards wound cleansing among persons with large laceration wounds. The participants included 58 persons with lacerated wound lengths of more than 5 cm receiving care at an emergency room. There were 29 participants in the control group and the experimental group. The participants in both groups were matched by wound cause, wound size, wound location, age, history of diabetes mellitus, history of cancer, smoking, and receiving antibiotics. The research instrument was the pressure-controlled wound irrigation equipment. The data collection instruments were the Lacerated Wound Infection Evaluation Form and the Satisfaction Towards Wound Cleansing Evaluation Form, the latter of which was evaluated for validity by five experts yielding an index of item-objective congruence between .80-1. It was also checked for its test-retest reliability, yielding a Pearson’s correlation coefficient of .82. Data were analyzed using descriptive statistics, Fisher’s Exact Probability test, and Mann-Whitney U test.
The results revealed that the wound infections among the experimental group were statistically significantly lower than those of the control group (p < .05). None of the participants in the experimental group had wound infection, while six participants in the control group (20.69%) had wound infection. The satisfaction towards wound cleansing among the experimental group (M = 4.97, SD = 0.19) was statistically significantly higher than that of the control group (M = 4.72, SD = 0.53) (p < .05).
The results of this study reveal that wound irrigation using a pressure-controlled technique can reduce wound infection and increase satisfaction towards wound cleansing among persons with large laceration wounds.
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