SATS 2009 Final Program - Scandinavian Association for Thoracic ...

P01:48
NURSING STUDY 30 DAYS AFTER DISCHARGE.
Joergensen Inge Selchau 1 , Tracey Anita 2
1) Aarhus University Hospital, Skejby, 2) Aalborg Hospital, Denmark
Introduction
In connection with The Danish On-pump Off-pump Randomization Study (DOORS) the project nurse contacts the
patient by telephone 30 days after the heart operation. In connection with these interviews the project nurse has
noticed that a lot of the patients experienced different types of problems which the nurses previously didn’t realise
the extent of. The problems occur within the first month following the operation.
Hypothesis
Patients who have undergone a heart operation have problems of physical, psychological and social nature.
Aim
The aim of the investigation is to get a greater kvowledge about and gain an increased insight into the physical,
psychological and social state of health of the patients. In the future this knowledge will be used in the guidance and
information the heart patient receives during hospitalization in order that they are better prepared for discharge and
their future life with a chronic illness.
Method
Telephone interviews with 350 patients based on a semi-structured interview guide. Focus is on the topics of pain
- medicine administration - compliance, physical activity - exercise, breathing, nutrition - appetite - weight, sleep,
health and discharge. Data will be analysed be means of quantitative content analysis.
Results and conclusion
Quantitative content analysis of the results of the investigation is expected to be carried out during the autumn of
2009. Following which conclusion will be drawn and in perspective might have an influence on the care and treatment
of the heart patients in the future.
P01:49
INTRAOPERATIVE CONTAMINATION OF SURGICAL INSTRUMENTS
Persson Jenny 1
1) Karolinska Universitetssjukhuset i Solna, Sweden
Background
Every year 2-5% of all surgical patients in the USA suffers from surgical wound infections, resulting in 500.000
infections and 1.6 billion dollar in additional costs. These complications also results in higher mortality as a complication
to surgery. Several factors are known to influence on the risk of surgical wound contaminations. Pathogens can
contaminate surgical wounds by surgical instruments, which are exposed by all the factors for contaminations in the
operating theatre. However, there are very few articles that have study the prevalence of microorganisms on surgical
instruments.
Objectives
To study the prevalence of microorganisms on frequently used surgical instruments in aortic valve surgery with
replacement to a biological implant.
Do microorganisms occur on surgical instruments?
What types of microorganisms occurs on surgical instruments?
Does any step in the intraoperative procedure influence more than another step on the risk of contamination?
Method
The study is planned to be performed with a quantitative method on 20 operations. To handle all factors of
contaminations, and to avoid influence of unwanted factors, the study has to be strictly standardized and controlled
by a test protocol. To determine average and nominal time for the predefined steps in the intraoperative procedure,
and to validate the optimal standardized sample collection technique for swabbing the instruments, two pilot
studies will be performed. The two most frequently used instruments will be swabbed before or after a predefined
intraoperative step and samples will be cultivated for identification and count.
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