Dressing-related Experiences and Surgical Site Self-care in Hip and Knee Replacement: an Observational Cohort Study

N/ANot Yet RecruitingNCT07471243

Bournemouth University100 enrolled

Overview

The goal of this prospective observational cohort study is to investigate dressing-related experiences and surgical site self-care in patients who are undergoing a total hip or knee replacement. The main objectives of the study are: * To evaluate patient adherence to the ISWCAP self-care checklist after total hip or knee replacement within an ERAS pathway. * To explore patient-reported outcomes related to the performance and comfort of advanced dressings. * To assess the perceived adequacy and usefulness of post-discharge wound care education. * To identify the incidence and types of wound-related complications in the 12 weeks following surgery. Participants will give informed consent before surgery and will start the study once the dressing has been applied following surgery. There will be follow up study visits at discharge, 7 days, 12 days, 6 weeks and 12 weeks post-surgery. Data relating to vital signs, medical history, surgery and medication will be taken from routine data.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Total Hip Replacement Total Knee Replacement

Interventions

The study will investigate any wound dressing applied as part of routine care. Advanced wound dressings are highly absorbent, flexible and comfortable for surgical wounds, and offer up to 14 days wear time. The adhesive moulds to the skin without sticking to the wound, thus protecting the skin and wound from damage. They support patient mobilisation by being comfortable, and thereby minimising painful skin damage such as blisters.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults (18+) undergoing primary total hip or knee replacement * Enrolled in an ERAS protocol * Willing and able to provide informed consent Exclusion Criteria: * Requiring revision replacement * Unable to provide informed consent (cognitive disorder such as dementia, psychiatric illness) * Unable to understand written English

Locations (2)

Nuffield Health Hospital Bournemouth

Bournemouth, Dorset, United Kingdom

Bournemouth University

Bournemouth, Dorset, United Kingdom

Outcomes

Primary Outcomes

The proportion of participants responding "yes" to each item of the ISWCAP checklist at 6-weeks post-surgery

Time frame: 6-weeks post surgery

Secondary Outcomes

Incidence and types of wound complications such as infection, dehiscence (as measured by the Sandy Grading System for surgical wound dehiscence classification), and blistering in the 12-weeks following surgery

Time frame: From surgery until the 12-week follow-up appointment

Bluebelle Wound Healing Questionnaire, completed at Visits 5 (12-days post-surgery) and 6 (6-weeks post-surgery)

Time frame: 12-days post-surgery and 6-weeks post-surgery

Dressing Comfort and Usability Survey completed at Visits 4 (7-days post-surgery) and 5 (12-days post-surgery)

Time frame: 7- and 12-days post-surgery