الفهرس 
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Abstract
SUMMARY
The surgical wound disrupts the integrity of skin and its protective function, exposes the tissues to pathogens and places the patients at risk for infection of the surgical site.
In the event of infection, as a wound fails to heal, the patient suffers increased trauma, treatment costs rise, and general wound management practices become more resource demanding.
An analysis of postsurgical wound infections demonstrated an increase in the average hospitalization period from 14 days when wounds healed without complication to 24 days when the wound became infected.
Aim of the study:
This study is aimed to evaluate the effectiveness of a mixture antiseptic solution versus conventional antiseptic solution in dressing of patients with septic abdominal wounds.
Hypothesis:
The mixture antiseptic solution, composed of 60% normal saline, 30% glycerin magnesium and 10% acetic acid 0.1%, will decrease the colonization of septic wound, decrease wound discharge and improve wound healing.
Subject and methods:
Research design:
Aquasi experimental research design was used in this study.
Research setting:
The study was conducted in the general surgery department, at Naser City Health Insurance Hospital.
Subjects of the study:
The subjects of the present study were selected as a convenience sampling. They consisted of 100 patients with septic abdominal wounds, their ages ranged from 20-60 years, and they are divided equally to study group and control group.
Tools for data collection:
The data was collected by the researcher using the following tools:
1. An assessment observation sheet which comprised of two parts:
a) The first part includes demographic and medical data.
b) The second part includes:
- Morphology of the wound.
- Manifestations of wound infection.
2. Wound evaluation tool (wound follow up).
Pilot study:
A pilot study was applied on 10 of the patients with septic abdominal wounds which are divided into two groups: the first study group was allocated to receive the dressing using the mixture antiseptic solution, and the second control group was receiving the dressing using conventional antiseptic solution.
A pilot study was done for testing clarity, arrangement, and content applicability of items and time consuming. Based on the finding of the pilot study, the necessary modification and changes of the tools were done. The study group and control group included in the pilot study were substracted form the study subjects.
Field work:
The collection of data for this study began after the pilot study was concluded. Data was collected during the morning shift seven days a week and lasted one year and six months from January 2006 till the end of June 2007.
Patient were observed from the third post operative day to detect signs of wound infection. The patients who met the sample selection criteria were allocated consecutively to each of the control group I and study group II. Identification of patients whose wound were infected was based on the clinical criteria of septic wound as specified previously.
Results:
The findings of this study showed that the age of the samples were 20 to 60 years with SD 45.32.6, their body weights were 61 kg to 80kg with SD 65.53.5, and there were no statistically significance differences between the studied groups as regard to different types of the abdominal operations, and pre-assessment laboratory investigations.
As regard to progress of the wound, there were highly statistically significant differences between the study group and control group by the end of the first, second and third weeks.
As regard to types and numbers of the bacteria detected from the abdominal wounds, there were highly statistically significant differences between the study group and the control group by the end of the first, second, and third weeks.
As regard to comparison in the progress of the wound healing between the study group and the control group in the first week versus the second week, there were highly statistically significant differences between the study group and the control group.
Also, in the comparison of the progress of the wound healing between the study group and the control group in the first week versus third week and second week versus third week, there were highly statistically significant differences between the study group and the control group.
Conclusion:
Mixture antiseptic solution is effective in promoting healing as it prevents wound dehydration and subsequent crust formation and this will allow epidermal cells to migrate in an unobstructed manner across the wound.
Also, mixture antiseptic solution is more effective than the conventional antiseptic solution in treating septic abdominal wounds, as it shortens the inflammatory period, decreases wound discharge, hastens the formation of granulation tissue and subsequently, decreases the duration of treatment.
Recommendations:
Based on the results of the present study, the following recommendations may improve the management of septic abdominal wounds:
- Knowledge of the principles of wound healing and how to promote healing of wound are essential for nurses who are dealing with patients with septic abdominal wounds.
- The proper use of mixture antiseptic solution must be carried out under strict aseptic technique, otherwise it will contribute to sepsis. This will be better if the equipments used for patients packaged separately for sterilization.