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Kyung Hee Shin

Bucheon Sejong Hospital, Korea, Republic of

Presentation Title:

Nursing approach to early postoperative showering after cardiac surgery

Abstract

Background:
Surgical Site Infection (SSI) is a common complication following cardiac surgery, leading to delayed recovery and increased healthcare costs. While delaying showers has been a conventional practice to prevent infection, recent studies suggest that early postoperative showering does not increase the risk of SSI, prompting a need for reconsideration.

Objective:
This study aims to evaluate the effect of early postoperative showering on wound infection and patient satisfaction after cardiac surgery and to propose a nursing-based approach to improve patient education and psychological support.

Methods:
A prospective observational study was conducted with 100 cardiac surgery patients. Timing of the first shower, incidence of wound complications, and patient satisfaction were analyzed through outpatient follow-ups and surveys. International guidelines were also reviewed to compare practices across different countries.

Results:
Early postoperative showers, performed on average 6 days after drain removal, showed no incidence of wound dehiscence, superficial or deep infection. Patient satisfaction averaged 7.4/10. Despite safety, many patients avoided early showers due to fear of infection. Some overseas institutions permit showering within 48 hours post-surgery, reflecting a trend toward early recovery practices.

Conclusion:
Early postoperative showering is safe and contributes to improved patient satisfaction and psychological comfort. Nurses play a crucial role in providing continuous education, individualized guidance, and emotional support to reduce anxiety and correct misconceptions. Implementation of evidence-based recovery protocols, including early showering, is strongly recommended.

Biography

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