1
|
Sasaki H, Nishiobino T, Tominaga H, Tokushige A, Shinohara N, Nagano S, Taniguchi N. Benefits of Collaboration Between the Wound, Ostomy, and Continence Nurse and Orthopedic Surgeon When Treating Skin Defects After Soft Tissue Sarcoma Resection: A Retrospective Case-Control Study. J Wound Ostomy Continence Nurs 2024; 51:107-110. [PMID: 38527318 PMCID: PMC11008439 DOI: 10.1097/won.0000000000001060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
PURPOSE The purpose of this study was to evaluate the benefits of collaborative management between orthopedic surgery and WOC nurses in patients undergoing resection of subcutaneous sarcomas. DESIGN Retrospective case-control study. SUBJECTS AND SETTING The sample comprised 25 patients who underwent wide resection for soft tissue sarcoma, followed by 2-stage split-thickness skin grafting. Data collection occurred between January 2015 and April 2021 in a university hospital based in Kagoshima, Japan. For comparison, we categorized these patients into 2 groups: intervention group participants were managed by an orthopedic surgeon and a WOC nurse; nonintervention group members were managed without WOC nurse participation. METHODS Patient background and treatment-related information was retrospectively collected from medical records and compared between the WOC nurse intervention group and the nonintervention group, including maximum tumor diameter, surgical time, maximum skin defect diameter, length of hospital stay, and time from surgery to complete wound healing. RESULTS The average length of hospital stay was significantly shorter in the WOC nurse intervention group compared with the nonintervention group (38.3 days, SD = 8.0 vs 47.1 days, SD = 10.2; P = .023). CONCLUSION Collaborative wound management with a WOC nurse resulted in a shorter hospital length of stay when compared to traditional management with WOC nurse involvement. Based on these findings, we assert that WOC nurses provide an important bridge between postoperative wound management in patients undergoing resection of subcutaneous sarcomas.
Collapse
Affiliation(s)
- Hiromi Sasaki
- Correspondence: Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan ()
| | - Tomoyo Nishiobino
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Hiroyuki Tominaga
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Akihiro Tokushige
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Naohiro Shinohara
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Satoshi Nagano
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| | - Noboru Taniguchi
- Hiromi Sasaki, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Tomoyo Nishiobino, RN, Department of Nursing, The University of Kagoshima Hospital, Kagoshima, Japan
- Hiroyuki Tominaga, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Akihiro Tokushige, MD, PhD, Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Naohiro Shinohara, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
- Satoshi Nagano, MD, PhD, Department of Clinical Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Noboru Taniguchi, MD, PhD, Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
| |
Collapse
|