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IRCT20230917059444N1 IRCT 2023-10-12 Shahed University Effects of early showering after coronary artery bypass graft surgery on wound infection, pain and patient comfort. Effects of early showering after coronary artery bypass graft surgery on wound infection, pain and patient comfort. 2023-10-11 anticipated 88 Complete https://irct.ir/trial/72627 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients are randomized into two groups: early shower and late shower. Patients are not blinded. The data analyst will not be aware of the allocation of patients to groups. The selection of samples will be continuous and the allocation of samples to two groups will be done using the website https://www.sealedenvelope.com/, Blinding description: Patients are not blinded. The data analyst will not be aware of the allocation of patients to groups. The infectious specialist will not be aware of the division of groups. N/A Condition 1: Effects of early showering after coronary artery bypass graft surgery on wound infection. Condition 2: Effects of early showering on pain after coronary artery bypass graft surgery. Condition 3: Effects of early showering after coronary artery bypass surgery on patient comfort. Intervention group: Preparation of culture from the nose to determine the carrier of nasal staphylococcus aureus before the operation, cutting the hair of the operation area and taking a shower before the operation, taking a written consent and completing the demographic information, dressing the wound with sterile gauze after the operation, Removal of chest tubes 48 to 72 hours after the operation by a nurse, performing a chest x-ray to check the possible complications of drain removal (such as pneumothorax) and evaluation by the surgeon, cleaning and disinfection of the bathroom environment by the service personnel, 4 to 6 hours later The wound dressings are removed from the exit of the chest tubes and while the place of exit of the chest tubes is covered with a waterproof dressing (of the same brand for all patients),Take a shower without rubbing or washing the wound strongly, with tap water, the total showering time will be 10 minutes, to maintain safety, patients sit on a chair and use the shower, to prevent hypothermia, the temperature of the bath is between 20 and 23 The temperature is maintained, for each patient, a separate slipper and a clean cover are used to throw on the chair, before going to the bathroom, vital signs and arterial blood oxygen saturation percentage of the patients are controlled, After bathing, do not get up suddenly from the chair, sit in a sitting position for at least 3 minutes, dry the body and the incision site with a sterilized towel, and the patient puts on his clothes, the waterproof dressing is removed from the place where the drains exit and The wound area is covered with antiseptic betadine and then with sterile gauze and straw glue, The wound of the sternotomy area is kept clean and open with betadine, the wound of the graft removal area of ​​the leg (saphenous vein outlet) is left and a varicose sock is worn. It is done up to 72 hours after the operation and then daily before showering. The first assessment of pain and comfort is done 48 to 72 hours after the operation and then daily 30 minutes after showering by the researcher. On the 14th day after the operation, the researcher comes to the clinic and evaluates pain and comfort, and the wound is evaluated for the possible occurrence of signs of infection on the same day in the clinic by an infectious specialist.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Mohsen Safarabadi
Valiasr Street, Above Mirdamad Crossroads, Valiasr Street
Tehran Iran (Islamic Republic of) 19967 +98 21 8123 5297 mohsensafarabadi313@gmail.com Shahed University scientific Mohsen Safarabadi
Valiasr Street, Above Mirdamad Crossroads, Valiasr Street
Tehran Iran (Islamic Republic of) 19967 +98 21 8123 5297 mohsensafarabadi313@gmail.com Shahed University Iran (Islamic Republic of) Age above 18 years Ability to speak Persian Performing CABG through median sternotomy and under cardiopulmonary pump Removal of chest tubes 48 to 72 hours after surgery 18 years no limit Both Cognitive disorders Physical disorders Prolonged exit of chest tubes after 72 hours Need to go back to the operating room In the data collection process, patients who develop postoperative complications such as cardiac tamponade, pleural effusion, or pneumonia, are transferred to another hospital, or require reoperation will be excluded. Other Intervention group: Preparation of culture from the nose to determine the carrier of nasal staphylococcus aureus before the operation, cutting the hair of the operation area and taking a shower before the operation, taking a written consent and completing the demographic information, dressing the wound with sterile gauze after the operation, Removal of chest tubes 48 to 72 hours after the operation by a nurse, performing a chest x-ray to check the possible complications of drain removal (such as pneumothorax) and evaluation by the surgeon, cleaning and disinfection of the bathroom environment by the service personnel, 4 to 6 hours later The wound dressings are removed from the exit of the chest tubes and while the place of exit of the chest tubes is covered with a waterproof dressing (of the same brand for all patients),Take a shower without rubbing or washing the wound strongly, with tap water, the total showering time will be 10 minutes, to maintain safety, patients sit on a chair and use the shower, to prevent hypothermia, the temperature of the bath is between 20 and 23 The temperature is maintained, for each patient, a separate slipper and a clean cover are used to throw on the chair, before going to the bathroom, vital signs and arterial blood oxygen saturation percentage of the patients are controlled, After bathing, do not get up suddenly from the chair, sit in a sitting position for at least 3 minutes, dry the body and the incision site with a sterilized towel, and the patient puts on his clothes, the waterproof dressing is removed from the place where the drains exit and The wound area is covered with antiseptic betadine and then with sterile gauze and straw glue, The wound of the sternotomy area is kept clean and open with betadine, the wound of the graft removal area of ​​the leg (saphenous vein outlet) is left and a varicose sock is worn. It is done up to 72 hours after the operation and then daily before showering. The first assessment of pain and comfort is done 48 to 72 hours after the operation and then daily 30 minutes after showering by the researcher. On the 14th day after the operation, the researcher comes to the clinic and evaluates pain and comfort, and the wound is evaluated for the possible occurrence of signs of infection on the same day in the clinic by an infectious specialist. Percentage of people with wound infection. Timepoint: Measurement of wound infection rate 48 hours after surgery and daily before showering until discharge and 14 days after surgery. Method of measurement: The profile of the incidence of surgical site infection. Pain score on visual analog scale. Timepoint: Measuring the pain score 48 hours after the operation and daily after showering until discharge and on the 14th day after the operation. Method of measurement: Visual analog scale. Patient comfort score on visual analog scale. Timepoint: Measuring the patient's comfort score 48 hours after the operation and daily after taking a shower until discharge and on the 14th day after the operation. Method of measurement: Visual analog scale. Shahed University Approved 2023-09-10 Ethics Committee of Shahed University At the beginning of Tehran-Qom freeway, in front of Imam Khomeini's shrine Tehran Tehran Iran (Islamic Republic of)