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Shampoo after craniotomy: a pilot study.

AbstractOBJECTIVES: The primary goal of this study was to assess the effect of postoperative hair-washing on incision infection and health-related quality of life (HRQOL) in craniotomy patients. The objectives of this study were to 1) determine the effect of postoperative hair-washing on incision infection and HRQOL, 2) provide evidence to support postoperative patient hygienic care, and 3) develop neurosurgical nursing research capacity RESEARCH QUESTION: Does hair-washing 72 hours after craniotomy and before suture or clip removal influence postoperative incision infection and postoperative HRQOL? METHODS: A prospective cohort of 100 adult patients was randomized to hair-washing 72-hours postoperatively (n = 48), or no hair washing until suture or clip removal (n = 52). At five to -10 days postoperatively, sutures or clips were removed, incisions were assessed using the ASEPSIS Scale (n = 85) and participants were administered the SF-12 Health Survey (n = 71). At 30 days postoperatively, incisions (n = 70) were reassessed. RESULTS: No differences were found between hair-washing and no hair-washing groups for ASEPSIS scores at five to 10 days and 30 days, and total SF-12 scores at five to 10 days postoperatively (p > or = 0.05). CONCLUSIONS: Postoperative hair-washing resulted in no increase in incision infection scores or decrease in HRQOL scores when compared to no hair-washing in patients experiencing craniotomy.
AuthorsSandra Ireland, Karen Carlino, Linda Gould, Fran Frazier, Patricia Haycock, Suzin Ilton, Rachel Deptuck, Brenda Bousfield, Donna Verge, Karen Antoni, Louise MacRae, Heather Renshaw, Ann Bialachowski, Carol Chagnon, Kesava Reddy (Affiliation: Hamilton Health Sciences, Hamilton General Hospital, ON. irelasan at hhsc.ca)
JournalCanadian journal of neuroscience nursing (Can J Neurosci Nurs) Vol. 29 Issue 1 Pg. 14-9 ( 2007) ISSN: 1913-7176 Canada
PMID18441623 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Soaps
Topics
  • Adult
  • Aged
  • Baths
  • Craniotomy
  • Female
  • Hair
  • Humans
  • Male
  • Middle Aged
  • Perioperative Nursing (methods)
  • Pilot Projects
  • Postoperative Care (nursing)
  • Soaps
  • Surgical Wound Infection (nursing, prevention & control)