Fournier’s gangrene: knowledge of nurses about the disease and their experiences in patient care

Authors

DOI:

https://doi.org/10.33233/eb.v21i4.4805

Keywords:

Fournier gangrene, Nursing, fasciitis, necrotizing

Abstract

Objective: To analyze the knowledge of nurses from a teaching hospital about Fournier's gangrene and their experiences in caring for patients affected by the disease. Methods: Cross-sectional, descriptive study, with a quantitative approach, carried out in a teaching hospital in the Northeast of Brazil. The study included 63 nurses who answered a questionnaire. Data were analyzed using descriptive statistics, using the free software R. Results: Nurses (63/100%) had never participated in training regarding Fournier's gangrene, corroborating the insufficient knowledge about the pathology and aspects of care for the patient, mainly on the prevalence of the disease in relation to gender, adjuvant treatments (hyperbaric and vacuum therapy), complementary surgical procedures (cytostomy and colostomy). They mentioned difficulties in caring for patients (33/52.38%), lack of material resources, knowledge gaps about Fournier syndrome, lack of experience in caring for patients with the disease. Conclusion: The study points to the need for training programs for nurses, considering identified knowledge weaknesses, which imply in improving care for patients with Fournier's gangrene.

Author Biographies

Anny Michelle Rodrigues da Silva Alves, UFPB

Universidade Federal da Paraíba, João Pesoa, PB, Brasil

Jéssica Lorena Palmeira de Morais, UNIESP

Centro Universitário Uniesp, Cabedelo, PB, Brasil

Luciana Maria Bernardo Nóbrega, UFPB

Universidade Federal da Paraíba, João Pessoa, PB, Brasil

Karinna de Abreu Lima, UFPB

Universidade Federal da Paraíba, João Pessoa, PB, Brasil

Francileide de Araújo Rodrigues, UFPB

Universidade Federal da Paraíba, João Pessoa, PB, Brasil

Jacira dos Santos Oliveira, UFPB

Universidade Federal da Paraíba, João Pessoa, PB, Brasil

Josilene de Melo Buriti Vasconcelos, UFPB

Universidade Federal da Paraíba. João Pessoa, PB, Brasil

References

Moreira DR, Gonçalves ALS, Aucelio RS, Silva KG. Terapêutica cirúrgica na síndrome de Fournier: relato de caso. Rev Med 2017;96(2):116-20. doi: 10.11606/issn.1679-9836.v96i2p116-120

Freitas ES, Duarte FS, Araújo KMSM, Brixner J, Marques EA. Síndrome de Fournier: ações do enfermeiro, uma revisão literária. Revista Nursing [Internet]. 2020 [cited 2020 Mar 2020];23(264):3966-73. Available from: http://www.revistanursing.com.br/revistas/264/pg98.pdf

Zhang N, Yu X, Zhang K, Liu T. A retrospective case series of Fournier’s gangrene: necrotizing fasciitis in perineum and perianal region. China BMC Surg 2020;20:259:1-8. doi: 10.1186/s12893-020-00916-3

Baptista SCO. Uso de cobertura com tecnologia hydrofiber a base de carboximetilcelulose sódica e prata iônica no tratamento da síndrome de Fournier infectada. Enferm Bras 2019;18(3):437-44. doi: 10.33233/eb.v18i3.2529

Souza FSL, Gomes FC, Valle NSB, Coelho EE. Assistência de enfermagem ao portador da síndrome de fournier: uma pesquisa integrativa. Braz J Surg Clin Res [Internet]. 2019 [cited 2021 Fev 21];2(2):54-62. Available from: https://www.mastereditora.com.br/periodico/20190407_140735.pdf

Magdaleno‐Tapial J, Valenzuela‐Oñate C, Martínez‐Doménech A, Sánchez‐Carazo JL, Pérez‐Ferriols A. Image Gallery: Fournier gangrene in a patient with severe hidradenitis suppurativa. Br J Dermatol 2019;25;181(3). doi: 10.1111/bjd.18052

Oliveira MR, Almeida PC, Moreira TMM, Torres RAM. Sistematização da assistência de enfermagem: percepção e conhecimento da enfermagem Brasileira. Rev Bras Enferm 2019;72(6):1547-53. doi: 10.1590/0034-7167-2018-0606

Brasil, Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012: dispõe sobre diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos [Internet]. 2012 [cited 2018 April 02]. Available from: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf

Miyazaki MY, Caliri MHL, Santos CB. Knowledge on pressure ulcer prevention among nursing professionals. Rev Latinoam Enferm 2010;18(6):1203-11. doi: 10.1590/S0104-11692010000600022

McGraw KO, Wong SPA. A common language effect size statistic. Psychol Bull 1992;111(2):361-5. doi: 10.1037/0033-2909.111.2.361

Welsh L. Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review. Int Wound J 2018;15(1):53–61. doi: 10.1111/iwj.12822

Santos DR, Roman ULT, Westphalen AP, Lovison K, Spencer Neto FAC. Perfil dos pacientes com gangrena de Fournier e sua evolução clínica. Rev Col Bras Cir 2018;45(1):e1430. doi: 10.1590/0100-6991e-20181430

Tenório CEL, Lima SVC, Albuquerque AV, Cavalcanti MP, Teles F. Risk factors for mortality in Fournier’s gangrene in a general hospital: use of simplified Founier gangrene severe index score (SFGSI). Int Braz J Urol 2018;44(1):95-101. doi: 10.1590/S1677-5538.IBJU.2017.0193

Lewis GD, Majeed M, Olang CA, Patel A, Gorantla VR, Davis N, et al. Fournier’s gangrene diagnosis and treatment: a systematic review. Cureus 2021. doi: 10.7759/cureus.18948

Wöhler A, Schwab R, Güsgen C, Schaaf S, Weitzel C, Jänig C, et al. Diagnose und zielgerichtete Therapie der Fournier-Gangrän mit septischem Verlauf: Vorstellung eines Behandlungsalgorithmus, Identifikation von Risikofaktoren, Betrachtung des Mikrobioms und Abgleich mit der Literatur. Zentralblatt für Chir - Zeitschrift für Allg Visz Thorax- und Gefäßchirurgie 2021. doi: 10.1055/a-1319-1734

Davis D, Ramamoorthy L, Pottakkat B. Impact of stoma on lifestyle and health-related quality of life in patients living with stoma: A cross-sectional study. J Educ Health Promot 2020;9(1):328. doi: 10.4103/jehp.jehp_256_20

Oliveira IV, Silva MC, Silva EL, Freitas VF, Rodrigues FR, Caldeira LM. Care and health of ostomy patients. Rev Bras Promoç Saúde 2018;31(2):1-9. doi: 10.5020/18061230.2018.7223

Undersea and Hyperbaric Medical Society, Hyperbaric Oxygen Committee. Hyperbaric oxygen therapy indications. 13th ed. North Palm Beach: Best Publishing Company; 2014

Schneidewind L, Anheuser P, Schönburg S, Wagenlehner FME, Kranz J. Hyperbaric oxygenation in the treatment of Fournier’s gangrene: a systematic review. Urol Int 2020;1-10. doi: 10.1159/000511615

Brasil. Resolução do CFM º1457/95 [Internet]. 1995 [cited 2018 Aug 12]. Available from: http://www.portalmedico.org.br/resolucoes/cfm/1995/1457_1995.htm

Brasil, Comissão Nacional de Incorporação de Tecnologias no SUS. Oxigenoterapia Hiperbárica: relatório de recomendação [Internet]. 2018 [acesso em 22 mar 2022]. Available from: http://conitec.gov.br/images/Oxigenoterapia_hiperbarica.pdf

Larsson JC, Pires R, Fioravanti A, Beolchi MP, Gradel J, Oliveira M. Abordaje quirúrgico combinado como alternativa mínimamente invasiva en el tratamiento de la Gangrena de Fournier. Cir Plást Iberolatinoam 2017;43(1):87-96. doi: 10.4321/S0376-78922017000100012

Kim PJ, Attinger CE, Constantine T, Crist BD, Faust E, Hirche CR, et al. Negative pressure wound therapy with instillation: International consensus guidelines update. Int Wound J 2020;17(1):174–86. doi: 10.1111/iwj.13254

Syllaios A, Davakis S, Karydakis L, Vailas M, Garmpis N, Mpaili E, et al. Treatment of Fournier’s gangrene with vacuum-assisted closure therapy as enhanced recovery treatment modality. In Vivo (Brooklyn) 2020;34(3):1499-502. doi: 10.21873/invivo.11936

Iacovelli V, Cipriani C, Sandri M, Filippone R, Ferracci A, Micali S, et al. The role of vacuum-assisted closure (VAC) therapy in the management of FOURNIER’S gangrene: a retrospective multi-institutional cohort study. World J Urol 2021;39(1):121–8. doi: 10.1007/s00345-020-03170-7

Brasil. Conselho Federal de Enfermagem. Resolução COFEN nº 567/2018, de 29 de janeiro de 2018: regulamenta a atuação da equipe de enfermagem no cuidado a pacientes com feridas [Internet]. 2018 [cited 2018 Oct 27]. Available from: http://www.cofen.gov.br/resolucao-cofen-no- 567-2018_60340.html

Cauduro FP, Schneider SMB, Menegon DB, Duarte ERM, Paz PO, Kaiser DE. Atuação dos enfermeiros no cuidado das lesões de pele. J Nurs UFPE on line [Internet]. 2018 [cited 2018 Oct 22];12(10):2628-34. doi: 10.5205/1981-8963-v12i10a236356p2628-2634-2018

Chang Y-WW, Davenport D, Dugan A, Patel JA. Significant morbidity is associated with proximal fecal diversion among high-risk patients who undergo colectomy: A NSQIP analysis. Am J Surg 2020;220(4):830-5. doi: 10.1016/j.amjsurg.2020.05.007

Published

2022-09-25

Issue

Section

Original articles