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Abstract
Objective: To describe the care needs and activities of daily living independence among patients after dermatologic surgery at the Department of Plastic, Reconstructive Surgery and Rehabilitation, National Hospital of Dermatology and Venereology.
Methods: A cross-sectional descriptive study was conducted on 400 inpatients undergoing dermatological surgery at the Department of Plastic, Aesthetic, and Reconstructive Surgery, National Hospital of Dermatology and Venereology, from January 2025 to April 2026. Participants were recruited using convenience sampling. Care needs were assessed using a 15-item questionnaire covering three domains: physical care, psychological care, and health education. Functional independence was evaluated using the Barthel Index.
Results: Most patients reported care needs in the physical care domain (99.5%) and health education domain (92.8%), whereas psychological care needs were low (3.3%). The most common needs included infection prevention (97.0%), pain management (91.8%), self-care guidance after surgery (90.3%), and disease-related education (88.8%). The mean total care-needs score was 5.98 ± 1.62 (range: 0–15). Overall, 80.3% of patients were independent in activities of daily living, 19.8% required partial assistance, and none were totally dependent.
Conclusions: Patients after dermatologic surgery have substantial care needs, particularly regarding physical care and health education, although most remain functionally independent in daily activities. Early assessment of care needs combined with individualized nursing education and discharge guidance is recommended to improve postoperative care quality.
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References
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