基于家庭的慢性伤口护理培训对患者和护理人员的影响:系统性审查
Yao Huang1,2, Jiale Hu3, Ting Xie1
1Wound Healing Center at Emergency Department, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
International wound journal
|June 6, 2023
概括
患者和护理人员参与家庭伤口护理,特别是通过教育和技能培训,改善了结果. 未来的研究应该专注于针对慢性伤口的老年患者的自我和家庭导向干预措施.
科学领域:
- 护理 护理 护理
- 伤口护理 伤口护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性伤口需要持续的治疗,通常延伸到家庭环境.
- 患者和非正式护理人员的参与对于有效的家庭创伤管理至关重要.
- 需要综合证据来了解这些干预措施的影响.
研究的目的:
- 系统地审查和综合涉及患者和非正式护理人员在家庭慢性伤口管理中的干预措施的证据.
- 确定干预的类型及其结果.
- 突出当前研究的差距,特别是在老年人群方面.
主要方法:
- 按照PRISMA指导方针和没有元分析的综合建议进行系统审查.
- 从创立开始到2022年5月,搜索了多个数据库 (Cochrane,PubMed,Embase,CINAHL,Wanfang,CNKI)
- 包括慢性伤病患者和非正式护理人员的实验研究;16项研究 (6项RCT,10项非RCT) 符合标准.
主要成果:
- 参与患者或非正式护理人员的家庭干预可以改善患者的治疗结果并改变伤口护理行为.
- 教育和行为干预,整合伤口护理教育,技能培训和基于病因的治疗,是主要的.
- 没有专门针对老年患者的研究,这表明研究缺口.
结论:
- 患者和护理人员参与家庭慢性伤口管理,特别是通过教育和技能培训,对于改善结果很重要.
- 需要进一步探索以自我和家庭为导向的干预措施,特别关注患有慢性伤害的老年人.
- 结果是基于有限数量的研究,需要更多的研究.
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