患有难以愈合的伤口的患者的自我管理感知和经验:一种定性研究
Lu Zhang1, Lan Gu2, Lin-Zhu Wu3
1MS, RN, Clinical Nurse, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Journal of wound care
|April 14, 2025
概括
患有难以愈合的伤口的患者通常因症状困扰和资源不足而难以自我管理. 医疗保健专业人员的改进指导对于提高患者的动力和减少伤口护理负担至关重要.
科学领域:
- 伤口护理 伤口护理
- 患者自我管理
- 定性研究是指质量研究.
背景情况:
- 难以愈合的伤口给患者带来了重大挑战.
- 了解患者的感知和需求对于有效的自我管理策略至关重要.
研究的目的:
- 探索患有难以愈合的伤口的患者的感知,心理变化和自我管理需求.
- 在这个患者群体中确定家庭自我管理的障碍和促进因素.
主要方法:
- 对15名来自伤口护理门诊的患者进行了定性,半结构化的采访.
- 采用Colaizzi方法的现象学方法用于数据分析.
主要成果:
- 出现了三个关键主题:症状管理负担,自我管理资源不足以及与自我管理动机共存的压力.
- 患者经历了症状困扰,缺乏知识,面临资源限制,并通过复杂的治疗途径.
- 不同的坚持,财务负担,负面情绪和工作与生活平衡问题影响了自我管理.
结论:
- 对自我管理的看法各不相同,许多患者缺乏在家进行自我护理的知识.
- 医疗保健提供者应积极鼓励和指导患者进行自我管理,以提高动机并减少症状负担.
- 建议社区和中等医院的医疗保健工作人员接受培训,以提高难以愈合的伤口患者的自我管理指导技能.
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