关于负压伤口治疗和参与伤口护理的患者偏好:一种定性研究
Alexandra Hj Janssen1,2, Johannes A Wegdam1,3, Alita Jaspar4,2
1Department of Surgery, Elkerliek Hospital, Helmond, the Netherlands.
接受负压伤口治疗 (NPWT) 的患者更喜欢医疗保健专业人员做出治疗决策,特别是在复杂的伤口. 他们希望得到专业的指导,不想单独负责伤口护理.
科学领域:
- 伤口护理 伤口护理
- 患者体验 患者体验
- 共享的决策方式
背景情况:
- 负压伤疗法 (NPWT) 是复杂伤口的常见治疗方法.
- 了解患者的偏好对于有效的伤口管理至关重要.
- 共享决策在伤口护理中的作用需要进一步探索.
研究的目的:
- 调查患者的经验和偏好,与共享决策和参与伤口治疗使用NPWT.
主要方法:
- 与接受NPWT的成年患者进行了半结构面试.
- 采用主题分析来识别患者叙述中的关键主题.
主要成果:
- 患者报告说,由于伤口而导致的不确定性和对生活质量的影响.
- NPWT显著影响了患者的日常生活.
- 患者在治疗决策中优先考虑专业判断,并更喜欢对复杂的伤口进行有限的自我管理.
- 对未来和家庭影响的担忧尤为突出,人们渴望有资格的专业人士,避免单独承担责任.
结论:
- 在伤口护理中,共享决策和积极的患者参与目前尚未得到充分利用.
- 承认患者的偏好可以增强在伤口管理中的共享决策过程.
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