Wang Sheila C, Anderson John Ae, Jones Duncan Vb, Evans Robyn
Undergraduate Medical Education, University of Toronto, Toronto, Canada.
Department of Psychology, University of Toronto & Rotman Research Institute, Toronto, Canada.
Int Wound J. 2016 Jun;13(3):326-30. doi: 10.1111/iwj.12293. Epub 2014 May 28.
The objectives of this study were to provide an assessment of photographic documentation of the wound from the patients' perspective and to evaluate whether this could improve patients' understanding of and involvement in their wound care. Our results revealed that most patients visiting the wound care clinic have difficult-to-see wounds (86%). Only 20% of patients monitor their wounds and instead rely on clinic or nurse visits to track the healing progress. There was a significant association between patients' ability to see their wound and their subsequent memory of the wound's appearance. This was especially true for patients who had recently begun visiting the wound care clinic. This relationship was not present in patients who had visited the clinic for 3 or more years. Patients reported that the inability to see their wounds resulted in feeling a loss of autonomy. The majority of patients reported that photographing their wounds would help them to track the wound progress (81%) and would afford them more involvement in their own care (58%). This study provides a current representation of wound photography from the patients' perspective and reveals that it can motivate patients to become more involved in the management of their wounds - particularly for patients with difficult-to-see wounds.
本研究的目的是从患者角度评估伤口的照片记录情况,并评估这是否能提高患者对伤口护理的理解和参与度。我们的结果显示,大多数前往伤口护理诊所就诊的患者伤口不易查看(86%)。只有20%的患者自行监测伤口,而是依靠到诊所就诊或护士随访来跟踪愈合进展。患者查看伤口的能力与其随后对伤口外观的记忆之间存在显著关联。对于最近开始前往伤口护理诊所就诊的患者而言尤其如此。这种关系在就诊3年或更长时间的患者中不存在。患者报告称,无法查看伤口导致他们感到失去自主权。大多数患者报告称,拍摄伤口照片将有助于他们跟踪伤口进展(81%),并使他们更多地参与自身护理(58%)。本研究从患者角度呈现了当前伤口摄影的情况,并表明它可以促使患者更多地参与伤口管理——尤其是对于伤口不易查看的患者。