Shepherd L, Begum R
Nottingham University Hospitals NHS Trust, Burns Unit, City Hospital Campus, Hucknall Road, Nottingham NG5 1PB, United Kingdom.
University of Lincoln, Health, Life & Social Sciences, 1st floor, Bridge House, Brayford Pool, Lincoln LN6 7TS, United Kingdom.
Burns. 2014 Dec;40(8):1602-8. doi: 10.1016/j.burns.2014.02.017. Epub 2014 Jun 7.
Patients vary in their feelings about looking at their injuries and burn care staff play an important role in helping patients. This study explored confidence among burn care staff in helping patients to look at their injuries and how often help was typically offered. Burn care professionals (n=33) completed a questionnaire exploring confidence and practice in this area. Eighty-five percent (n=28) believed it was important for patients to look at their injuries but a significant proportion lacked confidence in preparing patients for what they might see (18%; n=6) and having the necessary practical skills required (24%; n=8). Fifty-five percent (n=18) worried about upsetting patients and 48% (n=16) worried about saying/doing the wrong thing. Practice varied significantly. Only 21% (n=7) regularly (most or all of the time) informed patients where mirrors were situated within the ward area. Eighteen percent (n=6) of staff reported never or only occasionally asking patients if they had seen their injuries, 27% (n=9) of staff never or only occasionally asked patients if they would like to see their injuries and 30% (n=10) of staff never or only occasionally asked patients if they wanted any help looking at their injuries. Training in this area may be useful to enhance staff confidence so patients can be offered appropriate support.
患者对于查看自己的伤口感受各异,烧伤护理人员在帮助患者方面发挥着重要作用。本研究探讨了烧伤护理人员在帮助患者查看伤口方面的信心,以及通常提供帮助的频率。33名烧伤护理专业人员完成了一份关于该领域信心和实践情况的调查问卷。85%(n = 28)的人认为患者查看伤口很重要,但很大一部分人在让患者为可能看到的情况做好准备(18%;n = 6)以及具备所需的实际技能(24%;n = 8)方面缺乏信心。55%(n = 18)的人担心会让患者心烦意乱,48%(n = 16)的人担心说错话或做错事。实践情况差异很大。只有21%(n = 7)的人经常(大部分或全部时间)告知患者病房区域镜子的位置。18%(n = 6)的工作人员报告说从不或只是偶尔询问患者是否看过自己的伤口,27%(n = 9)的工作人员从不或只是偶尔询问患者是否想看自己的伤口,30%(n = 10)的工作人员从不或只是偶尔询问患者查看伤口时是否需要帮助。该领域的培训可能有助于增强工作人员的信心,从而能够为患者提供适当的支持。