Nursing Research Institute - St Vincents Health Australia, Sydney and Australian Catholic University (NRI), St Vincent's Hospital, Level 5, deLacy Building, 390 Victoria Street, Darlinghurst, NSW 2010 Australia ; School of Nursing, Midwifery and Paramedicine, Australian Catholic University, 33 Berry Street, North Sydney, NSW 2060 Australia.
NHMRC National Centre for Research Excellence in Nursing (NCREN) Centre for Health Practice Innovation, Griffith Health Institute, Griffith University - Gold Coast, Gold Coast campus, Griffith University, QLD 4222 Australia.
BMC Nurs. 2014 Dec 6;13(1):41. doi: 10.1186/s12912-014-0041-y. eCollection 2014.
Pressure injury prevention (PIP) is an important area of patient safety. Encouraging patient participation in care is a growing trend in healthcare as it can increase adherence to treatment plans and improve outcomes. Patients in acute care settings may be able to take on an active role in PIP. However, there is limited information on patients' views of their perceived role in PIP. The aims of our study were to survey hospitalised patients' views on a) their perceived roles in PIP and, b) factors that enable or inhibit patient participation in PIP strategies.
Eligible participants were 18 years of age or older, from a neurology or orthopaedic ward and had been admitted to hospital at least 24 hours prior to enrolment in the study. A questionnaire comprising of fixed and open-ended responses was administered by researchers to participants. Numerical data was analysed descriptively and free-text comments were content-analysed and grouped into themes.
The mean age of participants (n = 51) was 65 years (sd = 16.6); over half were female and three quarters were orthopaedic surgical patients. Eighty-six per cent of participants understood the concept of pressure injury and 80% agreed that patients have a role in PIP. Participants nominated the following PIP strategies that could be undertaken by patients: Keep skin healthy; Listen to your body and Looking after the inside. Strategies required for patient participation in PIP were represented by three themes: Manage pain and discomfort; Work together; Ongoing PI education.
To ensure successful participation in PIP, patients require education throughout admission, management of pain and discomfort and a supportive and collaborative relationship with health care staff. Health professionals should identify patient ability and motivation to prevent pressure injury (PI), work in partnership with patients to adhere to PIP, and ensure that PIP actions are facilitated with appropriate pain relief.
压疮预防（PIP）是患者安全的重要领域。鼓励患者参与护理是医疗保健领域的一个发展趋势，因为它可以提高治疗计划的依从性并改善结果。急性护理环境中的患者可能能够在 PIP 中发挥积极作用。但是，关于患者对其在 PIP 中感知角色的看法的信息有限。我们研究的目的是调查住院患者对以下方面的看法：（a）他们在 PIP 中的感知角色，以及（b）使患者能够参与 PIP 策略的因素或抑制其参与的因素。
符合条件的参与者年龄在 18 岁或以上，来自神经内科或骨科病房，并且在研究入组前至少住院 24 小时。研究人员通过问卷向参与者提供了固定和开放式的回答。对数值数据进行描述性分析，对自由文本评论进行内容分析并分为主题。
参与者（n=51）的平均年龄为 65 岁（标准差=16.6）；超过一半是女性，四分之三是骨科手术患者。86%的参与者理解压疮的概念，80%的参与者同意患者在 PIP 中发挥作用。参与者提名了以下患者可以采取的 PIP 策略：保持皮肤健康；倾听自己的身体和照顾内部。患者参与 PIP 的策略需要代表三个主题：管理疼痛和不适；共同努力；持续的 PI 教育。
为了确保成功参与 PIP，患者在整个住院期间需要接受教育，管理疼痛和不适，并与医护人员建立支持性和合作性的关系。卫生专业人员应确定患者预防压疮（PI）的能力和动力，与患者合作遵守 PIP，并确保在适当的疼痛缓解下促进 PIP 行动。
