尤纳氏靴：静脉溃疡患者的护理经验
Unna's boot: experience of care of people with venous ulcers.
作者信息
Silva Marcelo Henrique da, Jesus Maria Cristina Pinto de, Oliveira Deíse Moura de, Merighi Miriam Aparecida Barbosa
机构信息
Postgraduate Program in Nursing, School of Nursing, Universidade de São Paulo, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2017 Apr;70(2):349-356. doi: 10.1590/0034-7167-2016-0219.
OBJECTIVE
to understand the experience of care of people with venous ulcers using an Unna's boot.
METHOD
a qualitative study, based on the social phenomenology by Alfred Schütz, was carried out with 12 adults interviewed in 2015. The statements were analyzed and organized in thematic categories.
RESULTS
the following categories emerged: "Unna's boot annoyance versus wound improvement", "Difficulties for accessing care with the Unna's boot", "Care for healing and preventing recurrence", and "Receiving more attention from the healthcare professional".
CONCLUSION
the experience of care of people using an Unna's boot revealed the annoyance caused by this device, which was overcome due to the wound improvement. However, access to care was compromised by the lack of structure at the service, frustrating the patients' expectations regarding wound healing. The issues of these people's intersubjective universe should be considered in the management of care of venous ulcers.
目的
了解使用Unna靴治疗静脉溃疡患者的护理体验。
方法
2015年对12名成年人进行了一项基于阿尔弗雷德·舒茨社会现象学的定性研究。对访谈内容进行分析并归纳为主题类别。
结果
出现了以下类别：“Unna靴带来的困扰与伤口改善”“使用Unna靴获得护理的困难”“促进愈合和预防复发的护理”以及“受到医护人员更多关注”。
结论
使用Unna靴的患者护理体验揭示了该装置带来的困扰，但因伤口改善而得以克服。然而，服务机构缺乏条理影响了护理的可及性，使患者对伤口愈合的期望受挫。在静脉溃疡护理管理中应考虑这些患者主体间世界的问题。
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