Jackson Debra, Durrant Lisa, Bishop Emily, Walthall Helen, Betteridge Ria, Gardner Sarah, Coulton Wendy, Hutchinson Marie, Neville Stephen, Davidson Patricia M, Usher Kim
a Oxford Institute for Nursing, Midwifery & Allied Health Research (OxINMAHR), The Colonnade, Oxford Brookes University , Oxford , UK.
b Oxford University Hospitals NHS Foundation Trust , Oxford , UK.
Contemp Nurse. 2017 Jun;53(3):378-389. doi: 10.1080/10376178.2017.1364973. Epub 2017 Aug 18.
Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management.
To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI's.
Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom.
Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016.
Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care.
Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.
家庭环境中的医疗保健是预防和管理压力性损伤（PI）的重要且不断发展的组成部分。
描述社区居住的压力性损伤患者对医疗服务和压力再分布设备的使用情况。
对英国一个特定的、多样化地理邮政编码区域进行混合方法的集体案例研究。
对2015年地区护理报告中成年压力性损伤患者的电子和纸质病历进行定量回顾性分析。对2016年接受或已接受压力性损伤治疗的社区居住成年患者进行定性半结构化访谈。
强制性报告（n = 103）显示，90名患者配备了各种压力再分布设备，但只有三分之一的患者按建议使用了该设备。根据COREQ指南报告的定性访谈（n = 12）显示，患者感到依赖社区卫生服务，并对其护理的一致性表示担忧。
需要患者真正参与，以提供压力性损伤患者可接受的护理和干预措施，并将其纳入自我护理策略并进行有效监测。
