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信息和通信技术可以增加患者在压疮预防中的参与度:一项针对老年骨科患者的定性研究。

Information and Communication Technology Can Increase Patient Participation in Pressure Injury Prevention: A Qualitative Study in Older Orthopedic Patients.

机构信息

Lisa Hultin, MSc, Department of Public Health and Caring Sciences, Uppsala University; and Uppsala University Hospital, Uppsala, Sweden. Ann-Christin Karlsson, PhD, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; and Region Gotland, Visby, Sweden. Margareta Öhrvall, PhD, Department of Public Health and Caring Sciences, Uppsala University; and Uppsala University Hospital, Uppsala, Sweden. Lena Gunningberg, PhD, Department of Public Health and Caring Sciences, Uppsala University; and Uppsala University Hospital, Uppsala, Sweden.

出版信息

J Wound Ostomy Continence Nurs. 2019 Sep/Oct;46(5):383-389. doi: 10.1097/WON.0000000000000568.

DOI:10.1097/WON.0000000000000568
PMID:31348431
Abstract

PURPOSE

The aim of this study was to assess the participatory capabilities of hospitalized older adults in response to the Continuous Bedside Pressure Mapping system placed on the beds to prevent pressure injuries.

DESIGN

Descriptive study.

SUBJECTS AND SETTING

A convenience sample of 31 orthopedic patients were recruited from an orthopedic rehabilitation unit at a university hospital in Uppsala, Sweden, that served patients aged 65 years and older.

METHODS

Semistructured interviews were conducted between November 2016 and February 2017, audio-recorded, and transcribed verbatim. Data were analyzed using qualitative content analysis.

RESULT

The overall theme from 21 interviews was "A new way of understanding helped patients to recognize vulnerable pressure points and to take action in their own care" from which 2 categories, "awareness" and "action," emerged. The study showed that verbally adapted information combined with using information and communication technology increased most participants' knowledge and as they became aware of increased pressure, they started to take preventative action by changing position.

CONCLUSIONS

It is possible for older participants in a rehabilitation unit who had recent orthopedic surgery to understand and use new information and communication technology and should be invited to participate in pressure injury prevention.

摘要

目的

本研究旨在评估住院老年人对连续床边压力测绘系统的参与能力,该系统被放置在病床上以预防压力性损伤。

设计

描述性研究。

受试者和设置

本研究在瑞典乌普萨拉的一所大学医院的骨科康复病房中,招募了 31 名骨科患者作为便利样本,患者年龄均在 65 岁及以上。

方法

2016 年 11 月至 2017 年 2 月期间进行了半结构式访谈,录音并逐字转录。采用定性内容分析法对数据进行分析。

结果

21 次访谈的总体主题是“一种新的理解方式帮助患者识别易受压力的部位,并在自身护理中采取行动”,由此产生了“意识”和“行动”两个类别。研究表明,经过口头改编的信息与信息和通信技术的使用相结合,提高了大多数参与者的知识水平,当他们意识到压力增加时,他们开始通过改变体位来采取预防措施。

结论

接受过近期骨科手术的康复病房中的老年参与者有可能理解和使用新的信息和通信技术,应该邀请他们参与压力性损伤预防。

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Information and Communication Technology Can Increase Patient Participation in Pressure Injury Prevention: A Qualitative Study in Older Orthopedic Patients.信息和通信技术可以增加患者在压疮预防中的参与度:一项针对老年骨科患者的定性研究。
J Wound Ostomy Continence Nurs. 2019 Sep/Oct;46(5):383-389. doi: 10.1097/WON.0000000000000568.
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