Emergency Department, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University School of nursing.
Int J Low Extrem Wounds. 2022 Dec;21(4):384-396. doi: 10.1177/1534734620946577. Epub 2020 Aug 10.
The purpose of this study was to explore the experience of negative pressure wound therapy (NPWT) at home among Chinese chronic wound patients. Qualitative descriptive study design was adopted, and qualitative data were collected through semistructured in-depth interviews. A purposive, sampling method was used. Informants were recruited from one single wound healing center of a teaching hospital and were interviewed following one course of NPWT at home. A thematic content analysis was undertaken in the framework of input-process-output theory to guide analysis. Of the 13 participants interviewed, 9 were female and 4 were male with an age ranging from 20 to 69 years. Two major categories with their corresponding codes were identified. The first, positive experience, had 6 codes: high-degree identity and feeling hope (input); easy operation and convenience (process); improvement of symptoms and effective treatment (output). The second category, negative experience, had 11 codes: high expenditure, defects of the NPWT device, health education deficiency, and lack of independence and rationales in making decision of NPWT (input); poor communication with wound professionals, unexpected circumstances, therapeutic side effects, and a change of self-image (process); impact on physical symptoms and daily life, impact on social activities, and impact on psychological well-being (output). Patients considered the NPWT at home as a promising regimen, but they also had a feeling of not being prepared and lack of health education to make medical decision independently. The participants' perceptions and experiences would provide valuable information to promote the intervention program of health education and advance service process optimization.
本研究旨在探讨中国慢性伤口患者在家中接受负压伤口治疗（NPWT）的体验。采用定性描述性研究设计，通过半结构式深入访谈收集定性数据。采用目的抽样法，从一家教学医院的单一伤口愈合中心招募受访者，并在完成一疗程的家庭 NPWT 后进行访谈。采用输入-过程-输出理论指导分析，对主题内容进行分析。在接受访谈的 13 名参与者中，9 名为女性，4 名为男性，年龄 20 至 69 岁。确定了两个主要类别及其相应的编码。第一，积极体验，有 6 个编码：高度认同和希望感（输入）；操作简单、方便（过程）；症状改善和有效治疗（输出）。第二，消极体验，有 11 个编码：高费用、NPWT 设备缺陷、健康教育不足、NPWT 决策缺乏独立性和合理性（输入）；与伤口专业人员沟通不畅、意外情况、治疗副作用、自我形象改变（过程）；对身体症状和日常生活的影响、对社会活动的影响和对心理健康的影响（输出）。患者认为家庭 NPWT 是一种有前途的治疗方案，但他们也感到没有准备好，缺乏健康教育来独立做出医疗决策。参与者的看法和体验将提供有价值的信息，以促进健康教育干预计划并推进服务流程优化。
