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慢性伤口患者居家负压伤口治疗健康教育的共识:一项改良德尔菲研究

Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study.

作者信息

Huang Yao, Mao Beiqian, Hu Jiale, Xu Bing, Ni Pengwen, Hou Lili, Xie Ting

机构信息

Wound Healing Center at Emergency Department, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

Department of Nurse Anesthesia, Virginia Commonwealth University, Virginia 23298, USA.

出版信息

Burns Trauma. 2021 Dec 30;9:tkab046. doi: 10.1093/burnst/tkab046. eCollection 2021.

Abstract

BACKGROUND

The study aimed to develop consensus on the components of health education of home-based negative pressure wound therapy (NPWT) for patients with chronic wounds.

METHODS

A Delphi method was used to achieve consensus on the components of health education and 75% agreement and coefficient of variation (CV) <0.25 were used as cutoff. Sixteen experts were recruited purposefully to finish this study.

RESULTS

Two rounds of consultation were implemented. Consensus was achieved on 36 of the 42 statements. The final agreed list of statements represented three domains: health education before carrying out home-based NPWT, health education for the treatment day of NPWT at hospital and health education for NPWT at home.

CONCLUSIONS

This study was the first attempt to develop consensus on the comprehensive components of health education of home-based NPWT for patients with chronic wounds. According to the established framework and components of health education, wound professionals can safely and effectively implement health education of home-based NPWT for patients with chronic wounds and improve their self-care ability and treatment experience at home.

摘要

背景

本研究旨在就慢性伤口患者居家负压伤口治疗(NPWT)健康教育的组成部分达成共识。

方法

采用德尔菲法就健康教育的组成部分达成共识,以75%的一致性和变异系数(CV)<0.25作为截断值。有目的地招募了16名专家来完成本研究。

结果

进行了两轮咨询。42条陈述中有36条达成了共识。最终达成一致的陈述清单涵盖三个领域:居家NPWT实施前的健康教育、在医院进行NPWT治疗日的健康教育以及居家NPWT的健康教育。

结论

本研究首次尝试就慢性伤口患者居家NPWT健康教育的综合组成部分达成共识。根据既定的健康教育框架和组成部分,伤口专业人员可以安全有效地为慢性伤口患者实施居家NPWT健康教育,并提高他们的自我护理能力和居家治疗体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c7d/8717889/6bd1d3a9888f/tkab046f1.jpg

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