Walker Rachel M, Rattray Megan, Lockwood Ishtar, Chaboyer Wendy, Lin France, Roberts Shelley, Perry Jodie, Birgan Sean, Nieuwenhoven Paul, Garrahy Elizabeth, Probert Rosalind, Gillespie Brigid M
School of Nursing and Midwifery, Menzies Health Institute Queensland (MHIQ), Griffith University, QLD, Australia.
Division of Surgery, Princess Alexandra Hospital, Brisbane, QLD, Australia.
J Wound Care. 2023 Jan 2;32(Sup1):S19-S27. doi: 10.12968/jowc.2023.32.Sup1.S19.
To explore patients' priorities and preferences for optimal care of their acute or hard-to-heal surgical wound(s).
This qualitative study involved semi-structured individual interviews with patients receiving wound care in Queensland, Australia. Convenience and snowball sampling were used to recruit patients from inpatient and outpatient settings between November 2019 and January 2020. Interviews were audio recorded, transcribed verbatim and analysed using thematic analysis. Emergent themes were discussed by all investigators to ensure consensus.
A total of eight patients were interviewed, five of whom were male (average median age: 70.5 years; interquartile range (IQR): 45-80 years). Four interrelated themes emerged from the data that describe the patients' surgical wound journey: experiencing psychological and psychosocial challenges; taking back control by actively engaging in care; seeking out essential clinician attributes; and collaborating with clinicians to enable an individualised approach to their wound care.
Findings from this study indicate that patients want to actively collaborate with clinicians who have caring qualities, professional skills and knowledge, and be involved in decision-making to ensure care meets their individual needs.
探讨患者对于急性或难愈合手术伤口最佳护理的优先事项和偏好。
这项定性研究对在澳大利亚昆士兰州接受伤口护理的患者进行了半结构化个人访谈。采用便利抽样和滚雪球抽样的方法，于2019年11月至2020年1月期间从住院和门诊环境中招募患者。访谈进行了录音，逐字转录，并采用主题分析法进行分析。所有研究人员对出现的主题进行了讨论，以确保达成共识。
共访谈了8名患者，其中5名男性（平均年龄中位数：70.5岁；四分位间距（IQR）：45 - 80岁）。数据中出现了四个相互关联的主题，描述了患者的手术伤口历程：经历心理和社会心理挑战；通过积极参与护理重新获得控制权；寻找重要的临床医生特质；以及与临床医生合作以实现个性化的伤口护理方法。
本研究结果表明，患者希望与具备关怀品质、专业技能和知识的临床医生积极合作，并参与决策，以确保护理满足其个人需求。
