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患者对社区压疮风险的认知和理解:实证研究定性。

Patient perceptions and understanding of pressure ulcer risk in the community: Empirical Research Qualitative.

机构信息

School of Allied Health and Social Care, University of Derby, Derby, UK.

School of Health Sciences, University of Southampton, Southampton, UK.

出版信息

J Adv Nurs. 2023 Sep;79(9):3312-3323. doi: 10.1111/jan.15637. Epub 2023 Mar 14.

DOI:10.1111/jan.15637
PMID:36919007
Abstract

AIMS

To explore patient perceptions and understanding of their pressure ulcer risk and how information is communicated between a nurse and patient in the home setting.

DESIGN

A pragmatic qualitative research design including community-dwelling patients, who were deemed at risk of developing a pressure ulcer.

METHODS

Observation of routine interactions between nurse and patient regarding their pressure ulcer risk and semi-structured interviews with 15 community patients following the nursing interaction.

RESULTS

Four key overarching themes emerged from the data analysis that were related to patient perceptions and understanding of pressure ulcer risk. These included Pressure Ulcer Awareness, Importance of Repositioning, Healthy Eating and Risk Interpretation.

CONCLUSION

Patient perception and understanding of pressure ulcer risk is different from the scientific, professional view. Patient risk perception was based on heuristics and wider personal factors and social influences.

IMPACT

The study provides important new insights into clinical practice in relation to how pressure ulcer advice and information are provided and interpreted in the community setting.

REPORTING METHOD

Adhered to the Standards for Reporting Qualitative Research (SRQR) PATIENT OR PUBLIC CONTRIBUTION: A small selection of patients within the NHS Trust in which the research was conducted contributed to the design of the study, in particular some of the interview questions and timing.

摘要

目的

探索患者对其压疮风险的认知和理解,以及在家庭环境中护士与患者之间信息的沟通方式。

设计

一项实用的定性研究设计,包括被认为有发生压疮风险的社区居住患者。

方法

观察护士与患者在压疮风险方面的常规互动,并在护理互动后对 15 名社区患者进行半结构化访谈。

结果

数据分析中出现了四个主要的总体主题,与患者对压疮风险的认知和理解有关。这些主题包括压疮意识、翻身的重要性、健康饮食和风险解读。

结论

患者对压疮风险的感知和理解与科学、专业观点不同。患者的风险感知基于启发式和更广泛的个人因素和社会影响。

影响

该研究为社区环境中压疮建议和信息的提供和解释提供了重要的新见解。

报告方法

遵循定性研究报告标准 (SRQR)。

患者或公众的贡献

在进行研究的 NHS 信托基金中,一小部分患者参与了研究设计,特别是一些访谈问题和时间安排。

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