The University of Surrey, Guildford, UK.
J Clin Nurs. 2024 Nov;33(11):4434-4444. doi: 10.1111/jocn.17362. Epub 2024 Jul 9.
To examine the personal experiences and perceptions of people with dark skin tones and their carers, in relation to pressure injury.
Qualitative study using semi-structured interviews.
Twenty-two interviews with people with dark skin tone and/or their family carers, who were known to and visited by community nurses for pressure area management or who had been identified as being at high risk for developing a pressure injury were carried out.
Thematic analysis of the interview transcripts revealed that skin discolouration towards a darker hue than usual was the commonest symptom identified by participants as a sign of altered skin integrity and potential pressure damage. Four main overarching themes were revealed through comprehensive analysis of the transcripts: (1) indicators of pressure injury; (2) experienced symptoms of pressure damage; (3) trust in healthcare workers; and (4) improving care for populations with dark skin tones.
The findings from this study clearly present how early-stage pressure damage is identified among people with dark skin tones.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: These findings have the potential to reduce health inequality by influencing and informing clinical policies and strategies in practice. Findings could also lead to the development of patient-informed educational strategies for nurses and health workers which will enable the early identification of pressure ulcers among people with dark skin tones. Further research is needed to better understand health disparities in relation to preventable patient safety harm.
The findings demonstrate the importance of engaging with and listening to the stories and experiences of people living with pressure damage to help in the early recognition of pressure injuries.
The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for qualitative research were followed.
A project steering group reviewed information sheets for participants and checked the interview questions were relevant and suitable.
探讨深肤色人群及其照顾者在压疮方面的个人经历和感受。
采用半结构式访谈的定性研究。
对 22 名深肤色人群及其家庭照顾者进行访谈，这些人是社区护士熟知并为其进行压疮管理的人群，或被认为有发生压疮高风险的人群。
对访谈记录进行主题分析显示，参与者最常识别出的肤色变暗等异常是皮肤完整性改变和潜在压疮的迹象。通过对记录的全面分析，揭示了 4 个主要的主题：（1）压疮的迹象；（2）经历的压疮症状；（3）对医护人员的信任；（4）改善深色皮肤人群的护理。
本研究的结果清楚地展示了深肤色人群中早期压疮的识别方法。
对专业和/或患者护理的影响：这些发现有可能通过影响和告知实践中的临床政策和策略来减少健康不平等。这些发现还可能导致为护士和卫生工作者制定以患者为中心的教育策略，使他们能够早期识别深肤色人群中的压疮。需要进一步研究以更好地了解与可预防的患者安全伤害相关的健康差异。
研究结果强调了与患有压疮的人群互动并倾听他们的故事和经历的重要性，以帮助早期识别压疮。
遵循了定性研究的统一报告标准（COREQ）指南。
项目指导小组审查了参与者的信息表，并检查了访谈问题是否相关和合适。
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