Probst Sebastian, Ryan Hayley, Tehan Peta
Tissue Viability and Wound Care, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland; Geneva University Hospitals, Geneva, Switzerland; Medical Faculty, University of Geneva, Switzerland; College of Medicine Nursing and Health Sciences, University of Galway, Galway, Ireland; School of Clinical Sciences, Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton Campus, Clayton, Victoria, Australia.
School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
J Tissue Viability. 2025 Apr 12;34(3):100911. doi: 10.1016/j.jtv.2025.100911.
This study explores the impact of healthcare providers' empathy on patients' healing outcomes and satisfaction in chronic wound care.
A qualitative descriptive approach was used. Ten adults with chronic wounds were recruited through purposive sampling. Semi-structured interviews were conducted in January 2025, lasting an average of 37.1 min. Data were transcribed verbatim and analyzed thematically using Braun and Clarke's six-phase framework. Rigor was ensured through systematic coding, researcher triangulation, and adherence to COREQ guidelines.
The analysis identified three central themes: (1) The need for person-centered and consistent care, emphasizing the importance of continuity in healthcare providers to reduce emotional exhaustion and improve adherence; (2) The emotional impact of empathy in wound care, demonstrating that empathetic communication raises trust, decreases pain perception, and enhances psychological resilience; and (3) The role of communication, trust, and cultural awareness, highlighting that clear explanations and cultural competence improve patient satisfaction and engagement. Participants who felt listened to and involved in decision-making reported better motivation and adherence to treatment.
Empathy is an important component of effective wound care, influencing healing outcomes, psychological well-being, and treatment adherence. Integrating empathy into clinical practice through continuity of care, shared decision-making, and cultural competence can improve patient satisfaction and overall wound management. Healthcare systems should prioritize training and policies that support empathy-driven, person-centered care.
本研究探讨医疗服务提供者的同理心对慢性伤口护理中患者愈合结果和满意度的影响。
采用定性描述性方法。通过目的抽样招募了10名患有慢性伤口的成年人。2025年1月进行了半结构化访谈，平均持续37.1分钟。数据逐字转录，并使用布劳恩和克拉克的六阶段框架进行主题分析。通过系统编码、研究者三角互证和遵循COREQ指南确保严谨性。
分析确定了三个核心主题：（1）以患者为中心和持续护理的需求，强调医疗服务提供者连续性的重要性，以减少情感耗竭并提高依从性；（2）同理心在伤口护理中的情感影响，表明同理心沟通能提高信任、降低疼痛感知并增强心理复原力；（3）沟通、信任和文化意识的作用，强调清晰的解释和文化能力可提高患者满意度和参与度。感到被倾听并参与决策的参与者报告有更好的治疗动机和依从性。
同理心是有效伤口护理的重要组成部分，影响愈合结果、心理健康和治疗依从性。通过护理连续性、共同决策和文化能力将同理心融入临床实践可提高患者满意度和整体伤口管理水平。医疗系统应优先考虑支持以同理心为驱动、以患者为中心的护理的培训和政策。
