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关于压力性损伤重建手术经历与生活的故事——一项叙事研究

Stories About Living and Going Through Reconstructive Surgery for Pressure Injuries-A Narrative Study.

作者信息

Nööjd Mari, Elmasry Moustafa, Steinvall Ingrid

机构信息

Department of Hand Surgery, Plastic Surgery and Burns, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

出版信息

Int Wound J. 2025 May;22(5):e70197. doi: 10.1111/iwj.70197.

DOI:10.1111/iwj.70197
PMID:40288768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12034372/
Abstract

We investigated the lived experience of adult patients with ischial, sacral and trochanteric pressure injuries going through reconstructive surgery. Five informants were recruited. The study was conducted using narrative methodology including in-depth interviews. The transcripts were analysed using structural and thematic methods as described by Riessman. Three main themes were derived: The wound-that changes life; Time-it's my life passing by; and Surgery-a fast track back to life. This study emphasises the importance of surgery as a way to reduce the time it takes for a pressure injury to heal. Involving patients in their own care and sharing information about their treatment is crucial to empower them and maintain a sense of hope.

摘要

我们调查了接受重建手术的坐骨、骶骨和转子部压疮成年患者的生活经历。招募了五名受访者。该研究采用叙事方法进行,包括深度访谈。按照里斯曼所描述的方法,使用结构和主题方法对访谈记录进行了分析。得出了三个主要主题:伤口——改变生活;时间——我的生命在流逝;手术——快速回归生活。本研究强调了手术作为减少压疮愈合所需时间的一种方式的重要性。让患者参与自身护理并分享有关其治疗的信息对于增强他们的能力和保持希望感至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411b/12034372/454f866929ef/IWJ-22-e70197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411b/12034372/c3ea82b95e11/IWJ-22-e70197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411b/12034372/454f866929ef/IWJ-22-e70197-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411b/12034372/c3ea82b95e11/IWJ-22-e70197-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411b/12034372/454f866929ef/IWJ-22-e70197-g001.jpg

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本文引用的文献

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"I am just trying to live a life!" -a qualitative study of the lived experience of pressure ulcers in people with spinal cord injuries.“我只是想过正常生活!”——一项关于脊髓损伤患者压疮生活体验的质性研究
J Tissue Viability. 2024 Feb;33(1):50-59. doi: 10.1016/j.jtv.2023.11.009. Epub 2023 Nov 29.
2
WHS guidelines for the treatment of pressure ulcers-2023 update.《2023年更新的压力性溃疡治疗WHS指南》
Wound Repair Regen. 2024 Jan-Feb;32(1):6-33. doi: 10.1111/wrr.13130. Epub 2023 Dec 20.
3
Risk factors associated with pressure ulcer recurrence after reconstruction: Analysis of a national database.
压力性溃疡复发的相关危险因素:国家数据库分析。
Wound Repair Regen. 2023 Sep-Oct;31(5):641-646. doi: 10.1111/wrr.13110. Epub 2023 Aug 28.
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Quality of life of patients with pressure ulcers: a systematic review.压疮患者的生活质量:一项系统综述。
Med Pharm Rep. 2023 Apr;96(2):123-130. doi: 10.15386/mpr-2531. Epub 2023 Apr 27.
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Reconstructive surgery for treating pressure ulcers.治疗压疮的重建手术。
Cochrane Database Syst Rev. 2022 Oct 13;10(10):CD012032. doi: 10.1002/14651858.CD012032.pub3.
6
A narrative inquiry approach to understanding senior intensive care nurses' experiences of working with new graduate nurses.一种叙事探究方法,用于理解老年重症监护护士与新毕业护士一起工作的体验。
J Clin Nurs. 2021 Nov;30(21-22):3314-3329. doi: 10.1111/jocn.15844. Epub 2021 May 22.
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Experiences of secondary health conditions amongst people with spinal cord injury in South Africa: A qualitative study.南非脊髓损伤患者继发健康状况的经历:一项定性研究。
S Afr J Physiother. 2021 Apr 6;77(1):1530. doi: 10.4102/sajp.v77i1.1530. eCollection 2021.
8
Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017.1990年至2017年欧盟15国及以上国家压疮疾病负担趋势
Plast Reconstr Surg Glob Open. 2020 Nov 23;8(11):e3252. doi: 10.1097/GOX.0000000000003252. eCollection 2020 Nov.
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"What pressure ulcers mean to me?" Representations of pressure ulcer in persons with spinal cord injury: A qualitative study.“压疮对我意味着什么?”——脊髓损伤患者对压疮的表述:一项定性研究。
J Tissue Viability. 2020 Nov;29(4):324-330. doi: 10.1016/j.jtv.2020.07.002. Epub 2020 Aug 5.
10
The global burden of pressure ulcers among patients with spinal cord injury: a systematic review and meta-analysis.全球脊髓损伤患者压疮负担:系统评价和荟萃分析。
BMC Musculoskelet Disord. 2020 May 29;21(1):334. doi: 10.1186/s12891-020-03369-0.