Janssen Alexandra Hj, Wegdam Johannes A, Jaspar Alita, de Vries Reilingh Tammo S, Vermeulen Hester, Eskes Anne M
Department of Surgery, Elkerliek Hospital, Helmond, the Netherlands.
MSc.
J Wound Care. 2025 May 2;34(5):340-349. doi: 10.12968/jowc.2022.0145.
To explore the experiences and preferences of patients with wounds treated with negative pressure wound therapy (NPWT) regarding shared decision-making and patient participation.
Semi-structured interviews were conducted with adult patients treated with NPWT. Interview topics included shared decision-making and patients' active participation in wound treatment. Thematic analysis was applied to identify themes.
The interview cohort comprised ten patients. Four themes emerged: (1) Having a wound makes patients uncertain and thus influences their quality of life; (2) NPWT influences patients' daily lives; (3) Patients consider professional treatment decisions most important in the decision-making processes; (4) Self-management of wounds is accepted by patients only for low-complexity and well-healing wounds under supervision. Participants emphasised their worries about the future and the impact of the wound/treatment on their families. After being thoroughly informed, participants preferred that health professionals decide on the treatment choice. In addition, participants and/or their relatives did not want to actively participate in complex wound care. As well as expressing a need for qualified wound care professionals, participants reported that they did not want to be or feel responsible for the wound treatment.
Shared decision-making and active patient participation are underused and underexposed topics in wound care. Patients' recognition of the importance of their personal preferences can facilitate shared decision-making.
探讨接受负压伤口治疗（NPWT）的伤口患者在共同决策和患者参与方面的经历与偏好。
对接受NPWT治疗的成年患者进行半结构化访谈。访谈主题包括共同决策和患者对伤口治疗的积极参与。采用主题分析法确定主题。
访谈队列包括10名患者。出现了四个主题：（1）有伤口使患者感到不确定，从而影响其生活质量；（2）NPWT影响患者的日常生活；（3）患者认为专业治疗决策在决策过程中最为重要；（4）仅在监督下，对于低复杂性且愈合良好的伤口，患者才接受伤口的自我管理。参与者强调了他们对未来的担忧以及伤口/治疗对其家庭的影响。在得到充分告知后，参与者更倾向于由医疗专业人员决定治疗选择。此外，参与者和/或其亲属不想积极参与复杂的伤口护理。除了表达对合格伤口护理专业人员的需求外，参与者报告称他们不想对伤口治疗负责或感觉负有责任。
共同决策和患者积极参与在伤口护理中未得到充分利用且未受到足够关注。患者认识到个人偏好的重要性有助于共同决策。
