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伤口护理中的同理心:对其在以患者为中心的愈合中的作用、影响及障碍的范围综述

Empathy in Wound Care: A Scoping Review of Its Role, Impact, and Barriers to Person-Centred Healing.

作者信息

Probst Sebastian, Menon Tejus, Stefanelli Alessio, Bergin Shan Maree, Brand Gabrielle, Tehan Peta

机构信息

Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Western Switzerland, Geneva, Switzerland.

Care Directorate, Geneva University Hospitals, Geneva, Switzerland.

出版信息

Int Wound J. 2025 Jun;22(6):e70687. doi: 10.1111/iwj.70687.

DOI:10.1111/iwj.70687
PMID:40419284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12105876/
Abstract

Empathy plays an important role in delivering healthcare, influencing both patient outcomes and satisfaction. However, its role, impact, and barriers to implementation in wound care remain underexplored. This scoping review aims to synthesise existing literature on empathy in wound care, highlighting its contributions to person-centred healing. Following the Joanna Briggs Institute methodology, a systematic search was conducted across multiple databases in English, French, German and Italian. Eighteen studies published between 1946 and 2024 met the inclusion criteria. The review identified empathy as a fundamental element in wound care, improving adherence to treatment, reducing psychological distress, and enhancing wound healing through physiological and psychological mechanisms. However, systemic challenges including time constraints, lack of training, and resource limitations hinder its consistent application in clinical practise. This review highlights the need for enhanced education, training, and systemic support to integrate empathy into wound care. Future research should focus on developing validated strategies to adopt empathetic care, ensuring a holistic approach to patient management.

摘要

同理心在提供医疗保健服务中发挥着重要作用,它会影响患者的治疗效果和满意度。然而,其在伤口护理中的作用、影响及实施障碍仍未得到充分探索。本范围综述旨在综合现有关于伤口护理中同理心的文献,突出其对以患者为中心的愈合过程的贡献。按照乔安娜·布里格斯研究所的方法,在多个数据库中对英文、法文、德文和意大利文文献进行了系统检索。筛选出1946年至2024年间发表的18项研究,符合纳入标准。该综述确定同理心是伤口护理的基本要素,它通过生理和心理机制提高治疗依从性、减轻心理困扰并促进伤口愈合。然而,包括时间限制、缺乏培训和资源有限等系统性挑战阻碍了其在临床实践中的持续应用。本综述强调需要加强教育、培训和系统性支持,以便将同理心融入伤口护理。未来的研究应侧重于制定经过验证的策略来采用共情护理,确保对患者管理采取整体方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e6/12105876/44c775e02ba1/IWJ-22-e70687-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e6/12105876/44c775e02ba1/IWJ-22-e70687-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e6/12105876/44c775e02ba1/IWJ-22-e70687-g001.jpg

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Empathy in Wound Care: A Scoping Review of Its Role, Impact, and Barriers to Person-Centred Healing.伤口护理中的同理心:对其在以患者为中心的愈合中的作用、影响及障碍的范围综述
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本文引用的文献

1
Pressure Ulcer Patients' Psychological Understanding of Nursing Care Received in Intensive Care Unit.压疮患者对在重症监护病房接受护理的心理认知
ARYA Atheroscler. 2023 Sep-Oct;19(5):25-34. doi: 10.48305/arya.2023.11888.2724.
2
A survey of UK nurses about their care of people with malignant fungating wounds.英国护士对恶性化脓性伤口患者护理情况的调查。
Eur J Oncol Nurs. 2024 Jun;70:102609. doi: 10.1016/j.ejon.2024.102609. Epub 2024 May 17.
3
The Importance of Empathy, Social Determinants of Health, and Mental Well-being in Wound Care.
同理心、健康的社会决定因素以及心理健康在伤口护理中的重要性。
Adv Skin Wound Care. 2024 Jun 1;37(6):289-290. doi: 10.1097/ASW.0000000000000153.
4
Complications and psychological impact of pressure ulcers on patients and caregivers.压疮对患者和照护者的并发症及心理影响。
Int Wound J. 2024 Apr;21(4):e14836. doi: 10.1111/iwj.14836.
5
The current state of empathy, compassion and person-centred communication training in healthcare: An umbrella review.医疗保健领域同理心、同情心及以患者为中心的沟通培训的现状:一项综合综述。
Patient Educ Couns. 2024 Feb;119:108063. doi: 10.1016/j.pec.2023.108063. Epub 2023 Nov 21.
6
What's the true costs of wounds faced by different healthcare systems around the world?世界各地不同医疗体系面临的伤口的真实成本是多少?
Int Wound J. 2023 Dec;20(10):3935-3938. doi: 10.1111/iwj.14491. Epub 2023 Nov 14.
7
Using motivational interviewing and brief action planning for adopting and maintaining positive health behaviors.运用动机性访谈和简要行动计划来采纳和维持积极的健康行为。
Prog Cardiovasc Dis. 2023 Mar-Apr;77:86-94. doi: 10.1016/j.pcad.2023.02.003. Epub 2023 Feb 24.
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Fragmented care and chronic illness patient outcomes: A systematic review.碎片化的医疗护理与慢性病患者的结局:一项系统综述。
Nurs Open. 2023 Jun;10(6):3460-3473. doi: 10.1002/nop2.1607. Epub 2023 Jan 9.
9
Attitudes and experiences towards the application of motivational interviewing by podiatrists working with people with diabetes at high-risk of developing foot ulcers: a mixed-methods study.针对有发生足部溃疡高风险的糖尿病患者,足病医生应用动机性访谈的态度和经验:一项混合方法研究。
J Foot Ankle Res. 2022 Aug 19;15(1):62. doi: 10.1186/s13047-022-00567-y.
10
A systematic review of research on empathy in health care.一项关于医疗保健中同理心的研究的系统综述。
Health Serv Res. 2023 Apr;58(2):250-263. doi: 10.1111/1475-6773.14016. Epub 2022 Jul 15.