Costa Davide, Serra Raffaele
Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Catanzaro, 88100, Italy.
Interuniversity Center of Phlebolymphology (CIFL), "Magna Graecia" University, Catanzaro, 88100, Italy.
J Multidiscip Healthc. 2025 Jun 25;18:3685-3708. doi: 10.2147/JMDH.S533416. eCollection 2025.
Chronic wounds of the lower limbs present a significant global healthcare challenge, requiring interdisciplinary management and patient adherence to treatment protocols. Effective communication plays a pivotal role in ensuring optimal outcomes, fostering patient engagement, and promoting interdisciplinary collaboration. This review article explores the role of communication in managing chronic wounds of the lower limbs, highlighting its impact on patient education, adherence, early detection, emotional support, and healthcare coordination. It synthesizes the most updated literature on the subject, identifying best practices and potential areas for improvement. The review also examines technological advancements in communication, such as telemedicine and mobile health applications, that facilitate wound care management. Additionally, challenges and potential solutions related to communication barriers are discussed. This comprehensive analysis provides insights into communication strategies that can be implemented globally to enhance wound care outcomes. Further, it explores the role of culture, socioeconomic factors, and health literacy in shaping effective communication strategies. Finally, ethical and policy implications are addressed, offering a holistic understanding of the broader impact of communication on chronic wound management. Effective communication is not only essential in clinical settings but also within public health frameworks, influencing health literacy campaigns, wound prevention strategies, and patient advocacy efforts. The integration of culturally competent communication practices, consideration of social determinants of health, and the use of artificial intelligence in patient-provider interactions further shape the effectiveness of communication in chronic wound care. This review provides a foundation for future research on how evolving communication methodologies can further enhance patient outcomes and reduce disparities in wound care management worldwide.
下肢慢性伤口是全球医疗保健面临的重大挑战，需要多学科管理以及患者遵守治疗方案。有效的沟通在确保最佳治疗效果、促进患者参与和推动多学科协作方面发挥着关键作用。这篇综述文章探讨了沟通在下肢慢性伤口管理中的作用，强调其对患者教育、依从性、早期检测、情感支持和医疗协调的影响。它综合了关于该主题的最新文献，确定了最佳实践和潜在的改进领域。该综述还研究了沟通方面的技术进步，如远程医疗和移动健康应用程序，这些技术有助于伤口护理管理。此外，还讨论了与沟通障碍相关的挑战和潜在解决方案。这一全面分析提供了对可在全球实施以改善伤口护理效果的沟通策略的见解。此外，它还探讨了文化、社会经济因素和健康素养在塑造有效沟通策略中的作用。最后，阐述了伦理和政策影响，全面理解了沟通对慢性伤口管理的更广泛影响。有效的沟通不仅在临床环境中至关重要，在公共卫生框架内也是如此，它影响着健康素养运动、伤口预防策略和患者宣传工作。在医患互动中融入具有文化胜任力的沟通实践、考虑健康的社会决定因素以及使用人工智能，进一步塑造了慢性伤口护理中沟通的有效性。这篇综述为未来研究不断发展的沟通方法如何进一步改善患者治疗效果并减少全球伤口护理管理中的差距奠定了基础。
