关键词: Chronic wound Delphi study Home care services Negative pressure wound therapy Self-care Wound healing

来  源:   DOI:10.1093/burnst/tkab046   PDF(Pubmed)

Abstract:
BACKGROUND: The study aimed to develop consensus on the components of health education of home-based negative pressure wound therapy (NPWT) for patients with chronic wounds.
METHODS: A Delphi method was used to achieve consensus on the components of health education and 75% agreement and coefficient of variation (CV) <0.25 were used as cutoff. Sixteen experts were recruited purposefully to finish this study.
RESULTS: Two rounds of consultation were implemented. Consensus was achieved on 36 of the 42 statements. The final agreed list of statements represented three domains: health education before carrying out home-based NPWT, health education for the treatment day of NPWT at hospital and health education for NPWT at home.
CONCLUSIONS: This study was the first attempt to develop consensus on the comprehensive components of health education of home-based NPWT for patients with chronic wounds. According to the established framework and components of health education, wound professionals can safely and effectively implement health education of home-based NPWT for patients with chronic wounds and improve their self-care ability and treatment experience at home.
摘要:
背景:该研究旨在就慢性伤口患者的家庭负压伤口治疗(NPWT)健康教育的组成部分达成共识。
方法:使用德尔菲法对健康教育的组成部分达成共识,并以75%的一致性和变异系数(CV)<0.25作为截止值。有目的地招募了16名专家来完成这项研究。
结果:进行了两轮咨询。就42项声明中的36项达成了共识。最终商定的声明清单代表三个领域:在开展家庭NPWT之前的健康教育,医院NPWT治疗日的健康教育和家庭NPWT健康教育。
结论:这项研究是首次尝试就家庭NPWT对慢性伤口患者的健康教育的综合组成部分达成共识。根据健康教育的既定框架和组成部分,伤口专业人员可以安全有效地对慢性伤口患者实施居家NPWT健康教育,提高患者的居家自理能力和治疗体验。
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