Abstract：
BACKGROUND: Surgical site infections can significantly impact postoperative recovery. Patient participation, which involves patients actively engaging in wound care, has been linked to improved healing and reduced wound complications. However, there is limited synthesis of the literature that explores the patient\'s role and participation in the context of surgical wound care.
OBJECTIVE: To explore patients\' perceptions of how they participate in surgical wound care, within 30 days post-operation.
METHODS: An integrative review guided by Whittemore and Knafl\'s methodology. This review was registered with PROSPERO (CRD42022363669).
METHODS: Searches were conducted in Medline (Ovid), CINAHL (Complete), and EMBASE (Elsevier) databases in October 2023, supplemented by forward and backward citation searching.
METHODS: Based on a priori eligibility criteria, two authors independently screened articles to select relevant studies. The quality of the included research articles was critically appraised using the Mixed Methods Appraisal Tool. A descriptive and thematic synthesis was used to synthesise the findings.
RESULTS: Of the 4701 records screened for titles and abstracts, 25 studies using qualitative, quantitative, and mixed-methods designs were included. Three key themes were identified. In theme 1, \'I am healing: how my wound shapes me and my journey,\' physical symptoms, psychological factors and previous experiences significantly influenced patients\' engagement in wound care. Theme 2, \'Taking charge of my healing: my active engagement in wound care\' described how patient participation in surgical wound care goes beyond clinical procedures and can include the use of technology and holistic self-care. Finally, theme 3, \'Navigating the path to recovery: How others shape my experience\' showed that effective communication is crucial for promoting participation, yet issues like inadequate information can leave patients unprepared for wound management.
CONCLUSIONS: This review highlights opportunities to personalise and prioritise a patient-oriented approach to surgical wound care. Clinicians and educators should adopt an individualised approach by tailoring patient participation based on patient factors (i.e. physical symptoms) and adopt patient-centred communication approaches. Researchers should focus on exploring approaches to self-care and technology, as these approaches may enhance patient participation in wound care.
OBJECTIVE: To explore patients\' perceptions of how they participate in surgical wound care, within 30 days post-operation.
METHODS: An integrative review guided by Whittemore and Knafl\'s methodology. This review was registered with PROSPERO (CRD42022363669).
METHODS: Searches were conducted in Medline (Ovid), CINAHL (Complete), and EMBASE (Elsevier) databases in October 2023, supplemented by forward and backward citation searching.
METHODS: Based on a priori eligibility criteria, two authors independently screened articles to select relevant studies. The quality of the included research articles was critically appraised using the Mixed Methods Appraisal Tool. A descriptive and thematic synthesis was used to synthesise the findings.
RESULTS: Of the 4701 records screened for titles and abstracts, 25 studies using qualitative, quantitative, and mixed-methods designs were included. Three key themes were identified. In theme 1, \'I am healing: how my wound shapes me and my journey,\' physical symptoms, psychological factors and previous experiences significantly influenced patients\' engagement in wound care. Theme 2, \'Taking charge of my healing: my active engagement in wound care\' described how patient participation in surgical wound care goes beyond clinical procedures and can include the use of technology and holistic self-care. Finally, theme 3, \'Navigating the path to recovery: How others shape my experience\' showed that effective communication is crucial for promoting participation, yet issues like inadequate information can leave patients unprepared for wound management.
CONCLUSIONS: This review highlights opportunities to personalise and prioritise a patient-oriented approach to surgical wound care. Clinicians and educators should adopt an individualised approach by tailoring patient participation based on patient factors (i.e. physical symptoms) and adopt patient-centred communication approaches. Researchers should focus on exploring approaches to self-care and technology, as these approaches may enhance patient participation in wound care.
摘要：
背景：手术部位感染可显著影响术后恢复。患者参与,这涉及患者积极参与伤口护理，与改善愈合和减少伤口并发症有关。然而,关于患者在外科伤口护理中的作用和参与的文献综述有限。
目的：探讨患者如何参与外科创伤护理的看法，手术后30天内。
方法：以Whittemore和Knafl方法为指导的综合综述。这篇评论在PROSPERO(CRD42022363669)注册。
方法：在Medline（Ovid）进行了搜索，CINAHL（完成），和EMBASE（Elsevier）数据库于2023年10月发布，并辅以正向和反向引用搜索。
方法：基于先验资格标准，两位作者独立筛选文章以选择相关研究.使用混合方法评估工具对纳入的研究文章的质量进行了严格评估。使用描述性和主题综合来综合研究结果。
结果：在筛选标题和摘要的4701条记录中，25项研究使用定性，定量,并包括混合方法设计。确定了三个关键主题。在主题1中，“我正在治愈：我的伤口如何塑造我和我的旅程，身体症状,心理因素和以前的经验显着影响患者参与伤口护理。主题2“负责我的康复：我积极参与伤口护理”描述了患者如何参与外科伤口护理超越临床程序，可以包括使用技术和整体自我护理。最后,主题3，“导航恢复之路：他人如何塑造我的经历”表明，有效的沟通对于促进参与至关重要，然而，诸如信息不足之类的问题可能会使患者对伤口管理毫无准备。
结论：本综述强调了个性化和优先考虑以患者为导向的外科伤口护理方法的机会。临床医生和教育工作者应采用个性化的方法，根据患者因素（即身体症状）定制患者参与，并采用以患者为中心的沟通方法。研究人员应该专注于探索自我护理和技术的方法，因为这些方法可以增强患者对伤口护理的参与。
目的：探讨患者如何参与外科创伤护理的看法，手术后30天内。
方法：以Whittemore和Knafl方法为指导的综合综述。这篇评论在PROSPERO(CRD42022363669)注册。
方法：在Medline（Ovid）进行了搜索，CINAHL（完成），和EMBASE（Elsevier）数据库于2023年10月发布，并辅以正向和反向引用搜索。
方法：基于先验资格标准，两位作者独立筛选文章以选择相关研究.使用混合方法评估工具对纳入的研究文章的质量进行了严格评估。使用描述性和主题综合来综合研究结果。
结果：在筛选标题和摘要的4701条记录中，25项研究使用定性，定量,并包括混合方法设计。确定了三个关键主题。在主题1中，“我正在治愈：我的伤口如何塑造我和我的旅程，身体症状,心理因素和以前的经验显着影响患者参与伤口护理。主题2“负责我的康复：我积极参与伤口护理”描述了患者如何参与外科伤口护理超越临床程序，可以包括使用技术和整体自我护理。最后,主题3，“导航恢复之路：他人如何塑造我的经历”表明，有效的沟通对于促进参与至关重要，然而，诸如信息不足之类的问题可能会使患者对伤口管理毫无准备。
结论：本综述强调了个性化和优先考虑以患者为导向的外科伤口护理方法的机会。临床医生和教育工作者应采用个性化的方法，根据患者因素（即身体症状）定制患者参与，并采用以患者为中心的沟通方法。研究人员应该专注于探索自我护理和技术的方法，因为这些方法可以增强患者对伤口护理的参与。
