背景:压力性损伤(PI)通常被认为是可预测和可预防的。因此,为PI预防及其管理提供适当的护理至关重要。患者教育是预防PI国际指南推荐策略的重要组成部分。尽管有证据支持患者教育,关于患者教育对知识的影响的共识,患者参与,伤口愈合进展,生活质量仍然缺乏。
目的:主要目的是系统地评估有关结构化患者教育对其知识的有效性的现有证据,参与,伤口愈合,和生活质量。
方法:搜索策略检索了2009年至2021年之间在PubMed上以英文发表的研究,MEDLINE,CINAHL,ProQuest,科克伦图书馆包括18岁及以上的成年参与者。随机对照试验,准实验,和介入研究均纳入本综述.三名独立审稿人评估了研究的方法学质量,在批判性评估之前,使用标准化工具,也就是说,JoannaBriggs研究所随机和非随机研究清单.进行了叙事综合。
结果:本综述共纳入8项研究(466名参与者)。现有证据表明患者知识有所改善,参与,以及结构化患者教育的生活质量。然而,没有足够的高质量证据来推断对伤口愈合的影响.
结论:结构化的患者PI教育被认为有助于提高患者的知识,参与,和生活质量。对伤口愈合进展的影响需要更严格的试验。因此,未来的教育干预措施应包括描述患者在促进伤口愈合中的作用的伤口护理组件。结构合理的患者教育计划协议对于确保教育干预在其有效性和可重复性方面是至关重要的。
BACKGROUND: Pressure injuries (PIs) are generally regarded as predictable and preventable. Therefore, providing appropriate care for PI prevention and its management is vital. Patient education is a significant component of the PI international guideline-recommended strategy in preventing PIs. Despite the availability of evidence supporting patient education, consensus regarding the effect of patient education on knowledge, patient participation, wound healing progress, and quality of life is still lacking.
OBJECTIVE: The main aim was to systematically evaluate the available evidence regarding the effectiveness of structured patient education on their knowledge, participation, wound healing, and quality of life.
METHODS: The search strategy retrieved studies published between 2009 and 2021 in English across PubMed, MEDLINE, CINAHL, ProQuest, and Cochrane Library. Adult participants aged 18 years and above were included. Randomized controlled trials, quasi-experimental, and interventional studies were all included in this
review. Three independent reviewers assessed the methodological quality of the studies, prior to critical appraisal, using standardized tools, that is, the Joanna Briggs Institute checklist for randomized and non-randomized studies. A narrative synthesis was conducted.
RESULTS: A total of eight studies (466 participants) were included in this
review. Available evidence indicated improved patient knowledge, participation, and quality of life with structured patient education. However, there was insufficient high-quality evidence to conclude the effect on wound healing.
CONCLUSIONS: Structured patient education for PI was deemed to help improve patients\' knowledge, participation, and quality of life. More rigorous trials are needed for the effect on wound healing progress. Thus, future educational interventions should include wound care components that describe the patient\'s role in promoting wound healing. A well-structured patient education program protocol is crucial to ensure the educational intervention was measurable in its effectiveness and reproducibility.