Perspectives on the Process of Negative Pressure Wound Therapy at Home in Patients With Chronic Wound: A Qualitative Descriptive Study.

The purpose of this study was to explore the experience of negative pressure wound therapy (NPWT) at home among Chinese chronic wound patients. Qualitative descriptive study design was adopted, and qualitative data were collected through semistructured in-depth interviews. A purposive, sampling meth...

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Publicado en:International Journal of Lower Extremity Wounds Vol. 21; no. 4; pp. 384 - 397
Autores principales: Huang, Yao, Hu, Jiale, Mao, Beiqian, Ni, Pengwen, Shou, Yuyan, Hou, Lili, Xie, Ting
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
      vid: 21
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/1534734620946577
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        atl: Perspectives on the Process of Negative Pressure Wound Therapy at Home in Patients With Chronic Wound: A Qualitative Descriptive Study.
      aug:
        au:
          Huang, Yao
          Hu, Jiale
          Mao, Beiqian
          Ni, Pengwen
          Shou, Yuyan
          Hou, Lili
          Xie, Ting
        affil: Emergency Department, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
      sug:
        subj:
          Wounds, Chronic Therapy
          Negative Pressure Wound Therapy
          Patient Attitudes Evaluation
          Attitude to Medical Treatment Evaluation
          Life Experiences Evaluation
          Wound Care
          Home Health Care
          Human
          China
          Qualitative Studies
          Descriptive Research
          Semi-Structured Interview
          Purposive Sample
          Wound Healing
          Academic Medical Centers
          Thematic Analysis
          Content Analysis
          Male
          Female
          Adult
          Middle Age
          Aged
          Health Care Costs
          Decision Making, Patient
          Professional-Patient Relations
          Communication
          Psychological Well-Being
          Health Education
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: The purpose of this study was to explore the experience of negative pressure wound therapy (NPWT) at home among Chinese chronic wound patients. Qualitative descriptive study design was adopted, and qualitative data were collected through semistructured in-depth interviews. A purposive, sampling method was used. Informants were recruited from one single wound healing center of a teaching hospital and were interviewed following one course of NPWT at home. A thematic content analysis was undertaken in the framework of input-process-output theory to guide analysis. Of the 13 participants interviewed, 9 were female and 4 were male with an age ranging from 20 to 69 years. Two major categories with their corresponding codes were identified. The first, positive experience, had 6 codes: high-degree identity and feeling hope (input); easy operation and convenience (process); improvement of symptoms and effective treatment (output). The second category, negative experience, had 11 codes: high expenditure, defects of the NPWT device, health education deficiency, and lack of independence and rationales in making decision of NPWT (input); poor communication with wound professionals, unexpected circumstances, therapeutic side effects, and a change of self-image (process); impact on physical symptoms and daily life, impact on social activities, and impact on psychological well-being (output). Patients considered the NPWT at home as a promising regimen, but they also had a feeling of not being prepared and lack of health education to make medical decision independently. The participants' perceptions and experiences would provide valuable information to promote the intervention program of health education and advance service process optimization.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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