What specific challenges do patients with chronic wounds encounter when attending medical appointments related to wound care? A systematic review

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2025-02-03 DOI:10.1016/j.jtv.2025.100865

Krishi Jain , Pinar Avsar , Declan Patton , Zena Moore , Bridget Murray

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引用次数: 0

Abstract

Background

Chronic wounds can pose a significant challenge for patients and healthcare professionals including the morbidity and associated costs. It is therefore essential to understand the specific challenges faced by patients to make wound care services more effective and convenient for the patient population.

Aim

Using the PEO model, this systematic review aims to explore the specific challenges patients with chronic wounds encounter when attending medical appointments related to wound care.

Method

A systematic search of publications using MEDLINE, Ovid EMBASE, CINAHL databases was conducted in April 2024, and relevant articles were reviewed. Data extraction and a narrative synthesis approach was undertaken. The evidence-based librarianship (EBL) checklist assessed the methodological quality of the studies included. The primary outcome was to identify the specific challenges faced by patients with chronic wounds who attend medical appointments related to wound care. The secondary outcome was to determine wound healing progression, quality of life, complications of wound care, and adverse effects of wound care.

Results

Six studies between the years 2014 and 2024 described the specific challenges faced by patients with chronic wounds in a hospital or clinic setting. All six studies mentioned the pain and unwanted physical inactivity collectively affected the daily life of the patients and their capability of attending appointments. Increased cost of attending wound care appointments and travelling were elucidated by four studies. Increased waiting time during the appointments were also described by four studies. Additionally, two studies mentioned the difficulties of accessing public transport and heavy reliance on private transport because of the physical inability associated with the wound.

Conclusion

This systematic review identified several challenges faced by patients with chronic wounds when attending medical appointments. Key issues include increased waiting times, and the excessive cost of appointments. Pain, discomfort, and physical limitations further complicated attendance, particularly for distant clinics, leading to reliance on expensive private transport. Additionally, three studies reported decreased quality of life. These findings highlight the need for more effective and convenient wound care services for patients.

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慢性伤口患者在参加与伤口护理相关的医疗预约时遇到哪些具体挑战？系统回顾

慢性伤口对患者和医疗保健专业人员构成重大挑战，包括发病率和相关费用。因此，有必要了解患者所面临的具体挑战，使伤口护理服务对患者群体更有效和方便。目的利用PEO模型，本系统综述旨在探讨慢性伤口患者在参加与伤口护理相关的医疗预约时遇到的具体挑战。方法于2024年4月系统检索MEDLINE、Ovid EMBASE、CINAHL数据库的相关文献，并对相关文献进行综述。采用了数据提取和叙述综合方法。循证图书馆学（EBL）检查表评估了纳入研究的方法学质量。主要结果是确定慢性伤口患者参加与伤口护理相关的医疗预约所面临的具体挑战。次要结局是确定伤口愈合进展、生活质量、伤口护理并发症和伤口护理不良反应。结果2014年至2024年间的6项研究描述了医院或诊所慢性伤口患者面临的具体挑战。所有六项研究都提到疼痛和不想要的身体活动共同影响了患者的日常生活和他们参加约会的能力。四项研究阐明了参加伤口护理预约和旅行的费用增加。四项研究也描述了预约期间等待时间的增加。此外，两项研究提到，由于受伤造成的身体残疾，乘坐公共交通工具很困难，严重依赖私人交通工具。结论：本系统综述确定了慢性伤口患者就诊时面临的几个挑战。主要问题包括等待时间的增加和预约费用过高。疼痛、不适和身体限制使就诊更加复杂，特别是到偏远的诊所就诊，导致对昂贵的私人交通工具的依赖。此外，有三项研究报告生活质量下降。这些发现强调了为患者提供更有效和方便的伤口护理服务的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.