A multicentre qualitative study of patient perceptions and experiences with secondary intention wound healing and skin grafting (PERCEIVE) across the United Kingdom and the Republic of Ireland.
Puo Nen Lim, Jenny Caesar, Garret O'Connell, William Thomas Nicholas Hunt, Mohanad Aldiwani, Dushyanth Gnanappiragasam, Mun-Wai Lam, Gregory Parkins, Martin Porter, Rachel Abbott, Michael O'Connell, Thomas Oliphant, Simon Tso, Aaron Wernham
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引用次数: 0
Abstract
Background: For skin surgical sites that cannot be closed directly, alternative methods such as secondary intention healing (SIH) and full thickness skin grafting (FTSG) are utilised. Published literature on wound closure methods are primarily focused on objective outcomes such as healing time, cosmesis and postoperative complications. There is a paucity of literature exploring patient experiences with these wound reconstructive modalities.
Objectives: To explore patient experiences of skin surgery with SIH and FTSG.
Methods: This is a multi-centre interview based qualitative study involving 6 sites across the UK and the Republic of Ireland. One-to-one semi-structured interviews were conducted with patients who had an open surgical wound (for SIH) or a FTSG following excision of keratinocyte cancers. Patients were interviewed twice: one within a week post-surgery and another three months later. Audio recordings of interviews were transcribed verbatim and analysed using the six-step thematic analysis method by Braun and Clarke.
Results: 24 patients (19 males and 5 females; 12 SIH and 12 FTSG) with histologically confirmed keratinocyte cancers took part in the first interview. Age ranged 44 to 88 years. There were 22 completed second round interviews. Four key themes emerged: perception of overall quality of care (non-clinical), pre-operative experience, intra-operative experience, and post-operative experience. The first time patients visualised their surgical wound when changing dressing was a critical moment in their journey.
Conclusion: Patient experiences with skin surgery are highly individualised. Addressing their information needs, including those related to ancillary, and involving them in shared decision-making can enhance patient satisfaction.
期刊介绍:
Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.