Eva-Maria Panfil, Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Veronika Gerber, Christian Hafner, Peter Kurz, Martin Motzkus, Robert Strohal, Jürg Traber, Sebastian Probst
{"title":"[以人为本的伤口护理:正当性与理论概念]。","authors":"Eva-Maria Panfil, Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Veronika Gerber, Christian Hafner, Peter Kurz, Martin Motzkus, Robert Strohal, Jürg Traber, Sebastian Probst","doi":"10.1007/s00391-025-02466-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>International associations advocate the care model of person-centered care (PCC) that focuses on people with chronic illnesses rather than on disease patterns.</p><p><strong>Objective: </strong>To present the concept and its legitimacy concerning the care of people with chronic wounds.</p><p><strong>Material and method: </strong>A narrative review, identification and analysis of review articles as well as conceptual foundations, practical examples and discussion of implementation.</p><p><strong>Results: </strong>The PCC is based on the health needs, expectations, values and commitments of persons and not on diseases, symptoms and clinical data. Key components include providing the affected individuals with the support and education needed to make decisions and participate in their own care. Evaluations of PCC implementation primarily measure components, such as communication or shared decision making and use patient-reported outcome measures (PROM) and patient-reported experience measures (PREM). The largest barriers to implementing the concept are a healthcare system focused on acute care, a lack of patient involvement in decision making, inadequate communication skills and disease-oriented attitudes. A successful implementation requires cultural, structural and organizational measures.</p><p><strong>Conclusion: </strong>Implementing PCC into the clinical practice requires commitment and perseverance. Organizations must be willing to engage in this approach. The German-Austrian-Swiss Wound Healing Organization (WundD.A.CH) has identified the promotion of its implementation as a key priority.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"511-516"},"PeriodicalIF":1.0000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454617/pdf/","citationCount":"0","resultStr":"{\"title\":\"[Person-centered wound care : Legitimation and theoretical concept].\",\"authors\":\"Eva-Maria Panfil, Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Veronika Gerber, Christian Hafner, Peter Kurz, Martin Motzkus, Robert Strohal, Jürg Traber, Sebastian Probst\",\"doi\":\"10.1007/s00391-025-02466-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>International associations advocate the care model of person-centered care (PCC) that focuses on people with chronic illnesses rather than on disease patterns.</p><p><strong>Objective: </strong>To present the concept and its legitimacy concerning the care of people with chronic wounds.</p><p><strong>Material and method: </strong>A narrative review, identification and analysis of review articles as well as conceptual foundations, practical examples and discussion of implementation.</p><p><strong>Results: </strong>The PCC is based on the health needs, expectations, values and commitments of persons and not on diseases, symptoms and clinical data. Key components include providing the affected individuals with the support and education needed to make decisions and participate in their own care. Evaluations of PCC implementation primarily measure components, such as communication or shared decision making and use patient-reported outcome measures (PROM) and patient-reported experience measures (PREM). The largest barriers to implementing the concept are a healthcare system focused on acute care, a lack of patient involvement in decision making, inadequate communication skills and disease-oriented attitudes. A successful implementation requires cultural, structural and organizational measures.</p><p><strong>Conclusion: </strong>Implementing PCC into the clinical practice requires commitment and perseverance. Organizations must be willing to engage in this approach. The German-Austrian-Swiss Wound Healing Organization (WundD.A.CH) has identified the promotion of its implementation as a key priority.</p>\",\"PeriodicalId\":49345,\"journal\":{\"name\":\"Zeitschrift Fur Gerontologie Und Geriatrie\",\"volume\":\" \",\"pages\":\"511-516\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454617/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zeitschrift Fur Gerontologie Und Geriatrie\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00391-025-02466-w\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zeitschrift Fur Gerontologie Und Geriatrie","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00391-025-02466-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/28 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
[Person-centered wound care : Legitimation and theoretical concept].
Background: International associations advocate the care model of person-centered care (PCC) that focuses on people with chronic illnesses rather than on disease patterns.
Objective: To present the concept and its legitimacy concerning the care of people with chronic wounds.
Material and method: A narrative review, identification and analysis of review articles as well as conceptual foundations, practical examples and discussion of implementation.
Results: The PCC is based on the health needs, expectations, values and commitments of persons and not on diseases, symptoms and clinical data. Key components include providing the affected individuals with the support and education needed to make decisions and participate in their own care. Evaluations of PCC implementation primarily measure components, such as communication or shared decision making and use patient-reported outcome measures (PROM) and patient-reported experience measures (PREM). The largest barriers to implementing the concept are a healthcare system focused on acute care, a lack of patient involvement in decision making, inadequate communication skills and disease-oriented attitudes. A successful implementation requires cultural, structural and organizational measures.
Conclusion: Implementing PCC into the clinical practice requires commitment and perseverance. Organizations must be willing to engage in this approach. The German-Austrian-Swiss Wound Healing Organization (WundD.A.CH) has identified the promotion of its implementation as a key priority.
期刊介绍:
The fact that more and more people are becoming older and are having a significant influence on our society is due to intensive geriatric research and geriatric medicine in the past and present. The Zeitschrift für Gerontologie und Geriatrie has contributed to this area for many years by informing a broad spectrum of interested readers about various developments in gerontology research. Special issues focus on all questions concerning gerontology, biology and basic research of aging, geriatric research, psychology and sociology as well as practical aspects of geriatric care.
Target group: Geriatricians, social gerontologists, geriatric psychologists, geriatric psychiatrists, nurses/caregivers, nurse researchers, biogerontologists in geriatric wards/clinics, gerontological institutes, and institutions of teaching and further or continuing education.