Evidence for person-centred care in chronic wound care : a systematic review and recommendations for practice

Gethin, Georgina (School of Nursing and Midwifery, Galway, Ireland ; Alliance for Research and Innovation in Wounds, Galway, Ireland ; Monash University, Australia) ; Probst, Sebastian (Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland) ; Stryja, Jan (Centre of Hospital Podlesi, the Czech Republic ; Podiatric outpatients’ department, The Czech Republic) ; Christiansen, Natalia (European Wound Management Association) ; Price, Patricia (Centre for Global Burn Injury Policy and Research, Swansea University ; Cardiff University)

Background : Chronic wounds affect an estimated 2.21 per 1000 population. They are a significant source of morbidity and affect individuals physically, psychologically, socially and financially. Person-centered care is one approach to improve patient outcomes in wound care as it values patients' perspectives, beliefs and autonomy and considers the person as a whole within the cultural context in which care is provided. Aim : We aimed to review the evidence on the use of person-centered care (PCC) in chronic wound care management and provide recommendations for practice and future research. Method : Using a systematic review methodology, we searched six databases for full-text papers from 2009–2019 published in peer-reviewed journals with no limits on language. Results : Eighteen articles on studies involving 3149 patients from nine countries were identified. Studies were conducted under three broad intervention categories: healthcare professional education (n=1); patient education (n=14) and telemedicine (n=3). Studies were equally focused on prevention and treatment of chronic wounds. Significant improvements were reported in patient knowledge, pain and self-care behaviours. Only two studies evaluated the impact on wound healing and one study estimated the cost of implementing person-centered care. Conclusions : The evidence base to support PCC in wound management is developing and based on our review has shown improved outcomes in areas of pressure ulcer prevention, patient satisfaction, patient knowledge and quality of life, but clinical outcomes such as wound healing were less well explored. Further research with more objective outcome measures are required.


Article Type:
scientifique
Faculty:
Santé
School:
HEdS - Genève
Institute:
Aucun institut
Date:
2020-09
Pagination:
24 p.
Published in:
Journal of Wound Care
Numeration (vol. no.):
2020, vol. 29 (suppl. 9b), pp. 1-23
DOI:
ISSN:
0969-0700
Appears in Collection:



 Record created 2020-12-14, last modified 2021-03-01

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