Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study

Yao Huang , Beiqian Mao , Jiale Hu , Bing Xu , Pengwen Ni , Lili Hou , Ting Xie

Burns & Trauma ›› 2021, Vol. 9 ›› Issue (1) : tkab046

PDF (397KB)
Burns & Trauma ›› 2021, Vol. 9 ›› Issue (1) :tkab046 DOI: 10.1093/burnst/tkab046
Research Article
research-article
Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study
Author information +
History +
PDF (397KB)

Abstract

Background: The study aimed to develop consensus on the components of health education of home-based negative pressure wound therapy (NPWT) for patients with chronic wounds. Methods: A Delphi method was used to achieve consensus on the components of health education and 75% agreement and coefficient of variation (CV) <0.25 were used as cutoff. Sixteen experts were recruited purposefully to finish this study. Results: Two rounds of consultation were implemented. Consensus was achieved on 36 of the 42 statements. The final agreed list of statements represented three domains: health education before carrying out home-based NPWT, health education for the treatment day of NPWT at hospital and health education for NPWT at home. Conclusions: This study was the first attempt to develop consensus on the comprehensive components of health education of home-based NPWT for patients with chronic wounds. According to the established framework and components of health education, wound professionals can safely and effectively implement health education of home-based NPWT for patients with chronic wounds and improve their self-care ability and treatment experience at home.

Keywords

Wound healing / Negative pressure wound therapy / Home care services / Delphi study / Chronic wound / Self-care

Cite this article

Download citation ▾
Yao Huang, Beiqian Mao, Jiale Hu, Bing Xu, Pengwen Ni, Lili Hou, Ting Xie. Consensus on the health education of home-based negative pressure wound therapy for patients with chronic wounds: a modified Delphi study. Burns & Trauma, 2021, 9 (1) : tkab046 DOI:10.1093/burnst/tkab046

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Hiskett G. Clinical and economic consequences of discharge from hospital with on-going TNP therapy: a pilot study. J Tissue Viability. 2010; 19: 16-21.

[2]

Rhee SM, Valle MF, Wilson LM, Lazarus G, Zenilman JM, Robinson KA. Negative pressure wound therapy technologies for chronic wound care in the home setting: a systematic review. Wound Repair Regen. 2015; 23: 506-17.

[3]

Wu SC, Armstrong DG. Clinical outcome of diabetic foot ulcers treated with negative pressure wound therapy and the transition from acute care to home care. Int Wound J. 2008; 5: 10-6.

[4]

Monsen C, Acosta S, Kumlien C. Patients experiences of negative pressure wound therapy at home for the treatment of deep perivascular groin infection after vascular surgery. J Clin Nurs. 2017; 26: 1405-13.

[5]

Bolas N, Holloway S. Negative pressure wound therapy: a study on patient perspectives. Br J Community Nurs. 2012; 17: S30-5.

[6]

Beitz JM, Van Rijswijk L. Content validation of algorithms to guide negative pressure wound therapy in adults with acute or chronic wounds: a cross-sectional study. Ostomy Wound Manage. 2012; 58: 32-40.

[7]

Bobkiewicz A, Banasiewicz T, Ledwosinski W, Drews M. Medical terminology associated with negative pressure wound therapy (NPWT). Understanding and misunderstanding in the field of NPWT. Negative pressure wound. Therapy. 2014; 2: 69-73.

[8]

Apelqvist J, Willy C, Fagerdahl AM, Fraccalvieri M, Malmsjö M, Piaggesi A, et al. EWMA document: negative pressure wound therapy: overview, challenges and perspectives. J Wound Care. 2017; 26: S1-154.

[9]

Upton D, Andrews A. Negative pressure wound therapy: improving the patient experience part 1 of 3. J Wound Care. 2013; 22: 552-7.

[10]

El-Sabbagh AH. Negative pressure wound therapy: an update. Chin J Traumatol. 2017; 20: 103-7.

[11]

Martindell D. The safe use of negative-pressure wound therapy. Am J Nurs. 2012; 112: 59-63.

[12]

Mendez-Eastman S. Guidelines for using negative pressure wound therapy. Adv Skin Wound Care. 2001; 14: 314-22 quiz 324-5.

[13]

Tamir E, Finestone AS, Wiser I, Anekstein Y, Agar G. Outpatient negative-pressure wound therapy following surgical debridement: results and complications. Adv Skin Wound Care. 2018; 31: 365-9.

[14]

Jones J, Hunter D. Consensus methods for medical and health services research. BMJ. 1995; 311: 376-80.

[15]

Heiko A.Consensus measurement in Delphi studies: review and implications for future quality assurance. Technol Forecast Soc Chang. 2012; 79: 1525-36.

[16]

Serena T, Bates-Jensen B, Carter MJ, Cordrey R, Driver V, Fife CE, et al. Consensus principles for wound care research obtained using a Delphi process. Wound Repair Regen. 2012; 20: 284-93.

[17]

Russell D, Atkin L, Betts A, Dowset C, Fatoye F, Gardne S, et al. Using a modified Delphi methodology to gain consensus on the use of dressings in chronic wounds management. J Wound Care. 2018; 27: 156-65.

[18]

Salutini E, Brocco E, Da Ros R, Monge L, Uccioli L, Anichini R. The complexity of diabetic foot management: from common care to best practice. The Italian expert opinion by Delphi survey. Int J low Extrem Wounds. 2020; 19: 34-43.

[19]

Young A, Brookes S, Rumsey N, Blazeby J. Agreement on what to measure in randomised controlled trials in burn care: study protocol for the development of a core outcome set. BMJ Open. 2017; 7: e017267. 10.1136/bmjopen-2017-017267.

[20]

Gordon M, Mahriner A. Nursing diagnosis: process and application. Am J Nurs. 1983; 83: 315-8.

[21]

Murphy F. A care study exploring a patient’s non-compliance to haemodialysis. Br J Nurs. 2006; 15: 773-6.

[22]

Khatiban M, Tohidi S, Shahdoust M. The effects of applying an assessment form based on the health functional patterns on nursing student’s attitude and skills in developing the nursing process. Int J Nurs Sci. 2019; 6: 329-33.

[23]

Türen S, Enc N. A comparison of Gordon’s functional health patterns model and standard nursing care in symptomatic heart failure patients: a randomized controlled trial. Appl Nurs Res. 2020; 53: 151247. 10.1016/j.apnr.2020.151247.

[24]

Bonfiglio V, Reibaldi M, Macchi I, Fallico M, Pizzo C, Patane C, et al. Preoperative, intraoperative and postoperative corticosteroid use as an adjunctive treatment for Rhegmatogenous retinal detachment. J Clin Med. 2020; 9: 1556. 10.3390/jcm9051556.

[25]

Huang Y, Hu J, Mao B, Shou Y, Hou L, Xie T. Perspectives on the process of negative pressure wound therapy at home in patients with chronic wound: a qualitative descriptive study. Int J low Extrem. Wounds. 2020;1534734620946577. 10.1177/1534734620946577.

[26]

McPherson S, Reese C, Wendler MC. Methodology update: Delphi studies. Nurs Res. 2018; 67: 404-10.

[27]

Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008; 62: 107-15.

[28]

Benbow M. Understanding safe practice in the use of negative pressure wound therapy in the community. Br J Community Nurs. 2016; 21: S32-4.

[29]

Kaufman-Rivi D, Hazlett AC, Hardy MA, Smith JM, Seid HB. Provider experiences with negative-pressure wound therapy systems. Adv Skin Wound Care. 2013; 26: 311-8.

[30]

Ousey K, Milne J. Negative pressure wound therapy in the community: the debate. Br J Community Nurs. 2009; 14: S4-10.

[31]

Ousey K, Milne J. Focus on negative pressure: exploring the barriers to adoption. Br J Community Nurs. 2010; 15: 121-4.

[32]

Mendez-Eastman S. New treatment for an old problem: negative-pressure wound therapy. Nursing. 2002; 32: 58-64.

[33]

Mendez-Eastman S. Using negative-pressure wound therapy for positive results. Nursing. 2005; 35: 48-50.

[34]

Salcido RS.The day of discharge: transformation, processes, or outcome. Adv Skin Wound Care. 2010; 23: 248.

[35]

Ousey KJ, Milne J. Exploring portable negative pressure wound therapy devices in the community. Br J Community Nurs. 2014; 19: S14-20.

[36]

Borys S, Hohendorff J, Frankfurter C, Kiec-Wilk B, Malecki MT. Negative pressure wound therapy use in diabetic foot syndrome-from mechanisms of action to clinical practice. Eur J Clin Invest. 2019; 49: e13067. 10.1111/eci.13067.

PDF (397KB)

0

Accesses

0

Citation

Detail

Sections
Recommended

/

〈 〉