Wound Care : patients' perceptions of self-care learning needs

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dc.contributor.authorRoss, Donna Marieen_US
dc.date.accessioned2024-08-15T17:41:41Z
dc.date.available2024-08-15T17:41:41Z
dc.date.copyright1997en_US
dc.date.issued1997
dc.degree.departmentDepartment of Communication and Social Foundations
dc.degree.departmentDepartment of Curriculum and Instruction
dc.degree.levelMaster of Arts M.A.en
dc.description.abstractToday, patients are being discharged from hospital, as soon as they are able to manage their activities of daily living, and wound care if applicable. They are taught the particulars of wound care by nursing staff, but it is not known how they actually manage once they get home. The purpose of this exploratory research was to begin to understand the patients' experience in caring for their wound at home and to understand their perceived learning needs to accomplish that specific task. Four patients who required self-care of their wound (including incision care, dressing changes and managing a drainage tube) were individually interviewed to determine their experiences with wound care once they were home. One participant was interviewed with his wife who was the caregiver. Interviews took place one to two weeks after the patients ' discharge from hospital. Two patients were interviewed once, one was interviewed twice in person, and once on the telephone, and one was interviewed once in person, and once on the telephone. Each face-to-face interview was tape-recorded and transcribed for thematic analysis. Additional contextual data was obtained by interviewing nurses who were responsible for preparing the patient for discharge, and by the researcher's observations regarding the patient participant's actual wound management in the home. Of the four patient participants, three had Jackson-Pratt drains as well as their incisional dressings. One participant had a gastrostomy tube and incision. Principles of adult learning and the concept of psychoeducative care were incorporated into the analysis of the data. Psychoeducative care is that educative nursing ffunction that meets the skill, informational and support needs the patient requires to perform self-care. Five themes emerged from the study. "Normalcy" was their need to return to regular life, a return to feeling normal and well. "Decision and control" was the patients need for the ability to make decisions and have some control over events and circumstances. "Learning to do wound care" was their learning needs around managing their wound at home. "Help after discharge" was the need for some kind of resource to be accessed after discharge. "Pain management" was a need for information and resources related to managing their pain at home. Patients experienced varying degrees of preparation for self-care of their wound and drain. One patient participant was proactive and sought out information and experience, felt well prepared, and managed well at home. The other three received varying amounts and types of instructions and had difficulty managing their wound care. Recommendations are made for the improved preparation of patients for the self­care of their wound at home.
dc.format.extent118 pages
dc.identifier.urihttps://hdl.handle.net/1828/19516
dc.rightsAvailable to the World Wide Weben_US
dc.titleWound Care : patients' perceptions of self-care learning needsen_US
dc.typeThesisen_US

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