Gethin G, Probst S, Stryja J, Christiansen N, Price P, et al.
Journal of wound care. Date of publication 2020 Sep 1;volume 29(Sup9b):S1-S22.
1. J Wound Care. 2020 Sep 1;29(Sup9b):S1-S22. doi: 10.12968/jowc.2020.29.Sup9b.S1.
Evidence for person-centred care in chronic wound care: A systematic review and
recommendations for practice.
Gethin G(1), Probst S(2), Stryja J(3), Christiansen N(4), Price P(5).
Author information:
(1)(Editor), Head of School. School of Nursing and Midwifery, NUI Galway, Galway,
Ireland, Alliance for Research and Innovation in Wounds, NUI Galway, Galway,
Ireland, Monash University, Melbourne, Australia.
(2)Professor of Tissue Viability and Wound Care, HES-SO University of Applied
Science and Arts Western Switzerland, Geneva School of Health Sciences, Geneva,
Switzerland.
(3)Vascular Surgeon, Centre of vascular and miniinvasive surgery, Hospital
Podlesi, Trinec, the Czech Republic. Salvatella Ltd., Centre of non-healing
wounds treatment, Podiatric outpatients' department, Trinec, The Czech Republic.
(4)Project Manager, The European Wound Management Association.
(5)Professor of Burn Injury Research, Centre for Global Burn Injury Policy and
Research, Swansea University and Emeritus Professor, 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.
DOI: 10.12968/jowc.2020.29.Sup9b.S1
PMID: 32935648
