Qualitative Study: Pressure Ulcer Prevention

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Qualitative Study The research article "What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors" was recently published (2012) in the Journal of Tissue Viability by Gorecki, Nixon, Madill, Firth, and Brown. This is a qualitative study. Summary The authors were concerned with health-related quality of life (HRQL) and how pressure ulcers impact the patient's subjective experience of care, because overall health care outcomes may be influenced by the interaction between disease burden and patient compliance. Thirty adult patients in hospital, rehabilitation, or community care in England and Ireland were recruited for the study. Inclusion in the study required being under the care of a tissue viability nurse. Six 'experience of care' factors were identified as affecting adherence to treatment. Patient perceived quality of care was negatively affected by hospitalization, care inconsistencies, inadequate pain management, uncomfortable pressure-relieving devices, bed-rest for pressure ulcer treatment, and poor interactions with caregiver. Improved patient education concerning treatment and pressure ulcer etiology, and the perception that the caregiver was competent, promoted adherence to treatment. On the other side of the equation, patient lack of motivation for self-care, preoccupation with pressure ulcer risk and treatment, inaccurate information about treatments and causation, lack

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