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伤口护理中的同理心:对其在以患者为中心的愈合中的作用、影响及障碍的范围综述

Empathy in Wound Care: A Scoping Review of Its Role, Impact, and Barriers to Person-Centred Healing.

作者信息

Probst Sebastian, Menon Tejus, Stefanelli Alessio, Bergin Shan Maree, Brand Gabrielle, Tehan Peta

机构信息

Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Western Switzerland, Geneva, Switzerland.

Care Directorate, Geneva University Hospitals, Geneva, Switzerland.

出版信息

Int Wound J. 2025 Jun;22(6):e70687. doi: 10.1111/iwj.70687.

Abstract

Empathy plays an important role in delivering healthcare, influencing both patient outcomes and satisfaction. However, its role, impact, and barriers to implementation in wound care remain underexplored. This scoping review aims to synthesise existing literature on empathy in wound care, highlighting its contributions to person-centred healing. Following the Joanna Briggs Institute methodology, a systematic search was conducted across multiple databases in English, French, German and Italian. Eighteen studies published between 1946 and 2024 met the inclusion criteria. The review identified empathy as a fundamental element in wound care, improving adherence to treatment, reducing psychological distress, and enhancing wound healing through physiological and psychological mechanisms. However, systemic challenges including time constraints, lack of training, and resource limitations hinder its consistent application in clinical practise. This review highlights the need for enhanced education, training, and systemic support to integrate empathy into wound care. Future research should focus on developing validated strategies to adopt empathetic care, ensuring a holistic approach to patient management.

摘要

同理心在提供医疗保健服务中发挥着重要作用,它会影响患者的治疗效果和满意度。然而,其在伤口护理中的作用、影响及实施障碍仍未得到充分探索。本范围综述旨在综合现有关于伤口护理中同理心的文献,突出其对以患者为中心的愈合过程的贡献。按照乔安娜·布里格斯研究所的方法,在多个数据库中对英文、法文、德文和意大利文文献进行了系统检索。筛选出1946年至2024年间发表的18项研究,符合纳入标准。该综述确定同理心是伤口护理的基本要素,它通过生理和心理机制提高治疗依从性、减轻心理困扰并促进伤口愈合。然而,包括时间限制、缺乏培训和资源有限等系统性挑战阻碍了其在临床实践中的持续应用。本综述强调需要加强教育、培训和系统性支持,以便将同理心融入伤口护理。未来的研究应侧重于制定经过验证的策略来采用共情护理,确保对患者管理采取整体方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e6/12105876/44c775e02ba1/IWJ-22-e70687-g001.jpg

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