title: Implications for better nursing practice: psychological aspects of patients undergoing post-operative wound care.
abstract: OBJECTIVE
  To understand the psychological aspects in patients undergoing post-operative wound care and to gain insights for improving nursing practice.
  
  
  BACKGROUND
  Very few studies have examined education on or practice of wound care with a view towards the patient's psychology.
  
  
  METHODS
  Descriptive exploratory qualitative study.
  
  
  METHODS
  Four patients who had undergone open surgery of the upper gastrointestinal tract were interviewed using a semi-structured format to gain an understanding of their feelings and opinions with regard to wound care. Interview transcripts were analysed using an inductive coding approach.
  
  
  RESULTS
  Fifteen categories of responses were finally identified from the data. Patients wanted nursing staff to observe their wound more often so that patients could recognise improvement, to have better knowledge of the patient's disease and condition, to explain the patient's situation more completely and to appropriately answer questions. Patients also said that they felt more comfortable in posing questions or concerns regarding their condition to nursing staff than to their surgeons and did so while the wounds were being taken care of by nurses.
  
  
  CONCLUSIONS
  These findings suggested the importance of nursing staff to fully understand and to be ready to share feelings regarding a patient's postoperative condition and to have skills in properly explaining the importance of each procedure or steps in treatments that a patient must undergo. The present study also indicates that it is imperative for nursing staff to learn methods to build relationships with patients so that they can express their feelings of fear or anxiety freely to nurses.
  
  
  CONCLUSIONS
  It is not possible to develop nursing practice without understanding psychological aspects of patients undergoing postoperative wound care.
authors.affiliation: Jichi Medical University School of Nursing, Shimotsuke, Tochigi, Japan. murarei@jichi.ac.jp
authors.forename: Reiko
authors.initials: R
authors.lastname: Murakami
authors.forename: Mizue
authors.initials: M
authors.lastname: Shiromaru
authors.forename: Reiko
authors.initials: R
authors.lastname: Yamane
authors.forename: Hiroko
authors.initials: H
authors.lastname: Hikoyama
authors.forename: Mikiyo
authors.initials: M
authors.lastname: Sato
authors.forename: Natsuko
authors.initials: N
authors.lastname: Takahashi
authors.forename: Sumie
authors.initials: S
authors.lastname: Yoshida
authors.forename: Misuzu
authors.initials: M
authors.lastname: Nakamura
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kojima
mesh_terms: D006801:Humans; D008875:Middle Aged; D009740:Nursing Staff / Q000592:standards*; D011182:Postoperative Care; D036301:Qualitative Research; D014947:Wounds and Injuries / Q000451:nursing* / Q000523:psychology