Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector

Singapore's growing elderly population faces a rising burden of chronic wounds. Studies have shown the beneficial effects of shared wound management where the patient actively manages their wound with guidance from their healthcare professionals. However, this concept faces challenges due to pa...

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Main Authors: Ling Jia Goh BHSc (Nursing), MHA, MClin Res, Xiaoli Zhu PostGd Dip Wound, MN, PhD Candidate
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735241297491
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author Ling Jia Goh BHSc (Nursing), MHA, MClin Res
Xiaoli Zhu PostGd Dip Wound, MN, PhD Candidate
author_facet Ling Jia Goh BHSc (Nursing), MHA, MClin Res
Xiaoli Zhu PostGd Dip Wound, MN, PhD Candidate
author_sort Ling Jia Goh BHSc (Nursing), MHA, MClin Res
collection DOAJ
description Singapore's growing elderly population faces a rising burden of chronic wounds. Studies have shown the beneficial effects of shared wound management where the patient actively manages their wound with guidance from their healthcare professionals. However, this concept faces challenges due to patient resistance. This study investigates barriers hindering patients’ participation in self-wound care. Addressing these barriers to aid the development of targeted strategies can increase the uptake of self-wound care. A locally validated survey was conducted among 328 patients in the polyclinics to assess their hesitancy toward self-wound care. A lower score on the scale indicated a high hesitation toward the concept of self-wound care. Forty-five percent of the participants expressed hesitation toward self-care. Strong family support emerged as a crucial factor in encouraging participation. Conversely, concerns about improper technique, missed diagnoses, and wound infection were prevalent. Logistic difficulties also influenced anxieties. Younger patients and those with higher education exhibited less apprehension. Educational interventions, tailored to address anxieties and empower patients with proper techniques, are critical. Fostering communication within families and examining the process of acquiring wound dressing materials are crucial in overcoming these barriers to self-wound care.
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spelling doaj-art-1833fc22a2f347009a63adabfa8cfa312025-08-20T02:05:13ZengSAGE PublishingJournal of Patient Experience2374-37432024-11-011110.1177/23743735241297491Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare SectorLing Jia Goh BHSc (Nursing), MHA, MClin Res0Xiaoli Zhu PostGd Dip Wound, MN, PhD Candidate1 Nurse Manager, Department of Nursing, , Singapore Lee Kong Chian School of Medicine, Nanyang Technological University, SingaporeSingapore's growing elderly population faces a rising burden of chronic wounds. Studies have shown the beneficial effects of shared wound management where the patient actively manages their wound with guidance from their healthcare professionals. However, this concept faces challenges due to patient resistance. This study investigates barriers hindering patients’ participation in self-wound care. Addressing these barriers to aid the development of targeted strategies can increase the uptake of self-wound care. A locally validated survey was conducted among 328 patients in the polyclinics to assess their hesitancy toward self-wound care. A lower score on the scale indicated a high hesitation toward the concept of self-wound care. Forty-five percent of the participants expressed hesitation toward self-care. Strong family support emerged as a crucial factor in encouraging participation. Conversely, concerns about improper technique, missed diagnoses, and wound infection were prevalent. Logistic difficulties also influenced anxieties. Younger patients and those with higher education exhibited less apprehension. Educational interventions, tailored to address anxieties and empower patients with proper techniques, are critical. Fostering communication within families and examining the process of acquiring wound dressing materials are crucial in overcoming these barriers to self-wound care.https://doi.org/10.1177/23743735241297491
spellingShingle Ling Jia Goh BHSc (Nursing), MHA, MClin Res
Xiaoli Zhu PostGd Dip Wound, MN, PhD Candidate
Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
Journal of Patient Experience
title Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
title_full Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
title_fullStr Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
title_full_unstemmed Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
title_short Identifying the Barriers to Self-Wound Management in Singapore—A Preliminary Study in the Primary Healthcare Sector
title_sort identifying the barriers to self wound management in singapore a preliminary study in the primary healthcare sector
url https://doi.org/10.1177/23743735241297491
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