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- Title
Anal abscesses and fistulas: patient-centred care.
- Authors
Cierzniakowska, Katarzyna; Kozłowska, Elżbieta; Popow, Aleksandra; Strzyżewska, Beata; Mrozowski, Marcin
- Abstract
The aim of the study was to systematise the principles of care provided to patients with anal abscesses and fistulas based on the tenets of patient-centred care. The mainstay of treatment for anal abscesses and fistulas is surgery. The choice of therapy depends, among other factors, on the patient's clinical condition and the location and course of the fistula tract in relation to the sphincters and other anatomical structures. When considering a therapeutic approach, patients' preferences play an important role. After assessing the balance between treatment benefits and potential risks of complications, some patients choose to forgo radical surgical intervention and instead opt to live with an active fistula treated with a loose seton alone. However, continuous outpatient care is essential for all patients undergoing treatment for anal abscesses and fistulas. It involves monitoring the process of wound healing, changing dressings, and ongoing education regarding home wound care, dietary adjustments, managing bowel movements, post-bowel movement hygiene, and physical activity.
- Subjects
ANAL fistula; WOUND healing; PATIENT education; LIFESTYLES; HEALTH services accessibility; CROHN'S disease; DIFFERENTIAL diagnosis; BANDAGES &; bandaging; RADIATION injuries; SEX distribution; CONTINUUM of care; HYGIENE; PATIENT-centered care; ABSCESSES; QUALITY of life; WOUND care; SURGICAL dressings; PATIENT satisfaction; SOCIAL support; MEDICAL care costs; PATIENTS' attitudes; PERINEAL care
- Publication
Polish Journal of Wound Management / Leczenie Ran, 2023, Vol 20, Issue 4, p142
- ISSN
1733-4101
- Publication type
Article
- DOI
10.60075/lr.v20i4.52