The effects of a sacrococcygeal pilonidal sinus wound on activities of living: thematic analysis of participant interviews

Publisher:
Blackwell Publishing Ltd
Publication Type:
Journal Article
Citation:
Journal Of Clinical Nursing, 2011, 20 (21-22), pp. 3174 - 3182
Issue Date:
2011-01
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Aims and objective. To describe the effects sacrococcygeal pilonidal sinus wounds had on participants activities of living. Background. A sacrococcygeal pilonidal sinus commonly occurs in healthy young people and is associated with considerable morbidity and discomfort. Surgery is frequently required, and patients are often discharged home with large open wounds. Most research has addressed the technical aspects of surgery and treatment. Design. An interpretive descriptive approach guided by The Model of Living framework. Methods. Purposive sampling was used to recruit four women and seven men, age range 1739 years, from a metropolitan hospital in NSW, Australia. Data were collected through semi-structured interviews that were audio-taped, transcribed verbatim and analysed using thematic analysis. Results. Three themes and eight subthemes emerged from the analysis: (1) `Adaption included subthemes, learning to live with the wound, difficulty living with the wound and living life despite the wound; (2) `Perception embraced subthemes, embarrassment, lack of understanding and changed body image; and (3) `Control included subthemes, loss of control and gaining control. Participants whose pain was not managed, who were unprepared for the postoperative recovery at home or experienced delayed wound healing had most difficulty with activities of living. Conclusions. This research gives some insight into the pilonidal wound experience from the persons perspective. All activities of living were affected by the pilonidal sinus wound. The effect was variable and influenced by pain, embarrassment and a general lack of understanding about the condition and the care of the wound. The specific wound location was an underlying factor causing problems for participants.
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