Tan K L, Lim L M, Chiu L H
School of Nursing & Midwifery, Victoria University, Doncaster East, Victoria, Australia.
Int Nurs Rev. 2008 Mar;55(1):110-6. doi: 10.1111/j.1466-7657.2007.00581.x.
The purpose of this paper is to present a study that explored the experiences of orthopaedic patients injured in motor vehicle accidents (MVAs), from the time of the accident until 6 months after being discharged from hospital.
Trauma injuries from MVAs are increasing, with the number of deaths from such injuries continuing to rise. Victims often sustain open fractures to more than one part of their body and need rehabilitation and support to adjust to long-term chronic or permanent disability. In the last decade, research pertaining to trauma nursing has concentrated on neurologically injured patients. Although there is a paucity of research on the nursing perspective of psychological care for non-neurologically injured patients, the majority of studies located were mainly quantitative in nature and did not analyse the personal experiences of orthopaedic patients.
A qualitative naturalistic inquiry approach was used, which provided a first-hand account of the traumatic MVA event experienced by six orthopaedic participants in Singapore. Data were collected from face-to-face in-depth interviews. Participants were voluntarily recruited through purposeful sampling and 'snowballing'. Interviews were audiotaped and transcribed verbatim in preparation for analysis.
The analysis of information explicated four main themes: the experience of the event, the effect of hospitalization, surviving the event and self-transformation.
The study provided an understanding of orthopaedic patients' experience of MVA in Singapore. The findings of the study have the potential to contribute to the limited qualitative research available concerning victims' experiences of MVAs and nurses caring for MVA victims.
本文旨在介绍一项研究,该研究探讨了机动车事故(MVA)中受伤的骨科患者从事故发生时到出院后6个月的经历。
机动车事故造成的创伤性损伤不断增加,此类损伤导致的死亡人数持续上升。受害者身体的多个部位常出现开放性骨折,需要康复和支持以适应长期的慢性或永久性残疾。在过去十年中,创伤护理方面的研究主要集中在神经损伤患者身上。尽管关于非神经损伤患者心理护理的护理视角研究较少,但已找到的大多数研究主要是定量研究,并未分析骨科患者的个人经历。
采用定性自然主义探究方法,该方法提供了新加坡六名骨科参与者所经历的创伤性机动车事故事件的第一手描述。数据通过面对面深度访谈收集。参与者通过目的抽样和“滚雪球”方式自愿招募。访谈进行录音并逐字转录以备分析。
信息分析得出四个主要主题:事件经历、住院影响、事件幸存和自我转变。
该研究增进了对新加坡骨科患者机动车事故经历的了解。该研究结果有可能为有关机动车事故受害者经历以及护理机动车事故受害者的护士的有限定性研究做出贡献。