Yadav Santosh Kumar, Shrestha Suraksha
Department of Oral and Maxillofacial Surgery, College of Medical Sciences, Bharatpur, Chitwan, Nepal.
Department of Prosthodontics, College of Medical Sciences, Bharatpur, Chitwan, Nepal.
J Nat Sci Biol Med. 2017 Jan-Jun;8(1):40-45. doi: 10.4103/0976-9668.198358.
Patients are usually left in a vulnerable state after an accident. Because of this, they long for a good encounter when they are brought to the hospital. Physical impairment and psychological morbidities are some of the complications that can occur to them. Traditionally, surgeons tend to pay little attention to a patient's emotional and psychological perspective. The aim of this study was to understand the experience of oral and maxillofacial trauma patients due to road traffic accident right from immediate after the accident till the end of definitive treatment.
Phenomenological approach of qualitative study was used to explore these patients' experience. Twenty subjects involved in road traffic accidents without any cognitive impairment aged 18 and above were recruited. Purposive sampling was used to include maximal variation sample regarding age, gender, types of injury, and types of treatment received. Semi-structured and open-ended interview approach was used to obtain in-depth information.
Seven themes were identified to describe the patients' response to and experience after meeting with a road traffic accident; they are unreal experiences, emotional responses, need to inform and need for information, need for assistance, their perception toward the maxillofacial injury, their experience on treatment and staff-patient interaction.
This qualitative study has provided an in-depth understanding of patients experience during maxillofacial trauma and treatment, which otherwise cannot be obtained by the use of surveys and test questions.
事故发生后患者通常处于脆弱状态。因此,当他们被送往医院时,渴望有一次良好的就医体验。身体损伤和心理疾病是他们可能出现的一些并发症。传统上,外科医生往往很少关注患者的情感和心理状况。本研究的目的是了解道路交通事故导致的口腔颌面创伤患者从事故刚发生到确定性治疗结束后的经历。
采用定性研究的现象学方法来探究这些患者的经历。招募了20名年龄在18岁及以上、无任何认知障碍且涉及道路交通事故的受试者。采用目的抽样法纳入年龄、性别、损伤类型和接受治疗类型方面具有最大差异的样本。采用半结构化和开放式访谈方法获取深入信息。
确定了七个主题来描述患者在遭遇道路交通事故后的反应和经历;它们是不真实的经历、情绪反应、告知需求和信息需求、援助需求、他们对颌面损伤的认知、他们在治疗方面的经历以及医患互动。
这项定性研究深入了解了患者在颌面创伤和治疗期间的经历,而使用调查和测试问题则无法获得这些信息。