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下肢损伤后有意义的患者结局的识别,第 1 部分:患者在康复过程中的体验。

Identifying Meaningful Patient Outcomes After Lower Extremity Injury, Part 1: Patient Experiences During Recovery.

机构信息

Athletic Training Program, University of Northern Iowa, Cedar Falls.

出版信息

J Athl Train. 2019 Aug;54(8):858-868. doi: 10.4085/1062-6050-232-18. Epub 2019 Aug 6.

DOI:10.4085/1062-6050-232-18
PMID:31386579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6756599/
Abstract

CONTEXT

Determining meaningful aspects of health is crucial for outcome assessment; however, limited literature exists on the aspects of health that are deemed meaningful by the athletic patient population.

OBJECTIVE

To identify experiences and meaningful outcomes after lower extremity (LE) musculoskeletal injury among collegiate athletes.

DESIGN

Qualitative study.

SETTING

University laboratory.

PATIENTS OR OTHER PARTICIPANTS

A purposive sample of 20 athletes (10 men, 10 women; age = 20.1 ± 1.83 years) from a National Collegiate Athletic Association Division I institution in the Midwest who had sustained an LE injury.

DATA COLLECTION AND ANALYSIS

Semistructured face-to-face interviews and inductive data analysis were conducted. Trustworthiness of the data was established using member checks and peer debriefing.

RESULTS

Four themes emerged from the data, revealing that physical changes, psychological changes, personal and lifestyle changes, and support were the most meaningful outcomes among athletes with an LE injury. The 4 themes were associated with 21 subthemes, indicating the complexity with which LE injury affects individuals.

CONCLUSIONS

Our findings demonstrate the importance of caring for the whole person. Athletic trainers must broaden their focus to provide the best patient care and consider the person's activities and life demands outside of athletic participation. The themes identified in this study provide a basis for selecting appropriate health markers and outcome measures.

摘要

背景

确定健康的有意义方面对于结果评估至关重要;然而,关于运动患者群体认为有意义的健康方面的文献有限。

目的

确定大学生运动员下肢(LE)肌肉骨骼损伤后的体验和有意义的结果。

设计

定性研究。

地点

大学实验室。

患者或其他参与者

中西部一所国家大学体育协会一级机构的 20 名运动员(10 名男性,10 名女性;年龄=20.1±1.83 岁),他们遭受了 LE 损伤。

数据收集和分析

进行了半结构化的面对面访谈和归纳数据分析。使用成员检查和同行讨论来建立数据的可信度。

结果

数据中出现了 4 个主题,表明物理变化、心理变化、个人和生活方式的变化以及支持是 LE 损伤运动员中最有意义的结果。这 4 个主题与 21 个子主题相关,表明 LE 损伤对个人的影响是复杂的。

结论

我们的研究结果表明了关注整个人的重要性。运动训练师必须扩大他们的关注范围,以提供最佳的患者护理,并考虑到患者在运动参与之外的活动和生活需求。本研究确定的主题为选择适当的健康标志物和结果测量提供了基础。

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