Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Denmark. Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Orthopedic Surgery and Traumatology, Hospital Lillebaelt - University Hospital of Southern Denmark, Kolding Hospital, Denmark.
Int J Orthop Trauma Nurs. 2022 Jul;46:100916. doi: 10.1016/j.ijotn.2021.100916. Epub 2021 Oct 29.
Worldwide, ankle fractures are among the most common fractures encountered in emergency departments. To inform healthcare professionals about what is important to patients when organizing an individualized, high-quality treatment plan, patient perspectives on treatment, care, and early rehabilitation are highly relevant. This longitudinal interview study aims to explore the perspectives of patients with surgically (ST) and conservatively (CT) treated ankle fractures within ten days and six weeks after an ankle fracture. Fourteen patients were interviewed using a semi-structured interview guide. Data were analyzed according to qualitative content analysis. Findings revealed themes regarding pain, independence, information, and worries about the future. Initially, all patients had a pragmatic attitude toward the future, but this attitude was significantly different after 6 weeks as many of the ST patients were still in pain and were more worried about the future. Patients' feelings of uncertainty were linked to a lack of information. Our findings indicate a need for further research to develop a more specific description of symptoms patients should expect as treatment progresses for patients with ankle fractures. With the goal of decreasing psycho-social concerns regarding mobility, autonomy, and working ability post fracture.
在全球范围内，踝关节骨折是急诊科最常见的骨折之一。为了让医疗保健专业人员了解在制定个体化、高质量治疗计划时患者的关注点，患者对治疗、护理和早期康复的看法非常重要。本纵向访谈研究旨在探讨在踝关节骨折后 10 天和 6 周内接受手术（ST）和保守（CT）治疗的踝关节骨折患者的观点。采用半结构式访谈指南对 14 名患者进行了访谈。根据定性内容分析对数据进行了分析。研究结果揭示了与疼痛、独立性、信息和对未来的担忧有关的主题。最初，所有患者对未来都持务实的态度，但 6 周后，许多 ST 患者仍有疼痛，对未来更加担忧，这种态度有了显著的不同。患者的不确定感与信息缺乏有关。我们的研究结果表明，需要进一步研究以更具体地描述患者在踝关节骨折治疗进展过程中应预期的症状。目标是减少骨折后对移动性、自主性和工作能力的心理社会担忧。
