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一些(但不是全部)患者在 ACL 重建后经历了完全症状缓解和积极的康复过程:一项访谈研究。

Some, but not all, patients experience full symptom resolution and a positive rehabilitation process after ACL reconstruction: an interview study.

机构信息

Sportrehab, Sport Medicine Clinic, Gothenburg, Sweden.

Sahlgrenska Sports Medicine Center, Gothenburg, Sweden.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2023 Jul;31(7):2927-2935. doi: 10.1007/s00167-022-07271-1. Epub 2022 Dec 9.

DOI:10.1007/s00167-022-07271-1
PMID:36484809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10276088/
Abstract

PURPOSE

To gain a deeper understanding of patients' experiences over 5 years after anterior cruciate ligament (ACL) reconstruction.

METHODS

Seventeen semi-structured interviews were performed with patients treated with ACL reconstruction at least 5 years earlier without a second knee injury. Interviews were transcribed and analyzed using qualitative content analysis according to methods described by Graneheim and Lundman.

RESULTS

Patients' long-term experiences after an ACL reconstruction were summarized as: "to cope or not to cope, that is the question", and five main categories: (1) Adapting life after knee symptom: the past will not come back; (2) An arduous and demanding rehabilitation: sailing against the wind; (3) Accepting what cannot be changed: biting the bullet; (4) Being satisfied with results: end of a chapter; (5) Apprehensively peregrinating on an unknown road.

CONCLUSIONS

More than 5 years after ACL reconstruction, patients can experience full symptom resolution and the ACL injury process as positive, or experience persistent symptoms and are forced to accept negative life-changing choices due to the injury.

LEVEL OF EVIDENCE

IV.

摘要

目的

深入了解前交叉韧带(ACL)重建后 5 年以上患者的体验。

方法

对至少 5 年前接受 ACL 重建且无二次膝关节损伤的患者进行了 17 次半结构化访谈。根据 Graneheim 和 Lundman 描述的方法,对访谈内容进行转录和分析,采用定性内容分析法。

结果

ACL 重建后患者的长期体验可概括为:“应对还是不应对,这是个问题”,并分为五个主要类别:(1)膝关节症状后的生活适应:过去的不会回来;(2)艰苦而苛刻的康复:逆水行舟;(3)接受无法改变的事实:咬紧牙关;(4)对结果感到满意:结束一个篇章;(5)在未知的道路上担忧地徘徊。

结论

ACL 重建后 5 年以上,患者可能会经历完全缓解症状和 ACL 损伤过程是积极的,或者经历持续的症状,由于受伤而被迫接受消极的改变生活的选择。

证据水平

IV。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0efc/10276088/07bd4416a7e4/167_2022_7271_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0efc/10276088/07bd4416a7e4/167_2022_7271_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0efc/10276088/07bd4416a7e4/167_2022_7271_Fig1_HTML.jpg

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BMC Sports Sci Med Rehabil. 2022 Jun 15;14(1):106. doi: 10.1186/s13102-022-00499-x.
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