Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Institute for Outcomes Research, Medical University of Vienna, Vienna, Austria.
Wien Klin Wochenschr. 2023 Jun;135(11-12):301-310. doi: 10.1007/s00508-022-02136-6. Epub 2023 Jan 3.
The aim of this study was to investigate the effects and consequences of surgical treatment of patients with musculoskeletal malignancies on everyday life.
A modified form of grounded theory was used for data collection and analysis. Data collection was systematic and analyzed simultaneously and 16 interviews were conducted: 2 narrative, 11 guided and 3 expert interviews (surgeon, physical therapist, support group). Data collection and analysis alternated until no new codes could be found. Once theoretical saturation was achieved, the main category was formed and described using the literature.
The main category results from the combination of all categories and leads to the core category. In the center is the affected person and in the immediate environment are the patient's relatives/partners. In the next instance the primary care physician is necessary to establish a sense of normalcy. This depends on the individuality of the person and the restored possibilities of movement.
Based on the results, the necessity of implementing psychosocial care involving the social environment is shown. The importance of relatives/partners for recovery is emphasized. Furthermore, the communication between the specialists and family physicians should be simplified.
本研究旨在探讨对患有肌肉骨骼恶性肿瘤的患者进行手术治疗对日常生活的影响和后果。
采用改进的扎根理论形式进行数据收集和分析。数据收集是系统的,同时进行分析,共进行了 16 次访谈:2 次叙述性访谈、11 次指导性访谈和 3 次专家访谈(外科医生、物理治疗师、支持小组)。数据收集和分析交替进行,直到无法找到新的代码为止。一旦达到理论饱和度,就会形成主要类别,并使用文献对其进行描述。
主要类别源自所有类别的组合,并导致核心类别。中心是受影响的人,周围是患者的亲属/伴侣。接下来,需要初级保健医生来建立正常感。这取决于个人的个性和恢复运动的可能性。
根据研究结果,表明需要实施涉及社会环境的社会心理护理。强调亲属/伴侣对康复的重要性。此外,应简化专家和家庭医生之间的沟通。