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术前接受肩袖修复手术时的体验和认知的定性评估。

A qualitative assessment of experiences and perception during pre-admission for rotator cuff repair surgery.

机构信息

Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, Roma, 00128, Italy.

Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio- Medico di Roma, Via Alvaro del Portillo, 21, Roma, 00128, Italy.

出版信息

BMC Musculoskelet Disord. 2023 Apr 3;24(1):259. doi: 10.1186/s12891-023-06350-9.

Abstract

BACKGROUND

Rotator Cuff Related Shoulder Pain (RCRSP) is the most common type of shoulder pain and the most disabling common symptom in people with Rotator Cuff Tear (RCT). The patient's point of view concerning health status has become important in decision-making procedures and has therefore been considered a possible criterion standard for assessing treatment efficacy. The study aims to explore patients' experiences and perceptions during pre-admission for Rotator Cuff Repair surgery.

METHODS

A qualitative descriptive study was conducted using a phenomenological approach based on Husserl's philosophical perspective. A consecutive sample of twenty RCT patients awaiting repair surgery agreed to participate and was interviewed until the information was saturated. None of the patients enrolled was lost during the data collection phases. Data were collected through open-ended interviews between December 2021 and January 2022. The credibility, reliability, confirmability, and transferability criteria of Lincoln and Guba have been adopted to guarantee the trustworthiness of the results. The data analysis was conducted according to inductive content analysis.

RESULTS

Four main themes and sub-themes related to each have been identified from the phenomenological analysis. The major themes were: (1) Pain changes lifestyle habits, (2) Pain control requires specific strategies, (3) Suffering turns time into waiting, (4) Waiting for Surgery between trust and fear.

CONCLUSION

Investigating patients' experiences and the emotional impact of Rotator Cuff Tear facilitates the development of specific educational and therapeutic strategies to improve care and post-intervention outcomes.

摘要

背景

肩袖相关肩痛(RCRSP)是最常见的肩部疼痛类型,也是肩袖撕裂(RCT)患者最致残的常见症状。患者对健康状况的看法在决策过程中变得重要,因此被认为是评估治疗效果的可能标准。本研究旨在探讨肩袖修复术前患者的体验和感受。

方法

采用基于 Husserl 哲学观点的现象学方法进行定性描述性研究。连续纳入 20 名等待肩袖修复手术的 RCT 患者,同意参与并接受访谈,直到信息饱和。在数据收集阶段,没有患者失访。数据收集于 2021 年 12 月至 2022 年 1 月通过开放式访谈进行。为保证结果的可信度,采用了 Lincoln 和 Guba 的可信性、可靠性、可确认性和可转移性标准。数据分析根据归纳内容分析法进行。

结果

从现象学分析中确定了四个与每个主题相关的主要主题和子主题。主要主题为:(1)疼痛改变生活习惯,(2)控制疼痛需要特定策略,(3)痛苦将时间变成等待,(4)在信任和恐惧之间等待手术。

结论

研究肩袖撕裂患者的体验和情绪影响有助于制定特定的教育和治疗策略,以改善护理和干预后的结果。

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Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study.
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