早期护理缺失：膝关节损伤患者与医护人员的受伤经历及治疗认知——一项定性访谈研究
An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study.
作者信息
Holm Pætur M, Simonÿ Charlotte, Brydegaard Nadia K, Høgsgaard Ditte, Thorborg Kristian, Møller Merete, Whittaker Jackie L, Roos Ewa M, Skou Søren T
机构信息
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark; Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
出版信息
Phys Ther Sport. 2023 Nov;64:32-40. doi: 10.1016/j.ptsp.2023.08.006. Epub 2023 Aug 30.
OBJECTIVES
To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.
DESIGN
Qualitative interviews.
SETTING
Public healthcare in Denmark.
PARTICIPANTS
Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).
MAIN OUTCOME MEASURE
Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.
RESULTS
The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.
CONCLUSION
Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.
目的
更好地理解膝关节损伤患者的初始受伤经历和护理需求，以及医疗保健专业人员与早期护理的互动情况。
设计
定性访谈。
地点
丹麦的公共医疗保健机构。
参与者
10名膝关节严重损伤患者（6名女性）（6例前交叉韧带（ACL）和半月板撕裂，2例单纯ACL撕裂，1例单纯半月板撕裂，1例髌骨脱位），年龄16 - 33岁（中位数19岁），受伤后1 - 26个月（中位数3个月）。13名医疗保健专业人员（5名物理治疗师，5名骨科医生，3名全科医生）。
主要观察指标
半结构化的个人访谈和焦点小组访谈，逐字转录并进行潜在主题分析。
结果
三个主要主题为：1）孤独中的情感挣扎——由于医疗保健专业人员提供情感支持的资源有限，膝关节损伤患者独自应对情绪问题。2）模糊的开端——膝关节损伤患者发现初始护理令人沮丧，医疗保健专业人员也有同感。3）没有地图的旅程——膝关节损伤患者持有不同的结果期望，而医疗保健专业人员在讨论膝关节长期健康问题时犹豫不决。
结论
膝关节损伤患者的早期护理充满担忧，情感和信息支持需求未得到满足。医疗保健专业人员需要更多支持和培训，以便提供及时且恰当的护理。
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