Department of Nursing, School of Nursing and Midwifery, Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Front Public Health. 2024 Sep 4;12:1353342. doi: 10.3389/fpubh.2024.1353342. eCollection 2024.
Spinal cord injury is a devastating outcome for individuals and a major public health problem that leads to sensory, motor, and autonomic dysfunction and permanent disabilities. Thus, it is necessary to identify the causes of disability and injury both in the accident phase and in the post-accident phase. This study aimed to develop a theory based on which this complex environment can be discovered.
This research was a grounded theory study with the constant comparative analysis recommended by Corbin and Strauss in 2015. Participants in this study included 24 Participants were selected from Rofideh Rehabilitation Hospital and Shahid Jalaeipour Spinal Cord Injury Center of Tehran city in 2020. A semi-structured interview with an interview guide was used for data collection. Purposeful sampling method was performed within 10 months until data saturation. Lincoln and Guba's criteria were used to assess the scientific accuracy and validity of the study.
The results of interviews showed that "uncertainty" was identified as the most important concern of the injured people, and "trying to save the injured" was identified as the most important concern of the witnesses and families of the injured people. The main categories included "emotional interaction," "overwhelming anxiety," "the scene shock," "misunderstanding of the delay," "inadequate emergency service," and "insufficient understanding of the injury."
In a traffic accident, uncertainty about the situation is the main concern of everyone at the crash scene, from pre-hospital emergency personnel, traffic police, and law enforcement officer to the patient's companions and other witnesses. Further research is needed to shed more light on this issue.
脊髓损伤是个人的灾难性后果，也是导致感觉、运动和自主功能障碍及永久性残疾的主要公共卫生问题。因此，有必要确定事故阶段和事故后阶段导致残疾和损伤的原因。本研究旨在基于该复杂环境开发一个理论。
这是一项扎根理论研究，采用 2015 年 Corbin 和 Strauss 推荐的恒定性比较分析。本研究的参与者包括 2020 年从罗菲德康复医院和德黑兰沙希德·贾拉埃普尔脊髓损伤中心选择的 24 名参与者。使用访谈指南进行半结构化访谈以收集数据。在 10 个月内进行了目的性抽样，直到数据饱和。林肯和古巴的标准用于评估研究的科学准确性和有效性。
访谈结果表明，“不确定性”是受伤者最关心的问题，而“试图挽救受伤者”是受伤者的目击者和家属最关心的问题。主要类别包括“情绪互动”、“压倒性焦虑”、“现场冲击”、“对延迟的误解”、“紧急服务不足”和“对损伤的理解不足”。
在交通事故中，事故现场每个人对情况的不确定性是最主要的关注点，从院前急救人员、交通警察和执法人员到患者的同伴和其他目击者。需要进一步研究来更深入地了解这个问题。
