桡骨远端骨折后成人患者的经历--定性系统回顾

Caroline Moos , Charlotte Abrahamsen , Bjarke Viberg , Charlotte Myhre Jensen
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引用次数: 0

摘要

背景桡骨远端骨折是急诊科的常见病。从患者的角度对这种骨折的治疗、护理和康复进行定性研究,可以改善临床实践和护理。方法我们检索了Embase、MEDLINE、CINAHL、Psycinfo和CINAHL,以确定从数据库建立到2023年5月期间发表的定性研究。所有研究均由两名盲审稿人进行筛选、提取、分析和质量评估。结果 共纳入了 9 项研究,采访了 160 名患者。我们就桡骨远端骨折患者的经历确定了 3 个主题:1)对依赖性的担忧;2)恐惧和疼痛;3)康复的动力。这些主题并不是截然分开的,而是交织在一起的,患者反映更多的信息和知识可以帮助他们管理期望值和恢复期。我们的研究结果可为骨科单位提供参考,并有助于根据患者的需求调整信息。
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Adult patients' experiences after a distal radius fracture – A qualitative systematic review

Background

Distal radius fractures are a common presentation in emergency departments. Synthesis of qualitative research of treatment, care and rehabilitation this fracture presents from the patient perspective could improve clinical practice and care. The purpose of this systematic review was to synthesize the qualitative literature on patient experiences after sustaining a distal radius fracture.

Methods

We searched Embase, MEDLINE, CINAHL, Psycinfo and CINAHL to identify qualitative studies published from database conception to May 2023. All studies were screened, extracted, analysed and quality assessed by two blinded reviewers. A thematic synthesis approach was used to analyse the findings from included studies.

Results

A total of 9 studies interviewing 160 unique patients were included. We identified 3 themes in relation to patient experiences after sustaining a distal radius fracture: 1) Concerns about dependency, 2) Fear and pain and 3) Motivators for recovery. The themes did not exist as sharply demarcated topics but were intertwined with patients reflecting that more information and knowledge could assist in managing expectations and the recovery period.

Conclusion

Our synthesis highlighted that adult patients with DRF experience a lack of information about the care and treatment inhibiting independence and successful management of expectations due to pain, fear and lack of motivation. Our findings can inform orthopaedic units and assist in tailoring information to patient needs.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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