康复:一项关于桡骨远端移位骨折后一年内孩子康复情况的定性研究。

IF 2.8 Q1 ORTHOPEDICS Bone & Joint Open Pub Date : 2024-05-21 DOI:10.1302/2633-1462.55.BJO-2024-0024
Emma E Phelps, Elizabeth Tutton, Matthew L Costa, Juul Achten, Phoebe Gibson, Amy Moscrop, Daniel C Perry
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引用次数: 0

摘要

目的:本研究旨在探讨家长对孩子康复的感受,以及他们在决定让孩子参加桡骨远端移位骨折手术与非手术石膏固定随机对照试验(RCT)时的想法:来自 13 家参与随机对照试验医院的 20 位患儿家长参加了伤后 5 至 11 个月的访谈。访谈以现象学为基础,采用主题分析法进行分析:分析结果确定了 "正在康复 "这一主题,它传达了以下信息1) 家长接受并相信他们的孩子得到了最好的治疗;2) 他们对受伤给孩子带来的心理影响的记忆;3) 他们对孩子如何应对石膏并恢复活动感到自豪。孩子的康复过程由三个经验要素支撑:接受治疗、支持孩子克服康复过程中的挑战以及欣赏孩子的恢复能力。这些研究结果扩展了我们的研究框架,强调了父母在孩子受伤早期恢复过程中保护孩子的愿望,包括做出正确的决定、担心孩子的恢复以及安慰孩子:结论:受伤一年后,两个治疗组的家长都认为他们的孩子已经 "康复"。结论:受伤一年后,两个治疗组的家长都认为自己的孩子 "康复 "了,他们已经克服了早期对伤口愈合、手腕外观和拆除石膏后的应对等问题的担忧。在康复期间为家庭提供更多的教育支持将使家长和孩子能够应对康复过程中的不确定性,尤其是解决丧失信心、担心再次受伤和手腕外观等问题。
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Being recovered: a qualitative study of parents' experience of their child's recovery up to a year after a displaced distal radius fracture.

Aims: The aim of this study was to explore parents' experience of their child's recovery, and their thoughts about their decision to enrol their child in a randomized controlled trial (RCT) of surgery versus non-surgical casting for a displaced distal radius fracture.

Methods: A total of 20 parents of children from 13 hospitals participating in the RCT took part in an interview five to 11 months after injury. Interviews were informed by phenomenology and analyzed using thematic analysis.

Results: Analysis of the findings identified the theme "being recovered", which conveyed: 1) parents' acceptance and belief that their child received the best treatment for them; 2) their memory of the psychological impact of the injury for their child; and 3) their pride in how their child coped with their cast and returned to activities. The process of recovery was underpinned by three elements of experience: accepting the treatment, supporting their child through challenges during recovery, and appreciating their child's resilience. These findings extend our framework that highlights parents' desire to protect their child during early recovery from injury, by making the right decision, worrying about recovery, and comforting their child.

Conclusion: By one year after injury, parents in both treatment groups considered their child "recovered". They had overcome early concerns about healing, the appearance of the wrist, and coping after cast removal. Greater educational support for families during recovery would enable parents and their child to cope with the uncertainty of recovery, particularly addressing the loss of confidence, worry about reinjury, and the appearance of their wrist.

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来源期刊
Bone & Joint Open
Bone & Joint Open ORTHOPEDICS-
CiteScore
5.10
自引率
0.00%
发文量
0
审稿时长
8 weeks
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