髋臼周围截骨术治疗髋臼发育不良后的康复:一项定性访谈研究,探讨丹麦和澳大利亚患者面临的挑战、希望和期望

Julie S. Jacobsen , Michael J.M. O'Brien , Jeanette Reffstrup Christensen , May Arna Risberg , Lachlan Milne , Jitendra Balakumar , Stig Storgaard Jakobsen , Inger Mechlenburg , Joanne Kemp
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引用次数: 0

摘要

导言已经提出了髋臼周围截骨术(PAO)术后康复指南,但尚未考虑接受 PAO 术者的观点。本研究旨在从居住在丹麦和澳大利亚的髋臼发育不良患者的角度,探讨他们所感受到的日常生活挑战以及对髋臼周围截骨术后康复的希望和期待。方法在这项定性研究中,我们采用诠释学现象学方法,通过半结构式访谈,探讨了 25 名年龄在 16-43 岁之间、接受过髋臼周围截骨术的参与者(4 名男性)的观点。我们采用了有目的的抽样,以提供年龄和性别上的差异。纳入标准为年龄在 15 岁以上、有髋臼发育不良的影像学证据、在过去七周内接受过 PAO 且正在进行术后康复。采用归纳式内容分析法对访谈进行编码和分析。结果对访谈记录的分析揭示了四个主要的主题:不同的期望、自信、量身定制的康复治疗和统一期望。在每个主题中都出现了几个次主题,在不同国家也发现了类似的模式,但略有不同。然而,自费手术和康复的经济负担给一些澳大利亚参与者带来了挑战,而丹麦参与者中没有一人提到这一挑战。研究结果特别强调了在设计康复方案时,个人和临床医生之间统一期望的重要性。
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Rehabilitation following periacetabular osteotomy for acetabular dysplasia: A qualitative interview study exploring challenges, hopes and expectations among patients in Denmark and Australia

Introduction

Guidelines have been proposed for post-operative rehabilitation following periacetabular osteotomy (PAO). However, the perspectives of individuals undergoing PAO have not been considered.

Aim

The present study aimed to explore the perceived challenges of everyday life and hopes for and expectations of post-PAO rehabilitation from the perspective of individuals with acetabular dysplasia living in Denmark and Australia.

Methods

In this qualitative study, we used a hermeneutic phenomenological approach with semi-structured interviews to explore the perspectives of 25 participants (four males), aged 16–43 years, who underwent a PAO. Purposeful sampling was used to provide variations in age and sex. Inclusion criteria were age above 15 years, radiographic evidence of acetabular dysplasia, PAO within the last seven weeks and undergoing post-operative rehabilitation. Inductive content analysis was adopted to code and analyse interviews.

Results

The analysis of the interview transcripts revealed four major themes: different expectations, self-confidence, tailored rehabilitation and aligning expectations. Several subthemes emerged within each theme, and similar patterns with minor variations were identified across countries. However, the financial burden of self-funded surgery and rehabilitation challenged some Australian participants, whereas none of the Danish participants mentioned this challenge.

Conclusion

Our findings elucidate the diverse range of hopes and expectations in individuals undergoing PAO, and how these relate to their perceived challenges. In particular, the findings highlight the importance of aligning expectations between individuals and clinicians when designing the rehabilitation.

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