"Don't rush into thinking of walking again": Patient views of treatment and disability following an open tibia fracture in Malawi.

Autor:	Schade AT; Public Health, Malawi-Liverpool-Wellcome Trust, Blantyre, Malawi.; Clinical Trials Unit, University of Warwick, Coventry, UK.; Trauma and Orthopaedics, Queen Elizabeth Central Hospital, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, UK., Sibande W; Public Health, Malawi-Liverpool-Wellcome Trust, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, UK., Kumwenda M; Public Health, Malawi-Liverpool-Wellcome Trust, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, UK., Desmond N; Public Health, Malawi-Liverpool-Wellcome Trust, Blantyre, Malawi.; Liverpool School of Tropical Medicine, Liverpool, UK., Chokotho L; Trauma and Orthopaedics, Queen Elizabeth Central Hospital, Blantyre, Malawi., Karasouli E; Clinical Trials Unit, University of Warwick, Coventry, UK., Metcalfe A; Clinical Trials Unit, University of Warwick, Coventry, UK., Harrison WJ; AO Alliance, Davos, Switzerland.
Jazyk:	angličtina
Zdroj:	Wellcome open research [Wellcome Open Res] 2022 Aug 09; Vol. 7, pp. 204. Date of Electronic Publication: 2022 Aug 09 (Print Publication: 2022).
DOI:	10.12688/wellcomeopenres.18063.1
Abstrakt:	Background: Open tibia fractures are a common injury following road traffic accidents in Malawi and can lead to long term disability. Very little is known about patients' experiences of the healthcare system and the disability in low-income countries following this injury. The aim of the study was to explore patient experiences of treatment and disability following an open tibia fracture in Malawi. Methods: A qualitative study was conducted using semi-structured interviews with ten patients with open tibia fractures at a central hospital in Blantyre, Malawi. A mixed deductive-inductive thematic analysis was used to identify broad themes of treatment and disability. Written informed consent was obtained from all participants. Results: Patient characteristics included an average age of 39.1 years old (22-63) and 80% were male. Broad themes found were delays in receiving treatment, change in individuals' societal role and delayed recovery associated with pain and immobility. Conclusions: Open tibia fractures in Malawi have a devastating impact on patients and their families. Further studies are required to explore the reasons for the delays in open fracture emergency treatment. Competing Interests: No competing interests were disclosed. (Copyright: © 2022 Schade AT et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu