| Autor: |
Gray, C., Cole, M., Mein, G. |
| Předmět: |
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| Zdroj: |
British Journal of Occupational Therapy; 2016 Supplement, Vol. 79, p32-32, 1/2p |
| Abstrakt: |
External skeletal fixation using a circular frame is increasingly being used to treat complex lower limb injuries but is a long process and can be hampered by complications (Baschera et al. 2014, Lee et al., 2010). There is little research about patients' experiences during rehabilitation or the role of the occupational therapist in this area. The aim of this study was to understand how adults undergoing limb reconstruction following trauma managed their usual activities including activities of daily living, leisure and work activities. It also sought to explore participants' perceptions of the rehabilitation services they encountered. Using a descriptive qualitative approach, interviews were conducted with five people who were admitted to one London Major Trauma Centre and had had a circular frame on their leg for at least three months. Approval to conduct the study was gained from the National Research Ethics Committee. Four main themes were derived from the interview data using thematic analysis: feelings about the frame, understanding the frame, efforts made to maintain participation in usual activities, and managing rehabilitation. Having treatment with a circular frame presents significant challenges in daily life, as well as feelings of isolation and anxiety. Despite this participants demonstrated resilience and developed an array of adaptive strategies to maintain participation in their usual activities. However, participants also described variation in the rehabilitation services they received, with several patients having no access to an occupational therapist despite significant challenges in their daily lives. The study's findings highlight that the difficulties encountered during treatment with a circular frame can be overcome, and that occupational therapists could play a vital role in enabling trauma patients who have a circular frame to cope with the treatment as well as engage in their usual activities and roles. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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