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Thinking of the future and walking back to normal: an exploratory study of patients' experiences during recovery from lower limb fracture
Thinking of the future and walking back to normal: an exploratory study of patients’ experiences during recovery from lower limb fracture¶ Admission to hospital following a traumatic lower limb fracture is undoubtedly a stressful life event; however, few studies have detailed this from the patient’s...
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Published in: | Journal of advanced nursing 1998-12, Vol.28 (6), p.1276-1288 |
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description | Thinking of the future and walking back to normal: an exploratory study of patients’ experiences during recovery from lower limb fracture¶ Admission to hospital following a traumatic lower limb fracture is undoubtedly a stressful life event; however, few studies have detailed this from the patient’s perspective. By exploring patients’ experiences of hospitalization with lower limb trauma, this study aimed to explicate some of the factors impinging on the recovery trajectory. Patients’ perceptions of the events influencing their strategies for coping with stress, hospitalization and temporary incapacity were investigated using a qualitative methodology. A convenience sample of nine patients was recruited from an orthopaedic ward in a district general hospital in Wales. The respondents used health diaries to document their recovery for up to 6 weeks after emergency surgery. These diaries were validated and supplemented by semi‐structured interviews. Following their traumatic injuries, our respondents were subjected to a variety of stressors and uncertainties. They coped with this period of uncertainty by positive attempts to gain control over their situations, guided by an over‐riding desire to ‘return to normal’ and assisted by the caring attributes of their nurses. From the experiences and events documented, this study was able to identify several stressors which could have been mitigated by optimization of the technical aspects of care, including the management of pain. |
doi_str_mv | 10.1046/j.1365-2648.1998.00847.x |
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Dec 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4917-b39d804e5c7abfbbcdf0cc4751f2fe23133e26f58968cfda8df1b1b5f316326d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978,30979</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9888373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Griffiths, Howard</creatorcontrib><creatorcontrib>Jordan, Sue</creatorcontrib><title>Thinking of the future and walking back to normal: an exploratory study of patients' experiences during recovery from lower limb fracture</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Thinking of the future and walking back to normal: an exploratory study of patients’ experiences during recovery from lower limb fracture¶ Admission to hospital following a traumatic lower limb fracture is undoubtedly a stressful life event; however, few studies have detailed this from the patient’s perspective. By exploring patients’ experiences of hospitalization with lower limb trauma, this study aimed to explicate some of the factors impinging on the recovery trajectory. Patients’ perceptions of the events influencing their strategies for coping with stress, hospitalization and temporary incapacity were investigated using a qualitative methodology. A convenience sample of nine patients was recruited from an orthopaedic ward in a district general hospital in Wales. The respondents used health diaries to document their recovery for up to 6 weeks after emergency surgery. These diaries were validated and supplemented by semi‐structured interviews. Following their traumatic injuries, our respondents were subjected to a variety of stressors and uncertainties. They coped with this period of uncertainty by positive attempts to gain control over their situations, guided by an over‐riding desire to ‘return to normal’ and assisted by the caring attributes of their nurses. From the experiences and events documented, this study was able to identify several stressors which could have been mitigated by optimization of the technical aspects of care, including the management of pain.</description><subject>Activities of Daily Living</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Attitude to Health</subject><subject>Convalescence - psychology</subject><subject>Coping</subject><subject>Coping strategies</subject><subject>Diaries</subject><subject>Female</subject><subject>Fractures, Bone - psychology</subject><subject>Health care</subject><subject>health diary</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Interviews</subject><subject>Leg Injuries - psychology</subject><subject>lower limb fracture</subject><subject>Lower limbs</subject><subject>Male</subject><subject>medication</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Orthopaedic surgery</subject><subject>Orthopedics</subject><subject>pain monitoring</subject><subject>patient teaching</subject><subject>Patients</subject><subject>Physiology</subject><subject>recovery</subject><subject>Recovery (Medical)</subject><subject>Stress</subject><subject>stress and coping</subject><subject>Stress, Psychological - psychology</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Trauma</subject><subject>Walking - psychology</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkd9u0zAYxS0EGmXwCEgWF-wqwf9iO4ibaYMNVIaQiuDOchybpU3izk5o-wh7a5y16gUXwJU_6_zO-WQfACBGOUaMv1nmmPIiI5zJHJelzBGSTOTbR2B2FB6DGaKozAhD5Cl4FuMSIUwJISfgpJRSUkFn4H5x2_Srpv8JvYPDrYVuHMZgoe5ruNHtg1Jps4KDh70PnW7fJg3a7br1QQ8-7GAcxno32dd6aGw_xLNJtiHNxkZYj2EKCdb4XzbhLvgOtn5jA2ybrkp3baaVz8ETp9toXxzOU_Dtw_vFxXU2_3L18eJ8nhlWYpFVtKwlYrYwQleuqkztkDFMFNgRZwnFlFrCXSFLLo2rtawdrnBVOIo5Jbymp-Bsn7sO_m60cVBdE41tW91bP0YlOENFWXKSyNd_JXmJKUu_-E-wEAXlAk_gqz_ApR9Dn56rCCUFogyJBMk9ZIKPMVin1qHpdNgpjNTUvlqqqWQ1laym9tVD-2qbrC8P-WPV2fpoPNSd9Hd7fdO0dvffuerT-U0akj3b25s42O3RrsNKcUFFob7fXCmKFj--fr68VHP6G4v0zxw</recordid><startdate>199812</startdate><enddate>199812</enddate><creator>Griffiths, Howard</creator><creator>Jordan, Sue</creator><general>Blackwell Science Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>199812</creationdate><title>Thinking of the future and walking back to normal: an exploratory study of patients' experiences during recovery from lower limb fracture</title><author>Griffiths, Howard ; Jordan, Sue</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4917-b39d804e5c7abfbbcdf0cc4751f2fe23133e26f58968cfda8df1b1b5f316326d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Activities of Daily Living</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Attitude to Health</topic><topic>Convalescence - psychology</topic><topic>Coping</topic><topic>Coping strategies</topic><topic>Diaries</topic><topic>Female</topic><topic>Fractures, Bone - psychology</topic><topic>Health care</topic><topic>health diary</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Interviews</topic><topic>Leg Injuries - psychology</topic><topic>lower limb fracture</topic><topic>Lower limbs</topic><topic>Male</topic><topic>medication</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Orthopaedic surgery</topic><topic>Orthopedics</topic><topic>pain monitoring</topic><topic>patient teaching</topic><topic>Patients</topic><topic>Physiology</topic><topic>recovery</topic><topic>Recovery (Medical)</topic><topic>Stress</topic><topic>stress and coping</topic><topic>Stress, Psychological - psychology</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Trauma</topic><topic>Walking - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Griffiths, Howard</creatorcontrib><creatorcontrib>Jordan, Sue</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Griffiths, Howard</au><au>Jordan, Sue</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thinking of the future and walking back to normal: an exploratory study of patients' experiences during recovery from lower limb fracture</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>1998-12</date><risdate>1998</risdate><volume>28</volume><issue>6</issue><spage>1276</spage><epage>1288</epage><pages>1276-1288</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><coden>JANUDP</coden><abstract>Thinking of the future and walking back to normal: an exploratory study of patients’ experiences during recovery from lower limb fracture¶ Admission to hospital following a traumatic lower limb fracture is undoubtedly a stressful life event; however, few studies have detailed this from the patient’s perspective. By exploring patients’ experiences of hospitalization with lower limb trauma, this study aimed to explicate some of the factors impinging on the recovery trajectory. Patients’ perceptions of the events influencing their strategies for coping with stress, hospitalization and temporary incapacity were investigated using a qualitative methodology. A convenience sample of nine patients was recruited from an orthopaedic ward in a district general hospital in Wales. The respondents used health diaries to document their recovery for up to 6 weeks after emergency surgery. These diaries were validated and supplemented by semi‐structured interviews. Following their traumatic injuries, our respondents were subjected to a variety of stressors and uncertainties. They coped with this period of uncertainty by positive attempts to gain control over their situations, guided by an over‐riding desire to ‘return to normal’ and assisted by the caring attributes of their nurses. From the experiences and events documented, this study was able to identify several stressors which could have been mitigated by optimization of the technical aspects of care, including the management of pain.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>9888373</pmid><doi>10.1046/j.1365-2648.1998.00847.x</doi><tpages>13</tpages></addata></record> |
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subjects | Activities of Daily Living Adaptation, Psychological Adult Attitude to Health Convalescence - psychology Coping Coping strategies Diaries Female Fractures, Bone - psychology Health care health diary Hospitalization Humans Internal-External Control Interviews Leg Injuries - psychology lower limb fracture Lower limbs Male medication Middle Aged Nursing Nursing Methodology Research Orthopaedic surgery Orthopedics pain monitoring patient teaching Patients Physiology recovery Recovery (Medical) Stress stress and coping Stress, Psychological - psychology Surgery Surveys and Questionnaires Trauma Walking - psychology |
title | Thinking of the future and walking back to normal: an exploratory study of patients' experiences during recovery from lower limb fracture |
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