Fall-related events in people who are lower limb prosthesis users: the lived experience

Fall-related events in people who are lower limb prosthesis users: the lived experience
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DOI:
10.1080/09638288.2021.1891467
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发表时间:
2021-02-17
影响因子:
2.2
通讯作者:
Sawers, Andrew
Sawers, Andrew
中科院分区:
医学3区
文献类型:
--
作者:
Kim, Janis;McDonald, Cody L.;Sawers, Andrew

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PurposeTo探索生活经验,并确定共同的主题,以及与跌倒相关的事件在下肢假肢(LLP)users.Materials和methodsFive焦点小组的LLP用户来自美国各地进行了远程通过视频或电话会议词汇。焦点小组的成绩单进行编码和分析,使用的方法从一个扎根的理论方法,以确定themes.ResultsFocus组的参与者(n = 25)描述的经验与秋天相关的事件,导致在识别六个主题:(1)与跌倒有关的事件的记忆是由时间和背景形成的,(2)位置和地面条件影响福尔斯是否发生,(3)某些活动具有更大的风险,(4)与跌倒相关的情况是多方面的,并且通常涉及假肢,(5)LLP使用者如何着陆,但不是他们下降的方式,倾向于变化,以及(6)不是所有的福尔斯都会影响LLP使用者,但一些接近福尔斯的情况会影响LLP使用者。他们如何跌倒、跌倒的结果是什么、以及跌倒的记忆保持得多好,可以增强对福尔斯的记录和报告,有助于改进跌倒风险评估工具的开发,并激发假体部件的设计和功能以保证患者安全。
PurposeTo explore lived experiences, and identify common themes as well as vocabulary associated with fall-related events in lower limb prosthesis (LLP) users.Materials and methodsFive focus groups of LLP users from across the United States were conducted remotely via video or tele-conferencing. Focus group transcripts were coded and analyzed using methods adapted from a grounded theory approach to identify themes.ResultsFocus group participants (n = 25) described experiences associated with fall-related events that resulted in the identification of six themes: (1) memories of fall-related events are shaped by time and context, (2) location and ground conditions influence whether falls occur, (3) some activities come with more risk, (4) fall-related situations are multi-faceted, and often involve the prosthesis, (5) how LLP users land, but not the way they go down, tends to vary, and (6) not all falls affect LLP users, but some near-falls do.ConclusionConsideration for where LLP users fall, what they are doing when they fall, how they fall, what occurs as a result of a fall, and how well memory of a fall persists may enhance recording and reporting of falls, contribute to development of improved fall risk assessment tools, and inspire the design and function of prosthetic componentry for patient safety.