"I Don't Do Anything; I'm Just Being Taken Care Of": Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania.
"I Don't Do Anything; I'm Just Being Taken Care Of": Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania.
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DOI：
10.3390/traumacare2020028
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发表时间：
2022-06
期刊：
影响因子：
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通讯作者：
Bettger JP
中科院分区：
文献类型：
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作者：
Tupetz A;Barcenas LK;Isaacson JE;Nickenig Vissoci JR;Gerald V;Kingazi JR;Mushi I;Peter TA;Staton CA;Mmbaga BT;Bettger JP
在因创伤出院后，患者和他们的照顾者面临着一段更加脆弱的时期。这一调整阶段的特点很差，特别是在低收入和中等收入国家。我们探讨了坦桑尼亚北部因创伤住院的患者和他们的照顾者的经历。在乞力马扎罗基督教医疗中心接受创伤护理的患者和他们的照顾者被选为2019年1月至2019年12月期间的便利样本的一部分。分析师开发了一个代码本；随后创建了内容和分析备忘录。然后，我们应用生物-心理-社会模型来进一步描述我们的发现。参与者包括26名患者和11名照顾者。患者大多为中年(平均年龄37.7岁)男性(80.8%)，居住在城市(57.7%)，在道路交通事故中受伤(65.4%)，以及需要手术(69.2%)。大多数照顾者是女性。出现了七个主要主题：疼痛、身体功能下降、情绪健康不良、缺乏支持、日常活动的挑战、经济压力以及获得医疗保健的障碍。这项研究描述了因创伤住院后重返社区的一些困难。我们的工作证明了混合方法方法在描述和解决护理过渡挑战方面的重要性。
After discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of patients and their caregivers in Northern Tanzania after hospitalization for a traumatic injury. Patients who received care for traumatic injury at the Kilimanjaro Christian Medical Center and their caregivers were selected as part of a convenience sample from January 2019 to December 2019. Analysts developed a codebook; content and analytic memos were subsequently created. We then applied the biopsychosocial model to further characterize our findings. Participants included 26 patients and 11 caregivers. Patients were mostly middle-aged (mean age 37.7) males (80.8%), residing in urban settings (57.7%), injured in road traffic accidents (65.4%), and who required surgery (69.2%). Most caregivers were female. Seven major themes arose: pain, decreased physical functioning, poor emotional health, lack of support, challenges with daily activities, financial strain, and obstacles to accessing healthcare. This study describes some of the difficulties transitioning back into the community after hospitalization for traumatic injury. Our work demonstrates the importance of mixed methods approaches in characterizing and addressing transitions of care challenges.