Lived experiences of working-age polytrauma patients in Germany - A qualitative Analysis
•Friends and family are important anchor points throughout the process and can help to overcome gaps in the healthcare system.•Mobility is a key factor for quality of life, self-efficacy & return to work.•There are many obstacles in the communication in the healthcare system and the desire for a...
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Veröffentlicht in: | Injury 2025-01, Vol.56 (1), p.111938, Article 111938 |
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Sprache: | eng |
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Zusammenfassung: | •Friends and family are important anchor points throughout the process and can help to overcome gaps in the healthcare system.•Mobility is a key factor for quality of life, self-efficacy & return to work.•There are many obstacles in the communication in the healthcare system and the desire for a contact person in the hospital is very high.•Support from the employer/colleagues is central to returning to work.•The psychological consequences of major trauma are factors such as the fears and uncertainties concerning the future, the emotional burden of trauma as well as the emotional strain on the social network.
Survivors of a major trauma experience a range of difficulties in relation to the reduction in physical, psychosocial, and cognitive functions, which can result in a reduced health-related quality of life. This study aims to explore lived experiences of major trauma survivors in the German healthcare system.
Semi-structured exploratory interviews were performed with nine major trauma survivors (18–55 years; Injury Severity Score ≥16). For exploratory analyses, an artificial intelligence-based coding software was used. Further, results were clustered by using the International Classification of Functioning, Disability and Health framework (ICF).
Communication was one of the major topics concerning amongst others diverting opinions between different healthcare disciplines and a general lack of information. The participants showed a high demand for a contact person. Furthermore, social support was essential during recovery for those interviewed. Social network was not only important as emotional and physical support but also for overcoming of gaps in the healthcare system. The support by employers and colleagues seemed to be beneficial for our participants in relation to returning to work. Further, psychological consequences of trauma, and that mobility is a key factor for quality of life, self-efficacy and return to work were discussed.
The qualitative analyses highlight several topics such as communication, burden of sickness, support systems that the participants mentioned as important along their journey through the German healthcare system during recovery. Through the ICF model the interplay of certain components that influenced the outcome of the major trauma survivors was visualized.
These results might offer a deepened understanding of modifiable components of a patient pathway in recovery process such as improvements of patient communication, pro |
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ISSN: | 0020-1383 1879-0267 1879-0267 |
DOI: | 10.1016/j.injury.2024.111938 |