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创伤性手伤如何影响安全网医疗保健系统中的患者? 一个混合方法研究研究.
Robin T Higashi1, Jessica Lee2, Yadira Hernandez3
1Department of Social and Behavioral Sciences, O'Donnell School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Clinical orthopaedics and related research
|January 22, 2026
概括
创伤性手伤严重影响患者的财务和功能,造成情绪上的痛苦,并突出了医疗保健系统的挑战. 加强社会支持对于恢复和福祉至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 创伤性手部伤害不成比例地影响到工作年龄,低收入和没有保险的个人.
- 关于患者应对受伤后功能,经济和心理健康挑战的应对机制的理解有限.
- 临床医生和工作人员的观点可以阐明患者的负担,并为支持策略提供信息.
研究的目的:
- 评估手部创伤对财务健康的影响.
- 评估对身体健康和残疾的影响.
- 确定对情绪和心理健康的影响.
- 确定加剧患者压力的卫生系统挑战.
主要方法:
- 使用调查 (COST-FACIT,DASH,InCharge尺度) 和半结构面试进行描述性研究.
- 从安全网医院的门诊手术诊所招募患者.
- 通过采访收集了83名患者和26名患者/10名临床医生的数据.
主要成果:
- 22%的患者报告高财务毒性;65%的患者经历了严重的上肢残疾.
- 患者描述了对日常生活,财务和心理健康的影响.
- 共同的挑战包括不充分的财务流程和获得社会支持.
结论:
- 创伤性手部伤害导致财务,情感和日常生活的挑战.
- 术后社会服务支持需要加强强度和可持续性.
- 建议使用持续的查工具和社区推.
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