Lived experiences of working-age polytrauma patients in Germany - A qualitative Analysis.

Injury

Academy for Traumatology (AUC) @ German Society of Traumatology, Straße des 17, Juni 106-108, Berlin, Germany.

Published: October 2024

AI Article Synopsis

  • Survivors of major trauma face various challenges affecting their physical, mental, and social well-being, ultimately impacting their quality of life, which the study investigates within the German healthcare system.
  • The research involved interviews with nine trauma survivors, highlighting key issues like poor communication between healthcare providers and the need for dedicated support contacts during recovery.
  • Findings emphasize the importance of social support from networks, including employers, as crucial for emotional healing and successful reintegration into work and life, with mobility playing a key role in enhancing overall quality of life.

Article Abstract

Background: 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.

Methods: 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).

Results: 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.

Discussion: 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.

Implications: These results might offer a deepened understanding of modifiable components of a patient pathway in recovery process such as improvements of patient communication, provision of a contact person and others.

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Source
http://dx.doi.org/10.1016/j.injury.2024.111938DOI Listing

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