EXPLORING RECOVERY EXPERIENCES OF PATIENTS FOLLOWING LOWER EXTREMITY FRACTURES: A QUALITATIVE THEMATIC ANALYSIS

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Olufemi O. Oyewole, Lateef O.A. Thanni, Michael O. Ogunlana, Adekunle A. Adebanjo, Abiola O. Fafolahan, Adesola C. Odole
Purpose:

To explore patients’ recovery experiences from LEF post-inpatient rehabilitation and what patients consider important when evaluating their recovery.

Methods:

A qualitative descriptive study was adopted to examine patients' experiences. Audio-recorded, open-ended, semi-structured in-depth interviews were conducted in person or via telephone to explore patients’ experiences. The interviews were conducted in English or Yoruba and transcribed verbatim. A purposive sample of LEF patients was interviewed until data saturation was achieved. The Atlas.ti (version 24) software package was employed to organize, store, and retrieve data, which was then collectively analyzed using inductive thematic data analysis. Trustworthiness strategies were employed to ensure quality, credibility, and rigor in this research. 

Results:

Ten patients extensively discussed their experiences. Four themes were identified related to personal experiences during recovery: 1) Impact on body function and structure; 2) Impact on functioning; 3) Impact on life situation participation; and 4) Social and psychological impact. Also, five themes related to what counts as important during recovery were documented: 1) pain relief and symptoms management; 2) restoring mobility and adaptation to lifestyle change; 3) occupational productivity and leisure and recreational re-engagement; 4) spiritual reconnection and worship; and 5) post-surgery outcomes.

Conclusion(s):

The results offer valuable insights into patients' experiences during their recovery from lower extremity fractures (LEFs). The health and functions of the participants were affected, with patients emphasizing the importance of a prompt return to pre-injury function and social and spiritual re-engagements. Including subjective aspects of healing valued by the patients may promote patient-centered rehabilitation.

Implications:

This study supports the need for clinical practice to have established guidelines for post-discharge recovery and implementation of a patient-centered model in healthcare.

Funding acknowledgements:
None
Keywords:
Lower extremity fracture
Recovery experiences
Qualitative study
Primary topic:
Musculoskeletal: lower limb
Second topic:
Orthopaedics
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Olabisi Onabanjo University Teaching Hospital Health Research Ethics Committee
Provide the ethics approval number:
OOUTH/HREC/368/2020AP
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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