Pendulating-A grounded theory explaining patients' behavior shortly after having a leg amputated due to vascular disease.

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Riis Madsen, UllaDepartment of Orthopedic Surgery, Slagelse & Holbæk Hospital, Region Sjaelland, Denmark (författare)

Pendulating-A grounded theory explaining patients' behavior shortly after having a leg amputated due to vascular disease.

Artikel/kapitelEngelska2016

Förlag, utgivningsår, omfång ...

2016-09-16
London :Taylor & Francis,2016
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:kau-48078
https://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-48078URI
https://doi.org/10.3402/qhw.v11.32739DOI
https://lup.lub.lu.se/record/9f53162f-d578-47f9-8bcd-a75baac50e26URI
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-55967URI

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Språk:engelska
Sammanfattning på:engelska

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Introduction Although the group of vascular leg amputated patients constitutes some of the most vulnerable and frail on the orthopedic wards, previous research of amputated patients has focused on patients attending gait training in rehabilitation facilities leaving the patient experience shortly after surgery unexplored. Understanding patients' behavior shortly after amputation could inform health professionals in regard to how these vulnerable patients' needs at hospital can be met as well as how to plan for care post-discharge. Aim To construct a grounded theory (GT) explaining patients' behavior shortly after having a leg amputated as a result of vascular disease. Method In line with constructivist GT methodology, data from ethnographic observations and interviews were simultaneously collected and analyzed using the constant comparative method covering the patients' experiences during the first 4 weeks post-surgery. Data collection was guided by theoretical sampling and comprised 11 patients. A GT was constructed. Results Patients went through a three-phased process as they realized they were experiencing a life-changing event. The first phase was "Losing control" and comprised the sub-categories "Being overwhelmed" and "Facing dependency." The second phase was "Digesting the shock" and comprised the sub-categories "Swallowing the life-changing decision," "Detecting the amputated body" and "Struggling dualism." The third phase was "Regaining control" and comprised the sub-categories "Managing consequences" and "Building-up hope and self-motivation." "Pendulating" was identified as the core category describing the general pattern of behavior and illustrated how patients were swinging both cognitively and emotionally throughout the process. Conclusion The theory of "Pendulating" offers a tool to understand the amputated patients' behavior and underlying concerns and to recognize where they are in the process. Concepts from the theory could be used by health professionals who support patients coping with the situation by offering terms to express and recognize patients' reactions.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Adaption
coping
dysvascular amputees
grounded theory
life situation
orthopedic nursing
pendulating
post-operative care
psycho-social needs
quality of life
Nursing Science
Omvårdnad
Adaption
Coping
Dysvascular amputees
Grounded theory
Life situation
Orthopedic nursing
Pendulating
Post-operative care
Psycho-social needs
Quality of life

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hommel, AmiLund University,Lunds universitet,Vård i högteknologisk miljö,Forskargrupper vid Lunds universitet,Care in high technological environments,Lund University Research Groups,Faculty of Health, Department of Health Sciences, Lund University, Lund, Sweden(Swepub:mau)af4839 (författare)
Bååth, Carina,1959-Karlstad University,Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Faculty of Health, Department of Health Sciences, Karlstad University, Karlstad, Sweden(Swepub:kau)caribaat (författare)
Berthelsen, Connie BøttcherInstitute of Health, Section of Nursing, Aarhus University, Aarhus, Denmark (författare)
Department of Orthopedic Surgery, Slagelse & Holbæk Hospital, Region Sjaelland, DenmarkVård i högteknologisk miljö (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal of Qualitative Studies on Health and Well-beingLondon : Taylor & Francis11:11748-26231748-2631

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Av lärosätet: Karlstads universitet; Lunds universitet; Malmö universitet

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