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“Don’t rush into thinking of walking again” : patient views of treatment and disability following an open tibia fracture in Malawi
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Schade, Alexander Thomas, Sibande, Wakumanya, Kumwenda, Moses, Desmond, Nicola, Chokotho, Linda, Karasouli, Eleni, Metcalfe, Andrew J. and Harrison, William J. (2022) “Don’t rush into thinking of walking again” : patient views of treatment and disability following an open tibia fracture in Malawi. Wellcome Open Research, 7 . 204. doi:10.12688/wellcomeopenres.18063.1
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WRAP-patient-views-treatment-disability-following-open-tibia-fracture-Malawi-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (487Kb) | Preview |
Official URL: http://dx.doi.org/10.12688/wellcomeopenres.18063.1
Abstract
Background: Open tibia fractures are a common injury following road traffic accidents in Malawi and can lead to long term disability. Very little is known about patients’ experiences of the healthcare system and the disability in low-income countries following this injury. The aim of the study was to explore patient experiences of treatment and disability following an open tibia fracture in Malawi.
Methods: A qualitative study was conducted using semi-structured interviews with ten patients with open tibia fractures at a central hospital in Blantyre, Malawi. A mixed deductive-inductive thematic analysis was used to identify broad themes of treatment and disability. Written informed consent was obtained from all participants.
Results: Patient characteristics included an average age of 39.1 years old (22-63) and 80% were male. Broad themes found were delays in receiving treatment, change in individuals’ societal role and delayed recovery associated with pain and immobility.
Conclusions: Open tibia fractures in Malawi have a devastating impact on patients and their families. Further studies are required to explore the reasons for the delays in open fracture emergency treatment.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RD Surgery |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Crash injuries -- Patients -- Malawi, Traffic accidents, Tibia -- Fractures -- Treatment, Fractures, Open, Medical care -- Malawi | |||||||||
| Journal or Publication Title: | Wellcome Open Research | |||||||||
| Publisher: | F1000Research | |||||||||
| ISSN: | 2398-502X | |||||||||
| Official Date: | 9 August 2022 | |||||||||
| Dates: |
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| Volume: | 7 | |||||||||
| Article Number: | 204 | |||||||||
| DOI: | 10.12688/wellcomeopenres.18063.1 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Description: | [version 1; peer review: 2 approved] |
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| Date of first compliant deposit: | 28 October 2022 | |||||||||
| Date of first compliant Open Access: | 28 October 2022 | |||||||||
| RIOXX Funder/Project Grant: |
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| Is Part Of: | 1 |
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