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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.

Schade, Alexander, Sibande, Wakumanya, Kumwenda, Moses, Desmond, Nicola ORCID: https://orcid.org/0000-0002-2874-8569, Chokotho, Linda, Karasouli, Eleni, Metcalfe, Andrew 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, Vol 7, e204.

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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: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance
WE Musculoskeletal System > WE 20 Research (General)
WE Musculoskeletal System > WE 800 Extremities > WE 870 Knee. Lower leg
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW)
Digital Object Identifer (DOI): https://doi.org/10.12688/wellcomeopenres.18063.1
SWORD Depositor: JISC Pubrouter
Depositing User: JISC Pubrouter
Date Deposited: 09 Dec 2022 11:11
Last Modified: 14 Jun 2023 11:16
URI: https://archive.lstmed.ac.uk/id/eprint/21324

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