عنوان انگلیسی مقاله:
“I didn’t know what I could do”: Behaviors, knowledge and beliefs, and social facilitation after distal radius fracture
ترجمه فارسی عنوان مقاله:
"من نمی دانستم چه کاری می توانم انجام دهم": رفتارها، دانش و باورها، و تسهیل اجتماعی پس از شکستگی رادیوس دیستال
ScienceDirect- Elsevier- Journal of Hand Therapy, Corrected proof: doi:10:1016/j:jht:2021:09:003
Brocha Z. Stern PhD, OTR, CHT
Background: Biomedical models have limitations in explaining and predicting recovery after distal radius
fracture (DRF). Variation in recovery after DRF may be related to patients’ behaviors and beliefs, factors
that can be framed using a lens of self-management. We conceptualized the self-management process
using social cognitive theory as reciprocal interactions between behaviors, knowledge and beliefs, and
social facilitation. Understanding this process can contribute to needs identiﬁcation to optimize recovery.
Purpose: Describe the components of the self-management process after DRF from the patient’s perspec-
Study design: Qualitative descriptive analysis.
Methods: Thirty-one adults aged 45-72 with a unilateral DRF were recruited from rehabilitation centers
and hand surgeons’ practices. They engaged in one semi-structured interview 2-4 weeks after discon-
tinuation of full-time wrist immobilization. Data were analyzed using qualitative descriptive techniques,
including codes derived from the data and conceptual framework. Codes and categories were organized
using the three components of the self-management process.
Results: Participants engaged in medical, role, and emotional management behaviors to address multidi-
mensional sequelae of injury, with various degrees of self-direction. They described limited knowledge
of their condition and its medical management, naive beliefs about their expected recovery, and uncer-
tainty regarding safe movement and use of their extremity. They reported informational, instrumental,
and emotional support from health care professionals and a broader circle.
Conclusions: Descriptions of multiple domains of behaviors emphasized health-promoting actions beyond
adherence to medical recommendations. Engagement in behaviors was reciprocally related to partici-
pants’ knowledge and beliefs, including illness and pain-related perceptions. The ﬁndings highlight rel-
evance of health behavior after DRF, which can be facilitated by hand therapists as part of the social
environment. Speciﬁcally, hand therapists can assess and address patients’ behaviors and beliefs to sup-
port optimal recovery.
© 2021 Elsevier Inc. All rights reserved.
keywords: اعتقاد | درمان دست | رفتار بهداشتی | کیفی | محیط اجتماعی | Belief | Hand therapy | Health behavior | Qualitative | Social environment