Coping strategies in daily occupations 3 months after a severe or major hand injury

Cederlund, Ragnhild; Thorén-Jönsson, Anna-Lisa; Dahlin, Lars B.

doi:10.1002/oti.287

Cited by 31 publications

(48 citation statements)

References 26 publications

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“…Our findings seem to suggest that SOC in addition to patient's mental health needs to be considered further when planning rehabilitation of patients with serious hand trauma. Many different coping strategies and flexibility in using them seem to be important for a good and fast recovery [6,44]. When SOC is known this can be yet another way to understand the patients' coping ability.…”

Section: Discussionmentioning

confidence: 99%

“…The patients may experience reduced hand function, difficulties to perform daily occupations, and reduced health-related quality of life [1-4]. Performing daily occupations independently, and with satisfaction [5], may take time and include a variety of coping strategies [6,7]. Health-related quality of life has proven to be a valuable outcome to assess the impact of a disease or injury and mirrors the patients' own perspective [8].…”

Section: Introductionmentioning

confidence: 99%

“…Health-related quality of life has proven to be a valuable outcome to assess the impact of a disease or injury and mirrors the patients' own perspective [8]. Hand injuries may lead to substantial long-term disability [9-11] and psychological distress [6,12]. Not only the severity of an injury or disease can have a negative effect on outcome and a person's ability to master their daily occupations, but other factors, like the severity of injury and the patients' sense of coherence, may influence as well [13].…”

Section: Introductionmentioning

confidence: 99%

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Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?

Cederlund

Ramel

Rosberg

et al. 2010

BMC Musculoskelet Disord

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BackgroundOur objective was to explore outcome and clinical changes in hand function, satisfaction in daily occupations, sleep disturbances, health and quality of life in consecutive patients after a severe or major hand injury. Our objective was also to investigate possible differences between groups according to severity of injury, presence of peripheral nerve injury and the patients' sense of coherence.MethodsA postal questionnaire, including demographic data, disabilities of the arm, shoulder and hand (DASH), QoL (SF-36), EuroQol (EQ-5D VAS), hand function (VAS), satisfaction in daily occupation (SDO), was sent out 3, 6 and 12 months after injury to 45 consecutive patients with a severe or major hand injury. Sense of coherence (SOC) was evaluated at 6 months. For the descriptive study, non-parametric tests were used since almost all results were measured with ordinal scales, the study sample was small, and most variables not normally distributed.ResultsAlmost all self-assessed aspects of hand function, satisfaction in daily occupations, health (DASH), and physical QoL (SF-36) improved statistically for the whole group over time. Large clinical improvement was seen for physical QoL and health, while a low or no improvement was observed for mental QoL, and cold sensitivity. Few differences were found between participants with a severe or major of hand injury or with or without a major nerve injury. No significant differences in demographic data were observed between participants with high or low SOC, but participants with low SOC showed significantly lower satisfaction in daily occupations, higher DASH scores, lower mental QoL, more sleep disturbances, and bodily pain. Correlation was found between SOC, and QoL, health and satisfaction in daily occupations.ConclusionsSOC had a significant influence on patients with a severe or major traumatic hand injury. Patients with lower SOC would probably benefit from extra support and help to master their daily life, indicating that sense of coherence is an indicator for future rehabilitation focus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?

Cederlund

Ramel

Rosberg

et al. 2010

BMC Musculoskelet Disord

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“…54-56 Coping is the process where the patient’s resources are used to adapt to the condition (i.e. injury) and overcome the problems in daily activities, 54,55 an area of research that will probably expand in the future.…”

Section: Post-operative Carementioning

confidence: 99%

Nerve injuries of the upper extremity and hand

Dahlin

Wiberg

2017

EFORT Open Reviews

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A nerve injury has a profound impact on the patient’s daily life due to the impaired sensory and motor function, impaired dexterity, sensitivity to cold as well as eventual pain problems.To perform an appropriate treatment of nerve injuries, a correct diagnosis must be made, where the injury is properly classified, leading to an optimal surgical approach and technique, where timing of surgery is also important for the outcome.Knowledge about the nerve regeneration process, where delicate processes occur in neurons, non-neuronal cells (i.e. Schwann cells) and other cells in the peripheral as well as the central nervous systems, is crucial for the treating surgeon.The surgical decision to perform nerve repair and/or reconstruction depends on the type of injury, the condition of the wound as well as the vascularity of the wound.To reconnect injured nerve ends, various techniques can be used, which include both epineurial and fascicular nerve repair, and if a nerve defect is caused by the injury, a nerve reconstruction procedure has to be performed, including bridging the defect using nerve-grafts or nerve transfer techniques.The patients must be evaluated properly and regularly after the surgical procedure and appropriate rehabilitation programmes are useful to improve the final outcome.Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160071. Originally published online at www.efortopenreviews.org

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“…One factor that has to be considered in a long-term follow up is that the reduction of cold-induced symptoms, and the impact cold sensitivity may have on daily life, may result from changes in behaviour, e.g. occupational performance and pattern or access to other coping strategies [16,17]. How patients view their life and see the world as comprehensible, manageable and meaningful (sense of coherence – SOC) may also facilitate the adaptation process [18-20].…”

Section: Introductionmentioning

confidence: 99%

Self-reported cold sensitivity in patients with traumatic hand injuries or hand-arm vibration syndrome - an eight year follow up

Carlsson

Dahlin

2014

BMC Musculoskelet Disord

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BackgroundCold sensitivity is a common complaint following hand injuries. Our aim was to investigate long-term self-reported cold sensitivity, and its predictors and the importance of sense of coherence (SOC), 8 years after a hand injury as well as in patients treated for Hand Arm Vibration Syndrome (HAVS) during the same time period.MethodsResponses to the Cold Intolerance Symptom Severity (CISS) questionnaire and the Sense of Coherence (SOC) questionnaire were investigated in hand injured patients (n = 64) and in patients with HAVS (n = 26). The Mann–Whitney U-Test was used to identify significant differences between subgroups. When analysing predictors for cold sensitivity severity, the Spearman rank correlation (rS coefficient) were used for quantitative predictive variables, Mann–Whitney U-Test for dichotomous variables and Kruskal-Wallis Test for multiple categorical data. The Wilcoxon´s signed rank test was used to investigate longitudinal changes in outcome.ResultsThere was a significant change in total CISS score for patients with traumatic hand injury, indicating fewer problems with cold sensitivity over time. Symptoms, such as stiffness, weakness and skin colour change on cold exposure, caused fewer problems, but perceived pain/aching and numbness remained unchanged as well as time needed for relief of symptoms on return to a warm environment. The negative impact of cold sensitivity on daily activities and at work was reduced, but problems when engaged in hobbies or when being exposed to cold wintry weather remained unchanged. None of the investigated predictors related to the hand injury were significantly associated with a change in cold sensitivity at the 8-year follow up. In contrast, no significant change in cold sensitivity was noted in the patients with HAVS for any of the situations included in the CISS questionnaire. A lower sense of coherence score correlated significantly with worse cold sensitivity (CISS score) in both patient groups.ConclusionsThe negative impact of cold sensitivity on daily life was reduced for patients with traumatic hand injury, but did not change over time in patients with HAVS. A low SOC is associated with worse cold sensitivity in such groups of patients. Information about relieving strategies should be provided for patients with cold sensitivity.

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Coping strategies in daily occupations 3 months after a severe or major hand injury

Cited by 31 publications

References 26 publications

Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?

Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury - can sense of coherence be an indicator for rehabilitation focus?

Nerve injuries of the upper extremity and hand

Self-reported cold sensitivity in patients with traumatic hand injuries or hand-arm vibration syndrome - an eight year follow up

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