Patients’ needs during a surgical intervention process for Dupuytren’s disease

Abstract

Clients' needs during a surgical intervention process include needs for improvement of hand function, knowledge, and support during treatment, and participation in evaluation. Clients' needs change during the care process and can be influenced by their life situation or their character. The identified needs ought to be included in quality assessments from the carers' perspective, to ensure that important needs of the clients are met by the surgical intervention process. Communication and interaction between client and health care provider is a key aspect of fulfilling clients' needs. Implications for rehabilitation Patients have need for knowledge throughout the care process: about the disease, risk factors, treatment options, practical and medical information related to the treatment and recovery, and about the care process as a whole. Need for knowledge is closely connected to patients' experience of being involved in decision making. Patients need support with both general human and specific medical issues during surgery and rehabilitation. Patients' needs change during the care process and can be influenced by the patient's life situation or character. From the carers' perspective, the identified needs ought to be included in quality assessments to ensure that important needs of the clients are met by the surgical intervention process.

Skin Graft Review in Dermofasciectomy for Dupuytren’s Contracture within 48 Hours: Challenging Historical Practice

“…Comparative studies have shown that hand function and low recurrence rates following an operation are vital aspects of care to patients. 8,17 We, therefore, advocate an approach where early wound care and introduction of hand therapy are key tenets of postoperative care to optimize hand function.…”

Experiences of men living with Dupuytren's disease—Consequences of the disease for hand function and daily activities

“…The patients' life situation, life history and patient character also influence patients' evaluation of care and results (23). Two articles have been published previously with the objectives of describing clients' experiences of care, needs, expectations, and appraisal of results during a surgical intervention process for DD (19,31). This article focuses on the phase pre-admission and patients' experience and significance of illness.…”

The lived experience and occupational impact of individuals with Dupuytren's disease: a scoping review

“…Additionally, Thoma et al (2014) reported on health-related quality of life 12 months after surgery. Two qualitative studies also reported the patient perspective, including a need for treatment to result in an improved ability to return to activities that were important to them and increased knowledge about the condition and treatment options (Turesson et al, 2019;Molineux et al, 2022). One study also highlighted the carer's perspective as essential when measuring the quality of the surgical intervention process (Turesson et al, 2019).…”

“…Two qualitative studies also reported the patient perspective, including a need for treatment to result in an improved ability to return to activities that were important to them and increased knowledge about the condition and treatment options (Turesson et al, 2019;Molineux et al, 2022). One study also highlighted the carer's perspective as essential when measuring the quality of the surgical intervention process (Turesson et al, 2019). Additionally, a focus on health literacy as essential to patient recovery, satisfaction with treatment and wellbeing was included in more recent publications (Molineux et al, 2022;Russell, 2022;Winberg and Turesson, 2022).…”

“…Another study also discussed the sadness and disappointment participants felt regarding reduced hand function and having to undergo treatment (Winberg and Turesson, 2022). Four articles used the specific categories widely accepted in the occupational therapy profession: self-care, productivity and leisure (Engstrand et al, 2009;Engstrand et al, 2016;Turesson et al, 2019;Winberg and Turesson, 2022) when reporting on outcomes of Dupuytren's disease.…”