Unmet Needs, Pain, Shame, Regret, and Loss of Identity among Men with Urethral Injuries Resulting from Traffic Accidents; A Qualitative Study.

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Jalil Hosseini, Roxana Parsapour, Maryam Ganji, Seyed Alimohammad Mirjalili, Arash Baluch
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Abstract

Introduction: Urethral injuries are the most severe injuries caused by high-energy mechanisms such as traffic accidents, which have significant long-term serious consequences on the quality of life of the injured.

Objectives: Exploration of lived experiences of urethral injury in traffic accident victims is the main goal of this study.

Methods: This is a phenomenological qualitative study among men suffering from urethral injuries due to traffic accidents and referred to hospitals for urethroplasty in Iran. Sixteen in-depth interviews were conducted with 15-59-year-old injured men from August 2022 to May 2023 using a semi-structured questionnaire at Shohada Hospital, considering maximum variation and achieving saturation. For data analysis, Colizzi's analysis method was implemented in MaxQDA2020. Lincoln's and Guba's criteria were assessed to achieve the trustworthiness of the study.

Results: Five main themes emerged from the interviews: Urethral Injury resulting from traffic accidents as a Complex, Unknown Problem with a general lack of public awareness, Unpleasant Experience with Permanent Suffering from pain, shame, regret, isolation, Urethral Injury Causes Regret and Loss of Normalcy, Impact on Sexual and Social Identity, and its long-term consequences as neglected health and socio-economic issues are the unmet needs of the injured patients.

Conclusion: The majority of expressions related to low public awareness and poor infrastructure. There are needs neglected by public services, especially health care services. Alongside wresting with these issues, considering policies to support this vulnerable people, and their well-being, quality of life and prevent further damage in terms of physical, social and mental health is an axiom.

交通事故尿道损伤患者未满足的需求、痛苦、羞耻、后悔和身份丧失定性研究。
导读:尿道损伤是交通事故等高能机制造成的最严重的损伤,对受伤者的生活质量有显著的长期严重后果。目的:探讨交通事故受害者尿道损伤的生活经历。方法:对伊朗因交通事故致尿道损伤并转诊到医院行尿道成形术的男性进行现象学定性研究。采用半结构式问卷,于2022年8月至2023年5月在Shohada医院对15-59岁的受伤男性进行了16次深度访谈,考虑最大变异并达到饱和。对于数据分析,Colizzi的分析方法在MaxQDA2020中实现。对Lincoln和Guba的标准进行了评估,以达到研究的可信度。结果:访谈中出现了五个主要主题:交通事故导致的尿道损伤是一个复杂的未知问题,公众普遍缺乏认识;长期遭受痛苦、羞耻、后悔、孤立的不愉快经历;尿道损伤导致后悔和失去正常状态;对性和社会身份的影响;以及作为被忽视的健康和社会经济问题的长期后果是受伤患者的需求未得到满足。结论:多数表达与公众意识低、基础设施差有关。有些需求被公共服务部门,特别是保健服务部门所忽视。在努力解决这些问题的同时,考虑支持这些弱势群体及其福祉、生活质量和防止在身体、社会和精神健康方面受到进一步损害的政策是一个公理。
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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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