Article

This study aimed to gain an understanding of the functional impact of a
traumatic hand injury on a rural and remote Australian population. METHOD: A
retrospective, exploratory design was used. Patients who had experienced a
traumatic hand injury were samples and were treated at the occupational therapy
department at a major regional Australian hospital between January 2003 and
February 2007 (n = 198). A mail-out survey was utilized, with 65 respondents
included in the study. Questions focused on the impact on specific areas of
occupational performance and on compliance to home exercises. The upper extremity
functional index was also incorporated in the survey. RESULTS: The results
revealed that almost 90% of survey respondents had residual difficulties as a
result of the traumatic hand injury. The overall impact these difficulties have
on 'day-to-day' life was moderate to extreme for over half of the respondents. In
the areas of occupational performance, the most affected were work and leisure
with less impact reported in self-care and rest. Comments were at times contrary
with closed question data, with many respondents expressing relative satisfaction
with their outcome despite highlighting the functional difficulties. CONCLUSION:
A significant impact on occupational performance has been highlighted, which
reflects common issues within this rural and remote population. Confirmation of
the extent of these identified issues within the larger rural and remote
Australian population will contribute to the formulation of policy and consequent
improvements in health for this traditionally underserved population.

Langue : ANGLAIS