Article

Grounded theory. OBJECTIVES: To explore to better understand the
decision-making process of people with tetraplegia regarding reconstructive upper
limb (UL) surgery. SEtTING: New Zealand.Methods:In-depth interviews with 22
people with tetraplegia, 10 of whom had UL surgery and 12 had not. Verbatim
transcripts were analysed using constructivist grounded theory. RESULTS: The
primary reason for having reconstructive UL surgery was to improve independence
and return to previous pastimes. Reasons not to have surgery were hope for
further recovery or cure, and inadequate physical environment or social supports
while rehabilitating. In addition, women identified the temporary loss of
independence and need for increased care while rehabilitating as issues.
Importantly, these issues were not static, often changing in importance or
relevance over time. CONCLUSIONS: The moment of making the decision for
reconstructive UL surgery is elusive; therefore, multiple offers of surgery at
different timeframes in an individual's life are required. In addition,
flexibility in timing for surgery would allow for surgery to better coordinate
with an individual's goals and priorities.

Langue : ANGLAIS