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Title: | Qualitative study exploring the views of patients and healthcare providers on current rehabilitation practices after lumbar fusion surgery | Authors: | Thys, Tinne BOGAERT, Liedewij Dankaerts, Wim Depreitere, Bart Van Wambeke, Peter Brumangne, Simon Bultheel, Michael Vanden Abeele, Vero Moke, Lieven Spriet, Ann Schelfaut, Sebastiaan JANSSENS, Lotte Swinnen, Thijs Willem |
Issue Date: | 2024 | Publisher: | BMJ PUBLISHING GROUP | Source: | BMJ Open, 14 (5) (Art N° e077786) | Abstract: | Objectives To explore the views of patients and healthcare providers on current rehabilitation after lumbar fusion surgery (LFS) to fuel the development of a novel rehabilitation care pathway. Design A cross- sectional, qualitative study with an interpretive descriptive design. Setting Academic and non- academic hospital setting in Belgium. Participants 31 caregivers from (non)- academic settings and 5 patients with LFS were purposefully sampled and in- depth interviewed. Results Out of the data of all interviews, participants reported opinions on 23 thematic clusters that were expressed in a time- contingent manner from the preoperative, perioperative to postoperative phase. Afterwards, themes were mapped to the Consolidated Framework for Implementation Research, with a larger role for concepts related to the innovation, inner and individual domain. As an overarching theme, the importance of an 'individualised, patient-centred rehabilitation built on a strong therapeutic alliance with an accessible interprofessional team' was stressed for patients undergoing LFS. Specifically, participants stated that a biopsychosocial approach to rehabilitation should start in the preoperative phase and immediately be continued postoperatively. No consensus was observed for movement restrictions postoperatively. Uniform communication between the involved caregivers was considered essential for optimal therapeutic alliance and clinical outcome. The precise role and competence of each member of the interprofessional team needs, therefore, to be clearly defined, respected and discussed. An accessible case manager to guide the patient trajectory and tackle problems could further support this. Interestingly, only patients, psychologists and physiotherapists addressed return to work as an important outcome after LFS. Conclusions: This qualitative study identified key experiences and points to consider in the current and future rehabilitation pathway for LFS. Future research should incorporate these findings to build a novel rehabilitation pathway for LFS and evaluate its feasibility and cost-effectiveness. | Notes: | Thys, T (corresponding author), Katholieke Univ Leuven, Div Phys Med & Rehabil, Univ Hosp Leuven, Leuven, Belgium. tinne.thys@uzleuven.be |
Keywords: | spine;rehabilitation medicine;mental health;qualitative research;quality in health care | Document URI: | http://hdl.handle.net/1942/43134 | ISSN: | 2044-6055 | e-ISSN: | 2044-6055 | DOI: | 10.1136/bmjopen-2023-077786 | ISI #: | 001250545900015 | Rights: | This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY- NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non- commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non- commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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