{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:22:13Z","timestamp":1781000533525,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2004,11,4]],"date-time":"2004-11-04T00:00:00Z","timestamp":1099526400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2004,11]]},"abstract":"<jats:p><jats:bold>Background.\u2002<\/jats:bold> Evidence\u2010based nursing of patients with acute traumatic hand injuries treated at the hand\u2010surgical clinic calls for knowledge about long\u2010term implications.<\/jats:p><jats:p><jats:bold>Aims and objectives.\u2002<\/jats:bold> The aim of the study was to investigate consequences of an acute traumatic hand injury during the first year after the accident. Specifically, the objectives were to investigate changes in the experience of physical and psychological problems over time, frequencies of remaining problems and the impact of the injury on work situation and life situation 1\u2003year after the accident.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> The study was prospective and followed the patients from the first weeks to 1\u2003year after the accident.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> Ninety\u2010one patients were assessed three times during the year. Each time the patients answered study\u2010specific questions, the Impact of Event Scale and the Hospital Anxiety and Depression Scale.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> Problems experienced decreased during the first 3\u2003months but tended to remain unchanged during the rest of the year. In the 1\u2010year follow\u2010up, the majority of the patients experienced slight or moderate functional limitations in the hand, one\u2010third had symptoms of trauma\u2010related distress and one out of seven had troublesome pain. Half of the patients who had returned to work reported a worse work situation and 16% were still on the sick list. One\u2010third of all patients considered their whole life situation to be worse as a result of the injury. Patients with amputations more often experienced a worse life situation. Blue\u2010collar workers reported functional limitations and a worse life situation more often than white\u2010collar workers.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> Patients with acute traumatic hand injuries requiring surgical treatment may experience problems, such as functional limitations, trauma\u2010related distress and troublesome pain, with long\u2010term implications for their work situation and life situation.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Caring for hand\u2010injured patients should include, not only surgical treatment and other actions for restoring the function of the hand, but also preventive action and follow\u2010up of trauma\u2010related distress and pain.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2004.01019.x","type":"journal-article","created":{"date-parts":[[2004,11,4]],"date-time":"2004-11-04T16:02:20Z","timestamp":1099584140000},"page":"986-995","source":"Crossref","is-referenced-by-count":88,"title":["Problems experienced during the first year of an acute traumatic hand injury \u2013 a prospective study"],"prefix":"10.1111","volume":"13","author":[{"given":"Margareta","family":"Gustafsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd","family":"Ahlstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,11,4]]},"reference":[{"key":"e_1_2_28_2_1","volume-title":"Practical Statistics for Medical Research","author":"Altman D.G.","year":"1996"},{"key":"e_1_2_28_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90024-A"},{"key":"e_1_2_28_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90029-8"},{"key":"e_1_2_28_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_28_6_1","volume-title":"Nursing Diagnosis: Application to Clinical Practice","author":"Carpenito L.J.","year":"1997"},{"key":"e_1_2_28_7_1","first-page":"368","article-title":"Implications of severe trauma to the hand","volume":"11","author":"Gilbert S.","year":"1996","journal-title":"Professional Nurse"},{"key":"e_1_2_28_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(88)90132-5"},{"key":"e_1_2_28_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90074-2"},{"key":"e_1_2_28_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199212000-00010"},{"key":"e_1_2_28_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90389-7"},{"key":"e_1_2_28_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2000.01630.x"},{"key":"e_1_2_28_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.2002.00657.x"},{"key":"e_1_2_28_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00138-4"},{"key":"e_1_2_28_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(96)00216-4"},{"key":"e_1_2_28_16_1","first-page":"711","volume-title":"Handbook of Stress. 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