Journal of Hand Therapy
Volume 23, Issue 1 , Pages 53-62, January 2010

Hand-injured Patients' Experiences of Cold Sensitivity and the Consequences and Adaptation for Daily Life: A Qualitative Study

  • Ingela K. Carlsson, OT, MSc

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Ingela Kristina Carlsson, Reg OT, MSc, Department of Hand Surgery, Malmö University Hospital, Lund University, SE-205 02 Malmö, Sweden.

Department of Hand Surgery, Malmö University Hospital, Lund University, Sweden

Department of Health Sciences, Lund University, Sweden

The Vårdal Institute, Lund University, Sweden

Faculty of Health and Society, Malmö University, Malmö, Sweden

published online 18 September 2009.

Abstract 

Study Design

Qualitative descriptive.

Introduction

Cold sensitivity is a common and persistent complaint after hand injuries.

Purpose of the Study

To explore the experiences of severe cold sensitivity, its consequences for daily life, and the strategies for enduring and enabling occupation.

Methods

Fifteen hand-injured patients with abnormal cold sensitivity were interviewed. The transcribed text was analyzed using manifest and latent content analysis. Experiences of triggering factors, symptoms, and relieving strategies were described.

Results

The consequences and adaptation in daily life entailed a change in life roles, a struggle to maintain self-image and changed occupational performance and/or occupational patterns.

Conclusions

Our findings highlight the importance of a holistic approach, including a screening of patients' occupational roles and patterns as well as psychosocial needs, to obtain the information needed to support patients with severe cold sensitivity to achieve a sense of control and self-mastery.

Level of Evidence

not applicable.

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PII: S0894-1130(09)00084-2

doi:10.1016/j.jht.2009.07.008

Journal of Hand Therapy
Volume 23, Issue 1 , Pages 53-62, January 2010