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Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study

Gesar, Berit LU ; Hommel, Ami LU ; Hedin, Hanne and Bååth, Carina (2017) In International Journal of Orthopaedic and Trauma Nursing 24. p.50-58
Abstract

Aims and objectives To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery. Background The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients. Design The study had an explorative inductive qualitative design. Methods Semi-structured interviews (n = 30) were conducted two to five days after hip fracture surgery. Data were analysed using manifest inductive content analysis. Results As a description of patients' perception of... (More)

Aims and objectives To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery. Background The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients. Design The study had an explorative inductive qualitative design. Methods Semi-structured interviews (n = 30) were conducted two to five days after hip fracture surgery. Data were analysed using manifest inductive content analysis. Results As a description of patients' perception of their own capacity to regain pre-fracture function after a hip fracture, one main category emerged: To end up in a new situation with or without control. Patients expressed that they believed in recovery and thought nothing would be altered. However, since they had to adapt to the ward culture at the acute hospital, they became passive and became insecure about their future life situation. Conclusion The attitudes of staff at the acute hospital can influence the outcome for hip fracture patients. Patients believe in recovery but do not receive psychological support to regain physical capacity.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute care, Content analysis, Healthy patients, Hip fracture, Hospital care, Patient experiences, Patient-centred care
in
International Journal of Orthopaedic and Trauma Nursing
volume
24
pages
9 pages
publisher
Elsevier
external identifiers
  • scopus:84996477450
  • wos:000390590700007
ISSN
1878-1292
DOI
10.1016/j.ijotn.2016.04.005
language
English
LU publication?
yes
id
24a70db2-cd95-48fc-9fbd-2fd750fec19e
date added to LUP
2017-02-03 12:58:30
date last changed
2018-07-08 04:21:05
@article{24a70db2-cd95-48fc-9fbd-2fd750fec19e,
  abstract     = {<p>Aims and objectives To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery. Background The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients. Design The study had an explorative inductive qualitative design. Methods Semi-structured interviews (n = 30) were conducted two to five days after hip fracture surgery. Data were analysed using manifest inductive content analysis. Results As a description of patients' perception of their own capacity to regain pre-fracture function after a hip fracture, one main category emerged: To end up in a new situation with or without control. Patients expressed that they believed in recovery and thought nothing would be altered. However, since they had to adapt to the ward culture at the acute hospital, they became passive and became insecure about their future life situation. Conclusion The attitudes of staff at the acute hospital can influence the outcome for hip fracture patients. Patients believe in recovery but do not receive psychological support to regain physical capacity.</p>},
  author       = {Gesar, Berit and Hommel, Ami and Hedin, Hanne and Bååth, Carina},
  issn         = {1878-1292},
  keyword      = {Acute care,Content analysis,Healthy patients,Hip fracture,Hospital care,Patient experiences,Patient-centred care},
  language     = {eng},
  month        = {02},
  pages        = {50--58},
  publisher    = {Elsevier},
  series       = {International Journal of Orthopaedic and Trauma Nursing},
  title        = {Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery – an explorative qualitative study},
  url          = {http://dx.doi.org/10.1016/j.ijotn.2016.04.005},
  volume       = {24},
  year         = {2017},
}