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

Gesar, BeritLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Landstinget i Dalarna,Department of Clinical Sciences, Faculty of Medicine, Lund University (author)

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.

Hommel, AmiLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Region Skåne,Department of Health Sciences, Lund University, Lund, Sweden(Swepub:mau)af4839 (author)
Hedin, HanneFalun Central Hospital,Landstinget Dalarna,Department of Orthopaedics, Falun Hospital, Falun, Sweden (author)
Bååth, Carina,1959-Karlstads universitet,Karlstad University,Department of Health Sciences, Karlstad University, Karlstad, Sweden. County Council of Varmland, Karlstad, Sweden.,Institutionen för hälsovetenskaper (from 2013)(Swepub:kau)caribaat (author)
Ortopedi, LundSektion III (creator_code:org_t)

In:International Journal of Orthopaedic and Trauma Nursing: Elsevier BV24, s. 50-581878-12921878-1241

By the author/editor: Gesar, Berit; Hommel, Ami; Hedin, Hanne; Bååth, Carina, 1 ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Geriatrics

By the university: Lund University; Karlstad University; Malmö University; Högskolan Dalarna

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