The recovery process after a hip fracture of healthy patients, 65 years and older - perceptions, abilities, and strategies
Summary, in Swedish
Aim: The overall aim of this study was to garner knowledge about the views of patients, their experiences, perceptions, and strategies for recovery after hip fracture surgery in order to design a feasibility study for an intervention.
Method: Studies I and II were explorative interviews with an inductive qualitative design. Study III was a register/questionnaire study with patient-reported outcome measures. Study IV, a feasibility study protocol with a single-case experimental design, is based on the results from studies I, II, and III. The purpose of this feasibility study will determine whether the intended intervention is appropriate for further testing in a full-scale intervention. The sample is previously healthy independent living older adults in Sweden.
Results: Initially at the acute hospital, all the patients believed in recovery and in re-establishing everyday life. However, the conviction patients had in terms of regaining everyday life transited into a sense of passivity about whether and how they would recover. This was due to adapting to the culture of the ward at the acute hospital.
The follow-up interviews four months later showed that the hip fracture still had consequences for everyday life. The physical restraints had psychological; while conversely, the psychological effects influenced physical recovery. The register questionnaire study (III) showed that after four months, only 21 percent of the previously healthy adults assessed themselves as almost fully or fully recovered. Different age groups reported different challenges on the two observed occasions.
Conclusion: This thesis demonstrates that previously healthy older adults who lived independently before do not receive sufficient support after a hip fracture. These patients should have the potential to recover to previous function capability and to re-establish their everyday lives. Person-centred care provided by an inter-professional team could result in optimal individual outcomes for this patient group
Lund University, Faculty of Medicine Doctoral Dissertation Series
Lund University: Faculty of Medicine
- Medical and Health Sciences
- Ami Hommel
- Carina Bååth
- Hanne Hedin
- ISSN: 1652-8220
- ISBN: 978-91-7619-632-8
31 maj 2018
Föreläsningssal 5, Centralblocket, Universitetssjukhuset i Lund
- Birgitta Olofsson (professor)