Berit Gesar1, Ami Hommel2, Hanne Hedin3, Carina Bååth4. 1. Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden. 2. Department of Health Sciences, Lund University, Lund, Sweden. Electronic address: Ami.Hommel@med.lu.se. 3. Department of Orthopaedics, Falun Hospital, Falun, Sweden. 4. Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Varmland, Karlstad, Sweden.
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 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.
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 fracturepatients. Patients believe in recovery but do not receive psychological support to regain physical capacity.
Authors: Katie J Sheehan; Toby O Smith; Finbarr C Martin; Antony Johansen; Avril Drummond; Lauren Beaupre; Jay Magaziner; Julie Whitney; Ami Hommel; Ian D Cameron; Iona Price; Catherine Sackley Journal: Phys Ther Date: 2019-03-01
Authors: B A M Larsson; L Johansson; D Mellström; H Johansson; K F Axelsson; N Harvey; L Vandenput; E McCloskey; E Liu; D Sundh; J A Kanis; M Lorentzon Journal: Osteoporos Int Date: 2021-09-08 Impact factor: 4.507
Authors: B A M Larsson; L Johansson; H Johansson; K F Axelsson; N Harvey; L Vandenput; P Magnusson; E McCloskey; E Liu; J A Kanis; D Sundh; M Lorentzon Journal: Osteoporos Int Date: 2020-10-21 Impact factor: 4.507