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Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study

BACKGROUND: This study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery. METHODS: This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 ...

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Autores principales: Ko, Young Ji, Lee, Ju Hee, Baek, Seung-Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237510/
https://www.ncbi.nlm.nih.gov/pubmed/34182981
http://dx.doi.org/10.1186/s12912-021-00637-9
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author Ko, Young Ji
Lee, Ju Hee
Baek, Seung-Hoon
author_facet Ko, Young Ji
Lee, Ju Hee
Baek, Seung-Hoon
author_sort Ko, Young Ji
collection PubMed
description BACKGROUND: This study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery. METHODS: This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis. RESULTS: Four main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability. CONCLUSIONS: After their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea.
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spelling pubmed-82375102021-06-29 Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study Ko, Young Ji Lee, Ju Hee Baek, Seung-Hoon BMC Nurs Research BACKGROUND: This study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery. METHODS: This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis. RESULTS: Four main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability. CONCLUSIONS: After their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea. BioMed Central 2021-06-28 /pmc/articles/PMC8237510/ /pubmed/34182981 http://dx.doi.org/10.1186/s12912-021-00637-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ko, Young Ji
Lee, Ju Hee
Baek, Seung-Hoon
Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title_full Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title_fullStr Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title_full_unstemmed Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title_short Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study
title_sort discharge transition experienced by older korean women after hip fracture surgery: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237510/
https://www.ncbi.nlm.nih.gov/pubmed/34182981
http://dx.doi.org/10.1186/s12912-021-00637-9
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