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Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study
BACKGROUND: In order to improve quality of care and recovery after hip fracture we need to include the perspectives of the individual older adults when evaluating different rehabilitation interventions. The aim of this study was therefore to explore older adults’ experiences of their rehabilitation...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107124/ https://www.ncbi.nlm.nih.gov/pubmed/35562681 http://dx.doi.org/10.1186/s12877-022-03119-y |
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author | Karlsson, Åsa Olofsson, Birgitta Stenvall, Michael Lindelöf, Nina |
author_facet | Karlsson, Åsa Olofsson, Birgitta Stenvall, Michael Lindelöf, Nina |
author_sort | Karlsson, Åsa |
collection | PubMed |
description | BACKGROUND: In order to improve quality of care and recovery after hip fracture we need to include the perspectives of the individual older adults when evaluating different rehabilitation interventions. The aim of this study was therefore to explore older adults’ experiences of their rehabilitation after a hip fracture and of the recovery process during the 12 months following the fracture. METHODS: Qualitative interviews were conducted with 20 older adults (70–91 years of age) who had participated in a randomised controlled trial evaluating the effects of early discharge followed by geriatric interdisciplinary home rehabilitation compared to in-hospital care according to a multifactorial rehabilitation program. Ten participants from each group were interviewed shortly after the one-year follow-up when the study was completed. Data were analysed with qualitative content analysis. RESULTS: The analysis resulted in four themes: Moving towards recovery with the help of others; Getting to know a new me; Striving for independence despite obstacles; and Adapting to an altered but acceptable life. The participants emphasised the importance of having access to rehabilitation that was provided by skilled staff, and support from family members and friends for well-being and recovery. They experienced a change in their self-image but strove for independence despite struggling with complications and functional limitations and used adaptive strategies to find contentment in their lives. CONCLUSIONS: Rehabilitation interventions provided by competent health care professionals, as well as support from family members and friends, were emphasised as crucial for satisfactory recovery. Participants’ experiences further highlight the importance of targeting both physical and psychological impacts after a hip fracture. To improve recovery, rehabilitation providers should customise future interventions to suit each individual´s wishes and needs and provide rehabilitation in various settings throughout the recovery process. TRIAL REGISTRATION: The trial is registered at Current Controlled Trials Ltd, ICRCTN 15738119. Date of registration 16/06/2008, retrospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03119-y. |
format | Online Article Text |
id | pubmed-9107124 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91071242022-05-15 Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study Karlsson, Åsa Olofsson, Birgitta Stenvall, Michael Lindelöf, Nina BMC Geriatr Research BACKGROUND: In order to improve quality of care and recovery after hip fracture we need to include the perspectives of the individual older adults when evaluating different rehabilitation interventions. The aim of this study was therefore to explore older adults’ experiences of their rehabilitation after a hip fracture and of the recovery process during the 12 months following the fracture. METHODS: Qualitative interviews were conducted with 20 older adults (70–91 years of age) who had participated in a randomised controlled trial evaluating the effects of early discharge followed by geriatric interdisciplinary home rehabilitation compared to in-hospital care according to a multifactorial rehabilitation program. Ten participants from each group were interviewed shortly after the one-year follow-up when the study was completed. Data were analysed with qualitative content analysis. RESULTS: The analysis resulted in four themes: Moving towards recovery with the help of others; Getting to know a new me; Striving for independence despite obstacles; and Adapting to an altered but acceptable life. The participants emphasised the importance of having access to rehabilitation that was provided by skilled staff, and support from family members and friends for well-being and recovery. They experienced a change in their self-image but strove for independence despite struggling with complications and functional limitations and used adaptive strategies to find contentment in their lives. CONCLUSIONS: Rehabilitation interventions provided by competent health care professionals, as well as support from family members and friends, were emphasised as crucial for satisfactory recovery. Participants’ experiences further highlight the importance of targeting both physical and psychological impacts after a hip fracture. To improve recovery, rehabilitation providers should customise future interventions to suit each individual´s wishes and needs and provide rehabilitation in various settings throughout the recovery process. TRIAL REGISTRATION: The trial is registered at Current Controlled Trials Ltd, ICRCTN 15738119. Date of registration 16/06/2008, retrospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-022-03119-y. BioMed Central 2022-05-14 /pmc/articles/PMC9107124/ /pubmed/35562681 http://dx.doi.org/10.1186/s12877-022-03119-y Text en © The Author(s) 2022 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 Karlsson, Åsa Olofsson, Birgitta Stenvall, Michael Lindelöf, Nina Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title | Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title_full | Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title_fullStr | Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title_full_unstemmed | Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title_short | Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
title_sort | older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107124/ https://www.ncbi.nlm.nih.gov/pubmed/35562681 http://dx.doi.org/10.1186/s12877-022-03119-y |
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