Admitted with a hip fracture: patient perceptions of rehabilitation

Abstract

Our results suggest that differences in patients' perspectives on the rehabilitation process need to be taken into account to enhance outcomes. Inadequate knowledge and engagement on the part of patients, with a hip fracture, probably have an impact on their rehabilitation outcome, but the degree of impact is uncertain.

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

“…The studies consider all types of patients, not only healthy ones (Archibald, 2003;Griffiths et al, 2015;Olsson et al, 2007;Ziden, Wenestam, Hansson-Scherman, 2008) Olsson et al (2007) described three groups of patients based on perceptions of responsibility in the rehabilitation process: 1) autonomous, self-sufficient patients who take care of themselves and search for relevant information; 2) modest, frail patients in need of more support who want information but do not ask for it; and 3) heedless, patients who are already dependent, not aware of their own responsibility and not interested in information.…”

“…The ability to adapt to reduced mobility was considered to decline with age, but striving to regain pre-fracture mobility was important for managing personal care and day-to-day activities (Griffiths et al, 2015). Patients with hip fractures all worried about their future ability to walk again (Griffiths et al, 2015;Olsson et al, 2007;Ziden et al, 2008). The importance of psychological and social factors in the recovery process was investigated in patients who were independent before the hip fracture (Taylor et al, 2010).…”

Understanding patient and relative/carer experience of hip fracture in acute care: A qualitative study protocol

“…Research evidence on patient experience of hip fracture demonstrates that recovery from a hip fracture is a complex and traumatic experience. It highlights how patients make sense of their injury and the impact it has on their daily lives (Archibald, 2003;Olsson, 2007;Sale et al, 2012;Santy & Mackintosh, 2001;Schiller et al, 2015). Studies do not tend to include people with memory loss (Mundi et al, 2014) despite an estimated prevalence of approximately 40% (Seitz et al, 2011).…”

“…Recovery from hip fracture is difficult to define (Olsson, 2007) and is often complicated by comorbidities. There is a loss of independence and increasing dependence on others (Archibald, 2003;Huang et al, 2014;Olsson, 2007;Schiller et al, 2015;Ziden et al, 2008).…”

“…There is a loss of independence and increasing dependence on others (Archibald, 2003;Huang et al, 2014;Olsson, 2007;Schiller et al, 2015;Ziden et al, 2008). For example, restricted daily life made patients feel dependent on others; they were worried about permanent dependency and felt insecure about recovery and their future (Ziden et al, 2008).…”