Sims-Gould Joanie, Stott-Eveneshen Sarah, Fleig Lena, McAllister Megan, Ashe Maureen C
Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, Canada V5Z 1M9.
Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.
J Aging Res. 2017;2017:2171865. doi: 10.1155/2017/2171865. Epub 2017 Mar 20.
To understand older adults' engagement in their recovery experience and rehabilitation after a fall-related hip fracture. 50 community-dwelling older adults recovering from a recent (3-12 months) hip fracture (32 women, 18 men) participated in telephone interviews using a semistructured format at 6 and 12 months after recruitment into the study. Interviews were conducted as part of a mixed-methods study designed to test the effect of a postoperative hip fracture management program (B4 Clinic). Three substantive themes were identified in the qualitative data: (1) managing expectations; (2) engaging in physical activity; and (3) there is life after fracture. Participants shared valuable insight into how their expectations for their recovery period compared to their lived experience and the role of physical activity in their ability to return to their prefracture activities. Our findings reflect older adults' expectations for recovery from hip fracture. Encouraging engagement in rehabilitative exercises and addressing expectations prior to hospital discharge may improve patients' adherence to rehabilitation programs, functional outcomes, and postoperative quality of life. Implications for rehabilitation include the necessity for early and ongoing engagement of rehabilitation professionals.
为了解老年人在因跌倒导致髋部骨折后的康复经历及康复过程中的参与情况。50名社区居住的老年人（32名女性，18名男性），他们均从近期（3 - 12个月）的髋部骨折中恢复，在被招募进入研究后的6个月和12个月时，参与了采用半结构化形式的电话访谈。这些访谈是一项混合方法研究的一部分，该研究旨在测试术后髋部骨折管理项目（B4诊所）的效果。在定性数据中确定了三个主要主题：（1）管理期望；（2）参与体育活动；（3）骨折后仍有生活。参与者分享了宝贵的见解，即他们对恢复期的期望与实际生活经历相比如何，以及体育活动在他们恢复到骨折前活动能力方面所起的作用。我们的研究结果反映了老年人对髋部骨折康复的期望。鼓励参与康复锻炼并在出院前解决期望问题，可能会提高患者对康复项目的依从性、功能结局以及术后生活质量。对康复的启示包括康复专业人员早期及持续参与的必要性。
