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“生活继续。”日常任务、应对自我效能和独立:探索老年人髋部骨折后的康复。

"Life Goes On." Everyday Tasks, Coping Self-Efficacy, and Independence: Exploring Older Adults' Recovery From Hip Fracture.

机构信息

1 Vancouver Coastal Health, Vancouver, British Columbia, Canada.

2 The University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Qual Health Res. 2018 Jul;28(8):1255-1266. doi: 10.1177/1049732318755675. Epub 2018 Feb 20.

DOI:10.1177/1049732318755675
PMID:29460698
Abstract

Older adults face many challenges in the first few months after hip fracture. Rehabilitation holds promise to assist the recovery process. Therefore, we used semistructured interviews to explore older adults' and allied health professionals' acceptance of a rehabilitation intervention for hip fracture, and we described perceptions of the early recovery period (<4 months). Interviews were recorded and transcribed verbatim; three authors independently read the transcripts multiple times and together developed themes guided by Interpretive Description. Older adults described the intervention as acceptable and provided valuable feedback for its future implementation. Older adults also provided reflections on their experience of fracture recovery. Themes that emerged included physical limitations and loss of independence, the long recovery time, and coping with additional complications of living with multimorbidity. To overcome challenges, older adults identified the need for social support and physical activity, balanced by their own personal outlook.

摘要

老年人在髋部骨折后的头几个月面临许多挑战。康复有望协助恢复过程。因此,我们使用半结构化访谈来探索老年人和联合健康专业人员对髋部骨折康复干预措施的接受程度,并描述了对早期恢复期(<4 个月)的看法。访谈进行了录音并逐字记录;三位作者独立多次阅读抄本,并根据解释性描述共同制定主题。老年人认为干预措施是可以接受的,并为其未来的实施提供了宝贵的反馈。老年人还对他们的骨折康复经历进行了反思。出现的主题包括身体限制和丧失独立性、漫长的康复时间以及应对多重疾病带来的额外生活并发症。为了克服挑战,老年人确定需要社会支持和体育活动,同时平衡他们自己的个人观点。

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