Ko Young Ji, Lee Ju Hee, Baek Seung-Hoon
Department of Nursing, Daegu Haany University, Daegu, South Korea.
College of Nursing, Yonsei University, Seoul, South Korea.
BMC Nurs. 2021 Jun 28;20(1):112. doi: 10.1186/s12912-021-00637-9.
This study aimed to explore older Korean women's discharge transition experiences after hip fracture surgery.
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.
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.
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.
本研究旨在探索韩国老年女性髋部骨折手术后出院过渡经历。
这是一项描述性定性研究。对12名年龄在65 - 87岁的女性进行了髋部骨折手术后的面对面访谈。在出院前1至2天以及髋部骨折手术后出院4周后收集数据，并采用定性内容分析法进行分析。
确定了四个主要主题：（1）出院过渡的挑战：未做好准备的出院、转入其他护理机构以及对康复的渴望；（2）康复过程中的身心困扰：身体虚弱状态和心理困难；（3）依赖依从性：对医疗服务提供者的绝对信任、家庭不可或缺的支持以及被动参与护理；（4）为曾经视为理所当然之事而行走：行走的希望和较差的行走能力。
髋部骨折手术后，老年女性希望能够行走并完成她们之前视为理所当然的简单日常琐事。考虑到接受髋部手术的老年女性的身心脆弱性，需要包括与其他医疗专业人员和机构合作与协调在内的系统护理干预措施，以确保她们术后出院过渡期间持续护理的质量。鼓励部分负重并尽早开始干预以减少跌倒恐惧对于实现稳定的出院过渡至关重要。此外，应邀请老年女性参与自身护理，并在韩国的出院过渡期间鼓励家庭参与。
