Zare Zahra, Ghane Golnar, Shahsavari Hooman, Ahmadnia Shirin, Ghiyasvandian Shahrzad
Department of Operating Room, School of Allied Medical Science, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medical Surgical Nursing; School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
J Patient Exp. 2024 Mar 28;11:23743735241241174. doi: 10.1177/23743735241241174. eCollection 2024.
The return to social life after a hip fracture is a major concern for patients and a determinant factor in their recovery. However, patients' perceptions of social life after hip fracture are variable and context-dependent. By identifying these perceptions and strategies of patients, interventions can be strengthened and modified. The aim of this study was to identify patients' perceptions of their social life after hip fracture. This qualitative study used inductive content analysis. Twenty patients with hip fractures who were referred to Tehran University of Medical Sciences hospitals were purposefully selected and included in the study. Data were collected through individual, face-to-face, in-depth, semi-structured interviews conducted by a researcher experienced in carrying out such interviews. The interviews were recorded, immediately transcribed verbatim, and analyzed in MAXQDA-10. The interviewing process continued until data saturation was reached. The data analysis led to the extraction of three categories: Disruption of normal social life, Minimal social life, and Social isolation. The results indicated that the social life of these patients is influenced by physical conditions and contextual factors and progresses over time. All patients experienced meaningful disruption of their social life after experiencing hip fractures and movement limitations. The interdisciplinary perspectives provided by these findings can increase awareness of patients' post-fracture social life perceptions and conditions. These findings can also be used to design future programs for interdisciplinary interventions (involving sociology and medical sciences) to improve social life and increase the ability to return to a normal social life. Recovery management for patients with hip fractures should be preventive and organized by an all-around team (involving medicine, psychology, and sociology) based on patient-centered, community-based, and modern care strategies.
髋部骨折后回归社会生活是患者主要关心的问题,也是其康复的一个决定性因素。然而,患者对髋部骨折后社会生活的认知各不相同,且取决于具体情况。通过识别患者的这些认知和策略,可以加强和调整干预措施。本研究的目的是确定患者对髋部骨折后社会生活的认知。这项定性研究采用归纳性内容分析法。特意选取了20名转诊至德黑兰医科大学附属医院的髋部骨折患者纳入本研究。数据通过由一位有此类访谈经验的研究人员进行的个人面对面深度半结构化访谈收集。访谈进行了录音,随后立即逐字转录,并在MAXQDA-10中进行分析。访谈过程持续进行,直至达到数据饱和。数据分析得出了三个类别:正常社会生活的中断、最低限度的社会生活以及社会隔离。结果表明,这些患者的社会生活受到身体状况和具体情况因素的影响,并随时间推移而变化。所有患者在经历髋部骨折和行动受限后,其社会生活都受到了重大影响。这些研究结果提供的跨学科视角可以提高对患者骨折后社会生活认知和状况的认识。这些研究结果还可用于设计未来的跨学科干预项目(涉及社会学和医学),以改善社会生活并提高回归正常社会生活的能力。髋部骨折患者的康复管理应具有预防性,由一个全方位的团队(涉及医学、心理学和社会学)根据以患者为中心、基于社区和现代的护理策略来组织实施。