School of Nursing, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, China.
BMC Geriatr. 2024 Aug 8;24(1):667. doi: 10.1186/s12877-024-05266-w.
The incidence of femoral neck fractures in older adults is increasing each year. Active and reasonable postoperative rehabilitation exercises can restore the activity of geriatric patients with femoral neck fractures to a great extent, while also avoiding bedridden complications and re-fractures. This study explores the perspectives, experiences, and recommendations of medical staff regarding the implementation status, existing problems, promoting factors, and hindering factors of post-surgical rehabilitation exercises for geriatric patients with femoral neck fractures. The ultimate goal is to further optimize rehabilitation exercise programs and to expedite this process for patients.
A qualitative, descriptive phenomenological study was conducted. A total of 21 clinical medical staff were selected using the purposive sampling method for semi-structured interviews. A content analysis method was used to collate and analyze the collected interview data.
A total of 2 themes and 6 sub-themes were defined. The themes consisted of multiple obstacles occurring during the implementation of rehabilitation exercises and the scientific cognition of medical staff on these exercises. Respondents found that patient initiative during rehabilitation exercises was insufficient, that the comprehensiveness and continuity of exercises could not be guaranteed, and that unification between textbook theory and clinical practice was incomplete. Moreover, respondents believed that their professional quality should be excellent, but that staffing and organizational management required optimization, and that support was required for the implementation of rehabilitation exercises.
This study investigated the opinions and experiences of medical staff during postoperative rehabilitation exercises in geriatric patients with femoral neck fractures. Collaborative efforts should fully engage hospitals, communities, and families, enhance the alignment of health education with patient needs, advance the scientific development of an integrated medical model by refining the curriculum and teaching system, and significantly elevate the level of medical science and technology. This study will serve as a valuable reference for the establishment of future professional, and personalized rehabilitation programs tailored for geriatric patients with femoral neck fractures.
老年人股骨颈骨折的发病率逐年增加。积极合理的术后康复锻炼在很大程度上可以恢复老年股骨颈骨折患者的活动能力，同时避免卧床并发症和再骨折。本研究探讨了医务人员对老年股骨颈骨折患者术后康复锻炼实施现状、存在问题、促进因素和阻碍因素的看法、经验和建议。最终目标是进一步优化康复锻炼方案，加快患者康复进程。
采用定性、描述性现象学研究方法，采用目的抽样法选取 21 名临床医务人员进行半结构式访谈。采用内容分析法对收集到的访谈资料进行整理分析。
共确定了 2 个主题和 6 个亚主题。主题包括康复锻炼实施过程中存在的多种障碍和医务人员对这些锻炼的科学认识。受访者发现，患者在康复锻炼中的主动性不足，锻炼的全面性和连续性无法保证，教材理论与临床实践之间的结合不完整。此外，受访者认为他们的专业素质应该优秀，但人员配备和组织管理需要优化，康复锻炼的实施需要支持。
本研究调查了医务人员在老年股骨颈骨折患者术后康复锻炼中的意见和经验。需要各方共同努力，充分发挥医院、社区和家庭的作用，加强健康教育与患者需求的一致性，通过完善课程和教学体系，推进综合医疗模式的科学发展，显著提高医学科技水平。本研究将为制定未来针对老年股骨颈骨折患者的专业和个性化康复方案提供有价值的参考。
