Engdal Monika, Granbo Randi, Vereijken Beatrix, Helbostad Jorunn L, Taraldsen Kristin
Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway
Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
BMJ Open. 2025 Aug 27;15(8):e098235. doi: 10.1136/bmjopen-2024-098235.
In this qualitative study, we explored older adults' experiences of daily mobility after hip fracture, both early and again 6 months postsurgery.
Individual semistructured interviews exploring the participants' experiences at two timepoints: shortly after hospital discharge and 6 months postsurgery. The analyses were performed using systematic text condensation involving the following steps: obtaining an overall impression/identifying themes, identifying meaning units, condensation and synthesising into descriptions and concepts.
Recruitment at a university hospital in Norway. 21 interviews were conducted in participants' homes and 7 at a rehabilitation institution, between September 2022 and December 2023.
We included community-dwelling individuals aged 65 and older who had suffered a hip fracture from a larger longitudinal study (Mobilise-D Clinical Validation Study). We used a purposive sampling strategy and recruited six men and nine women aged 74-94 years.
Shortly after surgery, participants experienced mobility limitations and faced new feelings that challenged their everyday lives, such as fear of falling and a sense of loss of freedom, both contributing to uncertainty about the future. Optimism and coping strategies, along with social support, were perceived as motivational factors underlying mobility recovery. After 6 months, participants experienced varied mobility recovery and adaptation to a new everyday life. Some participants were satisfied and accepted some mobility limitations, while others voiced disappointment and continued to struggle with mobility restrictions and ongoing challenging feelings.
A hip fracture can profoundly disrupt the everyday lives of older adults, leading to loss of mobility and challenging feelings. Coping strategies and social support play a crucial role in mobility recovery. 6 months postsurgery, participants reported varied recovery experiences, from resuming valued activities and adapting to limitations to continued struggles with daily mobility and challenging feelings. Rehabilitation programmes should address both physical and psychosocial aspects to support mobility recovery in the initial 6 months and, for some individuals, beyond.
在这项定性研究中，我们探究了老年人髋部骨折后早期及术后6个月的日常活动体验。
采用个体半结构式访谈，在两个时间点探究参与者的体验：出院后不久和术后6个月。分析采用系统文本浓缩法，包括以下步骤：获得总体印象/识别主题、识别意义单元、浓缩并综合成描述和概念。
在挪威一家大学医院进行招募。2022年9月至2023年12月期间，在参与者家中进行了21次访谈，在康复机构进行了7次访谈。
我们纳入了来自一项更大的纵向研究（Mobilise-D临床验证研究）中65岁及以上的社区居住个体，他们曾发生过髋部骨折。我们采用了目的抽样策略，招募了6名男性和9名女性，年龄在74 - 94岁之间。
术后不久，参与者经历了活动受限，并面临着挑战其日常生活的新感受，如害怕跌倒和失去自由感，这两者都导致了对未来的不确定性。乐观态度、应对策略以及社会支持被视为活动恢复的潜在激励因素。6个月后，参与者经历了不同程度的活动恢复以及对新的日常生活的适应。一些参与者感到满意并接受了一些活动限制，而另一些人则表示失望，并继续与活动受限和持续存在的挑战性感受作斗争。
髋部骨折会严重扰乱老年人的日常生活，导致活动能力丧失和挑战性感受。应对策略和社会支持在活动恢复中起着至关重要的作用。术后6个月，参与者报告了不同的恢复经历，从恢复有价值的活动、适应限制到继续与日常活动和挑战性感受作斗争。康复计划应兼顾身体和心理社会方面，以支持最初6个月及部分个体更长时间内的活动恢复。
