Early Recovery Experience of Patients With Injury in Taiwan

Chou, Pi-Ling; Chien, Chi-Sheng; Lee, Bih‐O; Bai, Yanfu; Hung, Chang‐Chiao

doi:10.1111/jnu.12084

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…Feelings of pain, fear, and a sense of losing control over one's life are commonly reported ( McMillan, Booth, Currie, & Howe, 2012 ), as well as guilt and remorse stemming from the idea that the fall may have been avoided had they been just a little more cautious ( Forsberg, Söderberg, & Engström, 2014 ). The recovery for people after a hip fracture starts at the hospital ( Chou, Chien, Lee, Bai, & Hung, 2014 ). But in the last few years, the length of hospital stays has been shortened, and now, most of an individual's recovery from hip fracture surgery will take place in the home ( Rikshöft, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

The Journey Toward Taking the Day for Granted Again

Segevall¹,

Söderberg²

2019

Orthopaedic Nursing

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BACKGROUND: A hip fracture is an unexpected, subjective, traumatic experience that affects the person in both physical and emotional ways. PURPOSE: The purpose of this study was to describe rural older people's experiences of recovering after hip fracture surgery. METHODS: Thirteen individual interviews were conducted with older people. The interview texts were analyzed with qualitative content analysis. RESULTS: Patients described finding themselves in a new and vulnerable situation, dependent on others for simple everyday chores. They struggled to regain independence while staying positive, convinced that they would recover. Fear of another fall, as well as lack of information, made recovery at home difficult. CONCLUSION: Older people who experience hip fractures need support during the recovery process. Because recovery begins at the hospital, this study highlight patients' need to participate in recovery planning, as well as the need to have information about what it means to be affected by a hip fracture and how to prevent it from happening again. This study emphasizes that nurses' awareness of patients' need to participate in planning the recovery process is crucial for enabling patients' return to a daily life that is similar to their prefracture life.

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Section: Introductionmentioning

confidence: 99%

The Journey Toward Taking the Day for Granted Again

Segevall¹,

Söderberg²

2019

Orthopaedic Nursing

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“…Most studies have focused on the period immediately after injury; including how patients make sense of the acute injury and hospital experience [ 27 – 29 ], communication and information provision [ 30 , 31 ], interactions with others on the ward and management of acute pain [ 32 , 33 ]. Other studies have explored more contextual factors such as patients’ experience of the discharge process and transition of care [ 30 , 34 ], challenges patients experience to rehabilitation [ 28 , 30 , 32 , 35 ], as well as the importance of support from family and friends [ 27 , 30 , 34 , 35 ]. Long term rehabilitation and recovery are of particular concern to patients as they return home with the aim to minimise loss of independence [ 36 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies exploring patient experiences following a hip fracture have outlined the multifaceted experience of recovery. Most studies have focused on the period immediately after injury; including how patients make sense of the acute injury and hospital experience [27][28][29], communication and information provision [30,31], interactions with others on the ward and management of acute pain [32,33]. Other studies have explored more contextual factors such as patients' experience of the discharge process and transition of care [30,34], challenges patients experience to rehabilitation [28,30,32,35], as well as the importance of support from family and friends [27,30,34,35].…”

Section: Introductionmentioning

confidence: 99%

A qualitative study exploring the lived experiences of patients living with mild, moderate and severe frailty, following hip fracture surgery and hospitalisation

et al. 2023

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It is well recognised that hip fracture surgery is associated with a negative impact on short and long-term post-operative physical health and emotional well-being for patients. Furthermore, these patients are known to be frail with multiple co-morbidities. This study explores how frailty shapes the lived experiences of rehabilitation and recovery for patients who have undergone hip fracture surgery. Semi-structured interviews were conducted with sixteen participants, recently discharged from hospital following hip fracture surgery. Interpretative phenomenological analysis was applied to explore the lived experiences of frail patients and ascertain important themes. Patient experiences were captured in seven overarching themes: 1) the hospital as a place of “safety”, 2) placing trust in others, 3) the slow recovery journey impeded by attitude and support, 4) maintaining autonomy and dignity whilst feeling vulnerable, 5) seeking a new normal, 6) loneliness and social isolation and 7) the ageing body. Based on our study findings, we have been able to suggest a number of opportunities to improve support for frailer patients in finding a new routine to their everyday lives, these include on-going physical and psychological support, information and education and a robust pathway for transition of care into the community. A conceptual thematic diagram is presented which helps to understand the experience and the complex needs of frail older people undergoing hip fracture surgery.

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