“Life Goes On.” Everyday Tasks, Coping Self-Efficacy, and Independence: Exploring Older Adults’ Recovery From Hip Fracture

Abstract

Older adults face many challenges in the first few months after hip fracture. Rehabilitation holds promise to assist the recovery process. Therefore, we used semistructured interviews to explore older adults' and allied health professionals' acceptance of a rehabilitation intervention for hip fracture, and we described perceptions of the early recovery period (<4 months). Interviews were recorded and transcribed verbatim; three authors independently read the transcripts multiple times and together developed themes guided by Interpretive Description. Older adults described the intervention as acceptable and provided valuable feedback for its future implementation. Older adults also provided reflections on their experience of fracture recovery. Themes that emerged included physical limitations and loss of independence, the long recovery time, and coping with additional complications of living with multimorbidity. To overcome challenges, older adults identified the need for social support and physical activity, balanced by their own personal outlook.

Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study

“…Thus, healthcare providers should develop individualized health education plans for the long-term rehabilitation of patients with hip replacements even before their discharge from the hospital [30]. The rehabilitation plan should be deployed beginning with patient’s admission to home-based rehabilitation; moreover, adequate evaluation and supervision are required to ensure the effectiveness of rehabilitation [31, 32].…”

Mobility—A Bridge to Sense of Coherence in Everyday Life: Older Patients’ Experiences of Participation in an Exercise Program During the First 3 Weeks After Hip Fracture Surgery

“…Walking seems to be the most existential mobility activity according to our participants, and their testimony was that they would fight to maintain this ability. Langford et al (2018) also found walking to be the most frequent mentioned kind of activity among a group of older adults after suffering a hip fracture. To understand the existential meaning of walking, we can turn to the individuals' responses to the loss of this ability-caused in this study by a hip fracture-because the ability to walk is seldom reflected upon until walking difficulties occur (Martinsen et al, 2018).…”

“…Hip fractures represent a major problem in the health care service with a mortality rate of 5% to 10% during the first month and 20% to 30% during the first year after the fracture (Sogaard et al, 2016). After suffering a hip fracture, individuals often have poorer strength, mobility and balance (Madsen et al, 2000;Visser et al, 2000), as well as reduced quality of life (Amarilla-Donoso et al, 2020;Sihvonen et al, 2009) and independence (Langford et al, 2018).…”

Rehabilitation Following Hip Fracture

“…Support from health professionals provides not only information and exercises but also emotional and motivational support and confidence boosting. Support from informal caregivers, family and friends is also seen as invaluable to help with ADLs, emotional support, encouragement and companionship [95,102,103]. Thus, inclusion of psychological and social interventions in hip fracture rehabilitation programmes is likely to be beneficial.…”