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

Vestøl, Irene; Bergland, Astrid

doi:10.1177/10497323211008848

Cited by 3 publications

(5 citation statements)

References 45 publications

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“…In other research studies, 2,39,40 as in this one, participants also reported yearning to return to their previous roles: physical, social and emotional, and the importance of physiotherapy and exercise. Some reported that they set personal goals according to the activities they wanted to be able to achieve; others suggested measuring and keeping daily recovery progress diaries.…”

Section: Discussionmentioning

confidence: 55%

“…This was often done with emotions and a show of frustration. 39,41 Rehabilitation after HF is a dynamic process characterized by changes in the individual's physical and mental state. 41 Measuring PROs that are succinct but precise can help assess the required categories for clinical intervention in the rehabilitation process.…”

Section: Discussionmentioning

confidence: 99%

“…Themes and categories presented in the study were also reported in previous studies conducted with both HF patients and older adults. 2 , 37 - 39 The participants emphasized the importance of vitality, having a positive attitude, and high motivation as contributing to the recovery experience. Regaining physical function was attributed to an optimistic and determined attitude, and the expectation of positive outcomes.…”

Section: Discussionmentioning

confidence: 99%

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The Suitability of Measuring Patient-Reported Outcomes in Older Adults Following a Hip Fracture Using the Short-Form 36 Questionnaire: A Qualitative Description Approach

Schroeder

Israeli

Liebergall

et al. 2023

INQUIRY

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Hip-fractures (HF) in older adults are associated with poor outcomes and high costs. Measuring quality-of-care of HF patients has focused on clinical definitions rather than on measuring outcomes that are meaningful to the patient. Healthcare systems worldwide are increasingly interested in patient-reported outcome measures (PROs). The Short-form (SF36) questionnaire is a recommended measure among older adults however it’s comprehensiveness and uniqueness for specific patients after a HF is not clear. The aims of this study were to: understand the perspective of the older adults experience following HF, to assess the suitability of the SF36 as a PRO for HF and to determine the best timing for questioning. A qualitative description approach was used. This took place in 2 large academic medical-centers in Israel. The inquiry was done in 2 parts by semi-structured interview. A total 15 HF patients were interviewed. Categories and themes emerging from their responses were similar to the 8 domains of the SF36 questionnaire, but the participants added clarity regarding their own needs for setting goals. In the second part, participants agreed that the SF36 reflected common issues and served as an adequate measure for personal-goal setting. The study encourages patient-centered care in older adults recovering from HF, providing evidence that the SF36 is a suitable tool for measuring PROs in HF patients. Healthcare systems focus on clinical-outcome indicators and do not reflect how the patient views his outcomes. This study provides evidence that care should be customized for each person.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Suitability of Measuring Patient-Reported Outcomes in Older Adults Following a Hip Fracture Using the Short-Form 36 Questionnaire: A Qualitative Description Approach

Schroeder

Israeli

Liebergall

et al. 2023

INQUIRY

View full text Add to dashboard Cite

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“…Her situation points to the problems with the overburdened health care system and the suffering it may cause to patients. Exercise is considered the key for regaining mobility after a hip fracture (Vestøl et al, 2021). The stories’ overall message is that a lot is at stake for the participants of this study.…”

Section: Discussionmentioning

confidence: 99%

Fragility and Resilience: Stories of Recovering From Hip Fractures in the Oldest-Old Age

Tveit

2023

Qual Health Res

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This study uses a narrative approach to explore the experiences of adults in the oldest stage of old age after they suffered a hip fracture. The focus was on participants’ perceptions and descriptions of the traumatic event, the recovery process, and the impact of the fracture on their lives. The study had a longitudinal design and included interviews with 10 participants (mean age 89) who had suffered hip fractures. Up to three semi-structured interviews were conducted with each of the participants (a total of 27 interviews) over a 3-month period. The first interviews were at the hospital, the second at municipal rehabilitation facilities, and the third at the participants’ homes. The material was analysed by means of narrative analysis. The results show how the incident affected the participants’ active and meaningful lives and how they seemed to mobilise their resources and motivation to train and recover to be able to come back home and resume the life they had before the hip fracture. The study provides nuances in the understanding of how a hip fracture can impact lives in old age. The stories emphasise the resources and capacity for resilience elderly people can possess and the importance of listening to the individual life stories, situation, personal goals, and needs when planning services for elderly people recovering from a hip fracture.

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“…The authors suggested individualised approaches taking the older adult´s physical, mental, as well as social conditions into account. Fortunately, participating in an individualised exercise programme, with improved mobility as a result, has been shown in a previous study to positively affect older adults’ self-image and be beneficial for social participation and identity [ 37 ]. Similar to our study, the participants in the latter study received exercise according to the High-Intensity Functional Exercise (HIFE) Program [ 38 , 39 ] in the early stage after the fracture.…”

Section: Discussionmentioning

confidence: 99%

Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study

2022

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Background In order to improve quality of care and recovery after hip fracture we need to include the perspectives of the individual older adults when evaluating different rehabilitation interventions. The aim of this study was therefore to explore older adults’ experiences of their rehabilitation after a hip fracture and of the recovery process during the 12 months following the fracture. Methods Qualitative interviews were conducted with 20 older adults (70–91 years of age) who had participated in a randomised controlled trial evaluating the effects of early discharge followed by geriatric interdisciplinary home rehabilitation compared to in-hospital care according to a multifactorial rehabilitation program. Ten participants from each group were interviewed shortly after the one-year follow-up when the study was completed. Data were analysed with qualitative content analysis. Results The analysis resulted in four themes: Moving towards recovery with the help of others; Getting to know a new me; Striving for independence despite obstacles; and Adapting to an altered but acceptable life. The participants emphasised the importance of having access to rehabilitation that was provided by skilled staff, and support from family members and friends for well-being and recovery. They experienced a change in their self-image but strove for independence despite struggling with complications and functional limitations and used adaptive strategies to find contentment in their lives. Conclusions Rehabilitation interventions provided by competent health care professionals, as well as support from family members and friends, were emphasised as crucial for satisfactory recovery. Participants’ experiences further highlight the importance of targeting both physical and psychological impacts after a hip fracture. To improve recovery, rehabilitation providers should customise future interventions to suit each individual´s wishes and needs and provide rehabilitation in various settings throughout the recovery process. Trial registration The trial is registered at Current Controlled Trials Ltd, ICRCTN 15738119. Date of registration 16/06/2008, retrospectively registered.

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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

Cited by 3 publications

References 45 publications

The Suitability of Measuring Patient-Reported Outcomes in Older Adults Following a Hip Fracture Using the Short-Form 36 Questionnaire: A Qualitative Description Approach

The Suitability of Measuring Patient-Reported Outcomes in Older Adults Following a Hip Fracture Using the Short-Form 36 Questionnaire: A Qualitative Description Approach

Fragility and Resilience: Stories of Recovering From Hip Fractures in the Oldest-Old Age

Older adults' perspectives on rehabilitation and recovery one year after a hip fracture – a qualitative study

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