A qualitative study of older adults: The difficulties and needs of returning home after hip fractures

Paula Rocha , Cristina Lavareda Baixinho , Maria Adriana Henriques
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Abstract

Background

Falls and consequent fractures are an increasing problem among older adults, with low rates of return to previous functional condition and a substantial risk of subsequent falls. This scenario points to the need for an improved response to this population's needs.

Objective

To define the difficulties and needs felt by older adults with hip fractures when returning home.

Methods

This was a descriptive and exploratory qualitative study. Semi-structured interviews were conducted with hip fracture patients who had been submitted to surgery and who were treated at a hospital in the central region of Portugal. Bardin's content analysis was used to analyze the data. Content analysis was carried out with the support of MAXQDA® Analytic pro 2022 software.

Results

The analysis of the results of the 15 interviews yielded three categories related to the difficulties perceived by hip fracture patients on returning home: functional limitations; pain; and emotional management. Regarding the needs felt, the following categories emerged: resources/help with activities of daily living; capacity-building for the return home; and information.

Conclusions

The needs and difficulties of older adults with hip fractures on returning home are multiple and variable. Knowledge of these aspects can significantly enhance the standardized actions of nurses in this area of intervention, contributing to the improvement of continuity of care and ensuring a safe transition.
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一项针对老年人的定性研究:髋部骨折后重返家园的困难和需求。
背景:在老年人中,跌倒和随之而来的骨折是一个日益严重的问题,其功能恢复率很低,而且再次跌倒的风险很大。这种情况表明,需要更好地满足这一人群的需求:方法:这是一项描述性和探索性研究:这是一项描述性和探索性的定性研究。我们对在葡萄牙中部地区一家医院接受手术治疗的髋部骨折患者进行了半结构化访谈。数据分析采用了 Bardin 内容分析法。内容分析在 MAXQDA® Analytic pro 2022 软件的支持下进行:通过对 15 个访谈结果的分析,得出了与髋部骨折患者回家后所感受到的困难有关的三个类别:功能限制、疼痛和情绪管理。在感受到的需求方面,出现了以下类别:日常生活活动的资源/帮助;重返家园的能力建设;信息:患有髋部骨折的老年人在返回家中时的需求和困难是多种多样的。对这些方面的了解可以大大加强护士在这一干预领域的标准化行动,有助于改善护理的连续性并确保安全过渡。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
期刊最新文献
Long-term maintenance of a fragility fracture initiative. A qualitative study of older adults: The difficulties and needs of returning home after hip fractures Enhanced recovery pathways in orthopaedic and trauma care. Special issue Efficacy of vitamin C supplementation in preventing and treating complex regional pain syndrome type I (CRPS-I) in Orthopedic patients: A systematic review and meta-analysis Improving external fixator pin site care through user involvement: A quality improvement project
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