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The Inclusion of the Patient´s Perspective on the Recovery Process After a Hip Fracture: A Register and Questionnaire Study
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-1515-7567
2019 (English)In: Orthopaedic Nurses Walk the Line Across Borders!, 2019Conference paper, Oral presentation only (Other academic)
Abstract [en]

Introduction:  Patient Reported Outcome Measures explore the view from the individuals´ perspective

Aim: The aim was to identify self-assessed factors that predict how patients recover after hip fracture surgery

Methods: A descriptive quality register-questionnaire study included 188 previous healthy, independent living adults aged 65 years and older stricken by a hip fracture in Sweden.  Data collection consisted of demographic data using the Swedish National Hip Fracture Register and Patient-reported assessment at the acute hospital, 2-5 days after surgery, and follow-up 4 months later. Following questionnaires were used: - EQ-5D, for assess health status - Falls Efficacy Scale, Swedish version (FES(S)), for assess perceived ability to perform common everyday tasks without fear of falling - Postoperative Recovery Profile (PRP), for assess patient-reported postoperative recovery including multidimensional items after surgical treatment.

Results: Based on patient reported assessment scores 21 percent reported themselves as fully or almost fully recovered at 4 months follow-up. In addition, 39 percent reported themselves slightly or not recovered at all. Different age groups experienced different challenges at different phases of the recovery process.

Discussion: Previously healthy adults who sustain a hip fracture are heterogeneous, and this heterogeneity means that their recovery process will likely differ. Using patient reported assessment provide improvement and integrated care. It is important to gain more knowledge from the individuals´ perspective of the difficulties when recover after a hip fracture. 

Implication for practice: Previous healthy, independently living older adults should be able to recover to the previous standard of everyday life after a hip fracture. The recovery process includes the entire continuum of fundamentals of care. The promotion of patient-valued outcomes for shaping clinical practice could be compatible with the outcomes that the patients value highest: to regain previous function capability and to regain independence after a hip fracture.

Place, publisher, year, edition, pages
2019.
Keywords [en]
Hip fractures, patient-reported outcomes, fundamentals of nursing care, clinical practice
National Category
Medical and Health Sciences
Research subject
Health and Welfare, Patientens delaktighet i kliniska beslut
Identifiers
URN: urn:nbn:se:du-31293OAI: oai:DiVA.org:du-31293DiVA, id: diva2:1379228
Conference
International Collaboration of Orthopadeic Nursing (ICON) 2019, 23-24 May 2019, Comwell Kolding, Kolding Denmark
Available from: 2019-12-16 Created: 2019-12-16 Last updated: 2020-01-10Bibliographically approved

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Gesar, Berit

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf