TY - JOUR
T1 - From fear to control
T2 - Older adults’ thoughts and feelings about empowerment-oriented rehabilitation after a hip fracture
AU - Tobiesen Pedersen, Lars
AU - Ipsen, Jonas Ammundsen
AU - Egebæk, Heidi Klakk
AU - Bruun, Inge H.
AU - Viberg, Bjarke
AU - Andersen, Pernille Tanggaard
N1 - Funding Information:
The authors would like to express their gratitude for the funding provided by the research council at Lillebaelt Hospital , University College South Denmark , and the Novo Nordic Foundation . The contents of the published materials are solely the responsibility of Lillebaelt Hospital and the individual authors and do not reflect the views of the research council, University College South Denmark, or the Novo Nordic Foundation. The funders did not play any role in the study design, data collection, analysis, interpretation, or report writing.
PY - 2024/5
Y1 - 2024/5
N2 - Background: It is essential to focus on how older adults remain active and regain control of their daily lives after hip fractures. ‘Rehabilitation of Life’ is an empowerment-orientated hip fracture intervention focused on continuous rehabilitation and care between sectors in Denmark. We aimed to understand and explore older adults’ experience participating in the intervention ‘Rehabilitation of Life’ and how this relates to their sense of empowerment. Method: Qualitative data were generated from 16 semi-structured interviews with patients experiencing a hip fracture and subsequent rehabilitation in the program “Rehabilitation of Life’ The data was analysed using Graneheim and Lundman's concept-guided qualitative content analysis method. Results: The analysis revealed five themes that the participants emphasised as vital to their rehabilitation: getting information and care when hospitalised, early visits from healthcare professionals after returning to their homes, the social aspect of training together with others, rehabilitation provision by skilled and empathic staff, and acceptance of a new me. The five themes indicated that adults aged >65 years generally experienced rehabilitation after hip fractures as motivating and reassuring. Conclusion: Social support and peer programs can significantly improve the rehabilitation of older adults with hip fractures. The Rehabilitation of Life intervention has shown that promoting successful rehabilitation requires patient-centred strategies that encourage collaboration between different sectors. To increase patients’ empowerment and engagement in their health journey, it is important to consider changes in patients’ behaviour, increase their autonomy and ensure their independence after rehabilitation.
AB - Background: It is essential to focus on how older adults remain active and regain control of their daily lives after hip fractures. ‘Rehabilitation of Life’ is an empowerment-orientated hip fracture intervention focused on continuous rehabilitation and care between sectors in Denmark. We aimed to understand and explore older adults’ experience participating in the intervention ‘Rehabilitation of Life’ and how this relates to their sense of empowerment. Method: Qualitative data were generated from 16 semi-structured interviews with patients experiencing a hip fracture and subsequent rehabilitation in the program “Rehabilitation of Life’ The data was analysed using Graneheim and Lundman's concept-guided qualitative content analysis method. Results: The analysis revealed five themes that the participants emphasised as vital to their rehabilitation: getting information and care when hospitalised, early visits from healthcare professionals after returning to their homes, the social aspect of training together with others, rehabilitation provision by skilled and empathic staff, and acceptance of a new me. The five themes indicated that adults aged >65 years generally experienced rehabilitation after hip fractures as motivating and reassuring. Conclusion: Social support and peer programs can significantly improve the rehabilitation of older adults with hip fractures. The Rehabilitation of Life intervention has shown that promoting successful rehabilitation requires patient-centred strategies that encourage collaboration between different sectors. To increase patients’ empowerment and engagement in their health journey, it is important to consider changes in patients’ behaviour, increase their autonomy and ensure their independence after rehabilitation.
KW - Adults over 65
KW - Empowerment-oriented
KW - Hip fracture
KW - Interview
KW - Patient experience
KW - Patient perspective
KW - Rehabilitation
U2 - 10.1016/j.ijotn.2023.101061
DO - 10.1016/j.ijotn.2023.101061
M3 - Journal article
C2 - 37907389
AN - SCOPUS:85175005126
SN - 1878-1241
VL - 53
JO - International Journal of Orthopaedic and Trauma Nursing
JF - International Journal of Orthopaedic and Trauma Nursing
M1 - 101061
ER -