From fear to control: Older adults' thoughts and feelings about empowerment-oriented rehabilitation after a hip fracture

Lars Tobiesen Pedersen, Jonas Ammundsen Ipsen, Heidi Klakk Egebæk, Inge H Bruun, Bjarke Viberg, Pernille Tanggaard Andersen

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Article number101061
JournalInternational Journal of Orthopaedic and Trauma Nursing
Volume53
Pages (from-to)101061
ISSN1878-1241
DOIs
Publication statusPublished - May 2024

Keywords

  • Aged
  • Aged, 80 and over
  • Denmark
  • Empowerment
  • Fear/psychology
  • Female
  • Hip Fractures/rehabilitation
  • Humans
  • Interviews as Topic
  • Male
  • Qualitative Research

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