Study on home care needs and care resource integration expectations of elderly patients after hip fracture surgery: a mixed-method study
10.3760/cma.j.cn211501-20230227-00484
- VernacularTitle:基于混合方法的老年髋部骨折术后患者的居家照护需求及照护资源整合期望的研究
- Author:
Yan KUANG
1
;
Lei CHENG
;
Yuanfang KUANG
;
Zhenlan XIA
Author Information
1. 广州医科大学护理学院，广州 510182
- Keywords:
Aged;
Hip fracture;
Home care needs;
Mixed-method study
- From:
Chinese Journal of Practical Nursing
2023;39(25):1972-1978
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the home care needs and home resource integration expectations of elderly patients after hip fracture surgery so as to provide health care guidance after discharge.Methods:A mixed study method of consistent parallel design was used to conduct semi-structured interviews in 15 elderly patients after hip fracture surgery. Meanwhile, convenient sampling method was used to select elderly patients after hip fracture surgery to conduct health survey with interRAI-HC(International Resident Assessment Instrument Home Care), and comprehensive data results were analyzed.Results:Through the analysis and induction of the interview data, two main themes were extracted: the diversification of home care needs and the lack of integration of home service resources. There were 25 health problems in the elderly after hip fracture surgery. Health problems mainly focus on ADL limitation, insufficient social activity, limited social interaction, clinical health problems (fall risk, malnutrition, pain, cardiovascular and respiratory problems, weakness, fatigue), etc.Conclusions:For elderly patients after hip fracture surgery, it is necessary to strengthen the rehabilitation guidance at discharge, integrate home care resources to provide diversified nursing services in the transitional stage, promote the formation and continuity of patients' rehabilitation behavior, and improve the clinical outcome of patients.
