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Hip fractures and cognitive state: patient outcomes and proxies’ perceptions of the rehabilitation period
Red Cross University College of Nursing.ORCID iD: 0000-0001-6883-3154
Red Cross University College of Nursing.
2008 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 3, no 3, 178-186 p.Article in journal (Refereed) Published
Abstract [en]

Background.  Numerous studies are available on hip fracture and rehabilitation outcomes, some mention dementia but very few from a family/proxy perspective.

Aim.  To investigate whether cognitive state influences the hip fracture patients’ rehabilitation outcomes as well as the proxies’ perceptions of the 6-month rehabilitation period.

Design.  A survey with structured and unstructured questions. Statistics and content analysis.

Methods.  The questionnaire was sent to 40 proxies of hip fracture patients with and without cognitive impairment, 32 replied. Statistics and content analysis were used to analyse the data.

Results.  In the cognitively impaired group, physical function decreased (P = 0.0241) as well as locomotion (P = 0.0005) compared to pre-fracture. This group mainly participated in rehabilitation sessions in institutions (P = 0.0001) and their main support came from nursing staff. The cognitively impaired group assessed the rehabilitation period as being of a much lower quality than the cognitively intact group (P = 0.0048). In the impaired group, hindrances to rehabilitation were low level of staffing, and lack of access to rehabilitation resources such as physiotherapists.

Conclusions and relevance for clinical practice.  Hip fracture patients are a dichotomous group and cognition is decisive for physical and social outcomes as well as type of rehabilitation support.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell, 2008. Vol. 3, no 3, 178-186 p.
Keyword [en]
clinical trial, cognitive impairment, hip fracture, Katz ADL, proxies, rehabilitation
National Category
Nursing Health Sciences
Identifiers
URN: urn:nbn:se:rkh:diva-444DOI: 10.1111/j.1748-3743.2008.00131.xPubMedID: 20925818OAI: oai:DiVA.org:rkh-444DiVA: diva2:561941
Note

Som manuskript i avhandling. As manuscript in dissertation.

Available from: 2012-10-22 Created: 2012-10-22 Last updated: 2014-10-21Bibliographically approved
In thesis
1. Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
Open this publication in new window or tab >>Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Stockholm: Karolinska institutet, 2007. 57 p.
Keyword
hip fracture, cognition disorders, caregivers
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-450 (URN)978-91-7357-118-0 (ISBN)
Note

 Institutionen för neurobiologi, vårdvetenskapoch samhälle, Karolinska Institutet.                    

Available from: 2014-07-04 Created: 2012-10-23 Last updated: 2014-10-21Bibliographically approved

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