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Hip fractures and cognitive state: patient outcomes and proxies' perceptions of the rehabilitation period
Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
2008 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 3, no 3, p. 178-186Article in journal (Refereed) Published
Abstract [en]

Background: Numerous studies are available on hip fracture and rehabilitation outcomes. Some mention dementia but very few from 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 impairement, 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
2008. Vol. 3, no 3, p. 178-186
Keywords [en]
clinical trial, cognitive impairment, hip fracture, Katz ADL, proxies, rehabilitation
National Category
Health Sciences
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:vxu:diva-3570DOI: 10.1111/j.1748-3743.2008.00131.xOAI: oai:DiVA.org:vxu-3570DiVA, id: diva2:203526
Available from: 2008-10-22 Created: 2008-10-22 Last updated: 2017-12-13Bibliographically approved

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Heikkilä, Kristiina

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • 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
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