Hip fracture has profound psychosocial impacts: a systematic review of qualitative studies.
Background Hip fracture is a common and serious traumatic injury for older adults characterised by poor outcomes. Objective This systematic review aimed to synthesise qualitative evidence about the psychosocial impact of hip fracture on the people who sustain these injuries. Methods Five databases w...
| Published in: | Age & Ageing Vol. 53; no. 9; pp. 1 - 16 |
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| Main Authors: | , , , , , , , , , |
| Format: | Article |
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Oxford University Press / USA
Sep2024
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=180016549&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 180016549 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Sep2024 vid: 53 iid: 9 pid: 622 pub: Oxford University Press / USA artinfo: ui: 180016549 10.1093/ageing/afae194 ppf: 1 ppct: 15 formats: tig: atl: Hip fracture has profound psychosocial impacts: a systematic review of qualitative studies. aug: au: Taylor, Nicholas F Rimayanti, Made U Peiris, Casey L Snowdon, David A Harding, Katherine E Semciw, Adam I O'Halloran, Paul D Wintle, Elizabeth Williams, Scott Shields, Nora affil: Academic and Research Collaborative in Health, La Trobe University , Bundoora, Victoria 3086, Australia Allied Health Clinical Research Office, Eastern Health , 2/5 Arnold Street, Box Hill, Victoria 3128, Australia School of Psychology and Public Health, La Trobe University , Melbourne, Victoria 3086, Australia Royal Melbourne Hospital, Parkville , Melbourne 3052, Victoria Australia Academic Unit, Peninsula Health , Frankston, Victoria 3133, Australia Allied Health, Northern Health , Epping, Victoria 3076, Australia Centre for Sport and Social Impact, La Trobe University , Melbourne, Victoria 3086, Australia Olga Tennison Autism Research Centre, La Trobe University , Melbourne, Victoria 3086, Australia su: Life change events Fear Qualitative research Emotions Psychological adaptation Family attitudes Quality of life Friendship Old age Medical information storage & retrieval systems Hip fractures CINAHL database Systematic reviews MEDLINE Medical databases Psychology information storage & retrieval systems sug: subj: Life change events Fear Qualitative research Emotions Psychological adaptation Family attitudes Quality of life Friendship Old age Medical information storage & retrieval systems Hip fractures CINAHL database Systematic reviews MEDLINE Medical databases Psychology information storage & retrieval systems keyword: hip fracture hip fractures older adult older people psychosocial qualitative analysis qualitative research systematic review trauma wounds and injuries hip fracture hip fractures older adult older people psychosocial qualitative analysis qualitative research systematic review trauma wounds and injuries ab: Background Hip fracture is a common and serious traumatic injury for older adults characterised by poor outcomes. Objective This systematic review aimed to synthesise qualitative evidence about the psychosocial impact of hip fracture on the people who sustain these injuries. Methods Five databases were searched for qualitative studies reporting on the psychosocial impact of hip fracture, supplemented by reference list checking and citation tracking. Data were synthesised inductively and confidence in findings reported using the Confidence in the Evidence from Reviews of Qualitative research approach, taking account of methodological quality, coherence, relevance and adequacy. Results Fifty-seven studies were included. Data were collected during the peri-operative period to >12 months post fracture from 919 participants with hip fracture (median age > 70 years in all but 3 studies), 130 carers and 297 clinicians. Hip fracture is a life altering event characterised by a sense of loss, prolonged negative emotions and fear of the future, exacerbated by negative attitudes of family, friends and clinicians. For some people after hip fracture there is, with time, acceptance of a new reality of not being able to do all the things they used to do. There was moderate to high confidence in these findings. Conclusions Hip fracture is a life altering event. Many people experience profound and prolonged psychosocial distress following a hip fracture, within a context of negative societal attitudes. Assessment and management of psychosocial distress during rehabilitation may improve outcomes for people after hip fracture. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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