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Health Care Providers' Perceptions of Physical Function in Older Adults with Arthroplasty from Hip Fracture

고관절 골절로 인공고관절 수술을 받은 노인의 신체적 기능에 대한 의료인의 인식 분석

  • Received : 2015.07.01
  • Accepted : 2015.07.28
  • Published : 2015.08.31

Abstract

Purpose: This study was a qualitative research using focus group interviews to collect data on the health care providers' perceptions of physical function in older adults with arthroplasty from hip fracture. Methods: A total of 12 subjects participated in this study. In order to conduct focus group interviews, structured manuscript, field notes, visual recording, and debriefing notes were referred and thematic analysis was used in analysis phase. Results: The six themes were raised: 'burdensome client', 'health care providers' perception of functional decline in older adults after surgery', 'health care providers' perception of caregiver', 'medical environment perceived as affecting physical function', 'crucial components perceived as encouraging functional restoration', and 'difficulty of pain management' with 18 subthemes. Conclusion: Healthcare providers perceived functional decline of elderly after arthroplasty and identified points facilitating or disturbing physical function Moreover, various perspectives on pain management related to physical function were represented.

Keywords

References

  1. Boltz, M., Capezuti, E., & Shabbat, N.(2011). Nursing staff perceptions of physical function in hospitalized older adults. Applied Nursing Research, 24(4), 215-222. http://dx..doi.org/10.1016/j.apnr.2010.01.001
  2. Boltz, M., Resnick, B., Capezuti, E., Shuluk, J., & Secic, M.(2012). Functional decline in hospitalized older adults: Can nursing make a difference? Geriatric Nursing, 33(4), 272-279. http://dx.doi.org/10.1016/j.gerinurse.2012.01.008
  3. Brown, C. E., Wickline, M. A., Ecoff, L., & Glaser, D.(2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65(2), 371-381. http://dx.doi.org/10.1111/j.1365-2648.2008.04878.x
  4. Gropelli, T., & Sharer, J.(2013). Nurses' perceptions of pain management in older adults. Medsurg Nursing, 22(6), 375-382.
  5. Gunnarsson, A. K., Lonn, K., & Gunningberg, L.(2009). Does nu tritional intervention for patients with hip fractures reduce postoperative complications and improve rehabilitation?. Journal of Clinical Nursing, 18(9), 1325-1333. http://dx.doi.org/10.1111/j.1365-2702.2008.02673.x
  6. Handoll, H. H., Sherrington, C., & Mak, J. C.(2011). Interventions for improving mobility after hip fracture surgery in adults. The Cochrane Database of Systematic Reviews, 3, 1-110. http://dx.doi.org/10.1002/14651858.CD001704.pub4
  7. Hoogerduijn, J. G., Schuurmans, M. J., Korevaar, J. C., Buurman, B. M., & de Rooij S. E.(2010). Identification of older hospitalised patients at risk for functional decline, a study to compare the predictive values of three screening instruments. Journal of Clinical Nursing, 19(9-10), 1219-1225. http://dx.doi.org/10.111/j/1365-2702.2009.03035.x
  8. Kim, G. B., Shin, K. R., Kim, S. S., Yoo, E. K., Kim, N. C., Park, E. S., et al.(2005). Qualitative research methodology. Seoul: Hyunmoonsa.
  9. Kruger, R. A., & Casey, M. A.(2000). Focus groups-a practical guide for applied research(3rd ed.). Thousand Oaks, California: Sage.
  10. Leutwyler, H., Hubbard, E. M., Jeste, D. V., & Vinogradov, S. (2013). "We're not just sitting on the periphery": A staff perspective of physical activity in older adults with schizophrenia. The Gerontologist, 53(3), 474-483. http://dx.doi.org/10.1093/geront/gns092
  11. Lucas, B.(2008). Total hip and total knee replacement: postoperative nursing management. British Journal of Nursing, 17(22), 1410-1414. http://dx.doi.org/10.12968/bjon.2008.17.22.31866
  12. McCaffrey, R., & Locsin, R.(2004). The effect of music listening on acute confusion and delirium in elders undergoing elective hip and knee surgery. Journal of Clinical Nursing, 13 (s2), 91-96. https://doi.org/10.1111/j.1365-2702.2004.01048.x
  13. O'Sullivan, M., & Savage, E.(2008). Nursing contributions to mobilizing older adults following total hip replacement in Ireland. Journal of Orthopaedic Nursing, 12(3-4), 181-186. http://dx.doi.org/10.1016/j.joon.2008.07.004
  14. Oh, H. Y.(2003). Pain, functional status at discharge, factors influencing recovery in elderly patients following hip surgery. Journal of Korean Gerontological Nursing, 5(1), 82-90.
  15. Shyu, Y. I., Chen, M. L., Chen, M. C., Wu, C. C., & Su, J. Y.(2009). Postoperative pain and its impact on quality of life for hipfractured older people over 12months after hospital discharge. Journal of Clinical Nursing, 18(5), 755-764. http://dx.doi.org/10.1111/j.1365-2702.2008.02611.x
  16. Statistics Korea.(2014, December 15). National Health Insurance Statistics. Retrieved Jun 20, 2015, from http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A061&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path=
  17. Suh, Y. S., Kim, Y. B., Choi, H. S., Yoon, H. K., Seo, G. W., & Lee, B. I.(2012). Postoperative mortality and the associated factors in elderly patients with hip fracture. The Journal of the Korean Orthopaedic Association, 47(6), 445-451. http://dx.doi.org/10.4055/jkoa.2012.47.6.445
  18. Sveinsdottir, H., & Skuladottir, H.(2012). Postoperative psychological distress in patients having total hip or knee replacements. An exploratory panel study. Orthopaedic Nursing, 31(5), 302-311. http://dx.doi.org/10.1097/NOR.0b013e318266496f
  19. Walls, B. T., Dirks, M. L., Snijders, J. M., Senden, J. M. G., Dolmans, J., & van Loon, L. J. C.(2014). Substantial skeletal muscle loss occurs during only 5 days of disuse. Scandinavian Physiological Society, 210(3), 600-611. http://dx.doi.org/10.1111/apha.12190
  20. Wehren, L. E., Hawkes, W. G., Hebel, J. R., Orwig, D. L., & Magaziner, J.(2005). Bone mineral density, soft tissue body composition, strength, and functioning after hip fracture. The Journals of Gerontology, Series A, Biological Sciences and Medical Sciences, 60(1), 80-84. http://dx.doi.org/10.1093/gerona/60.1.80