Transcript Dias nummer 1 - Aarhus Universitet

A qualitative study of functioning, disability, and rehabilitation
of patients after hip fracture surgery
Monica Milter Ehlers PhD student, MSc in Nursing
Merete Bender Bjerrum* PhD, MA, Associate Professor
Claus Vinther Nielsen* Professor, PhD, MD, Specialist in Clinical Social Medicine
*Department of Public Health, Aarhus University
Introduction
 Hip fractures cause the greatest consumption of bed days in Danish hospitals.
 The need for rehabilitation of hip fracture patients older than 65 years is increasing because of a growing number of
elderly people in Denmark.
 Rehabilitation of hip fracture patients consists primarily of muscle training and daily mobilisation.
 Patients' functioning, disability, and involvement in their rehabilitation process have not been investigated in
scientific studies.
Aims
To establish a specific research-based knowledge for
functioning, disability, and rehabilitation of hip fracture
patients older than 65 years.
1)
To evaluate knowledge about functioning,
disability, and rehabilitation of postoperative hip
fracture patients older than 65 years.
2)
To investigate how health care professionals
assess patients’ functioning, disability,
rehabilitation, and factors with an impact on
functioning, disability, and rehabilitation.
3)
To investigate how patients and their close
relations have experienced patients’ functioning,
disability, rehabilitation, and factors with an impact
on functioning, disability, and rehabilitation.
Figure 2
Expected outcome
Material and Method
The PhD project is based on the Model of the International
Classification of Functioning, Disability and Health (The ICF
model) (Figure 1) and White Paper of the Rehabilitation
Concept. The method of the project is qualitative, and the
design used to answer the research questions is qualitative
deductive content analysis (Figure 2). The informants are
health care professionals, postoperative hip fracture
patients older than 65 years, and their close relations.
Data are generated by a systematic mixed-method review
of the literature from 2001 to 2012, focus group interviews
with health care professionals from the Geriatric department
at Aarhus University Hospital, and the Municipality of
Aarhus, as well as individual interviews with patients and
their close relations.
Acquired knowledge is disseminated in three
scientific articles, which hopefully will assess and
optimise the rehabilitation effort in Danish regions
and municipalities.
Perspective
The perspective is to create a scientific foundation
and terminology about health related conditions
and rehabilitation of hip fracture patients older than
65 years. The foundation and terminology can be
used in the development of targeted and
coordinated rehabilitation services that enable
patients to master everyday life despite disabilities.
Figure 1
This study is funded by
Folkesundhed i Midten
Geriatric Department, Aarhus University Hospital
Health and Welfare, the Municipality of Aarhus
CFK - Public Health and Quality Improvement, Central Denmark Region