A systematic mixed methods review: Recovering from a hip fracture in a health promoting perspective.
Johanne Lind, Marianne Mahler
PMID 30918683WHAT IT FOUND
Older adults recovering at home after hip fracture described recovery as a battle for independence.
Support that strengthens their sense of control and motivation may matter more than exercise alone.
Key findings
01Older adults recovering at home after hip fracture described coping as a battle for independence and active participation in their own recovery.
02In quantitative studies, stronger sense of coherence was linked to better recovery, training adherence, independence and quality of life.
03A home rehabilitation programme increased independence after discharge, but some benefits were not still evident later.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for RNs
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What it does not show
The review could not combine results statistically because the studies used different designs and outcome measures. Many included studies were small, and the participants may have been more resourceful than typical patients. Most participants were from Europe or the United States, and cultural, economic and educational details were often unclear. The studies did not analyse generalized resistance resources, and key concepts were not clearly defined.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as proof that health promotion programmes work for all older adults after hip fracture. The review combines heterogeneous studies, includes qualitative themes and associations, and several included studies had small samples or limited follow-up.