title: Older patients' perception of their own capacity to regain pre-fracture function after hip fracture surgery - an explorative qualitative study.
abstract: OBJECTIVE
  To explore healthy older patients' perceptions of their own capacity to regain pre-fracture function in the acute phase following hip fracture surgery.
  
  
  BACKGROUND
  The incidence of hip fractures is expected to increase. In Sweden, of the patients who sustain a hip fracture, 40 per cent are healthy and lived independently pre fracture. However, a hip fracture often results in declined functional outcomes for 40 per cent of these patients.
  
  
  METHODS
  The study had an explorative inductive qualitative design.
  
  
  METHODS
  Semi-structured interviews (n = 30) were conducted two to five days after hip fracture surgery. Data were analysed using manifest inductive content analysis.
  
  
  RESULTS
  As a description of patients' perception of their own capacity to regain pre-fracture function after a hip fracture, one main category emerged: To end up in a new situation with or without control. Patients expressed that they believed in recovery and thought nothing would be altered. However, since they had to adapt to the ward culture at the acute hospital, they became passive and became insecure about their future life situation.
  
  
  CONCLUSIONS
  The attitudes of staff at the acute hospital can influence the outcome for hip fracture patients. Patients believe in recovery but do not receive psychological support to regain physical capacity.
authors.affiliation: Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
authors.forename: Berit
authors.initials: B
authors.lastname: Gesar
authors.affiliation: Department of Health Sciences, Lund University, Lund, Sweden. Electronic address: Ami.Hommel@med.lu.se.
authors.forename: Ami
authors.initials: A
authors.lastname: Hommel
authors.affiliation: Department of Orthopaedics, Falun Hospital, Falun, Sweden.
authors.forename: Hanne
authors.initials: H
authors.lastname: Hedin
authors.affiliation: Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Varmland, Karlstad, Sweden.
authors.forename: Carina
authors.initials: C
authors.lastname: Bååth
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D006620:Hip Fractures / Q000523:psychology* / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D010465:Perception; D011369:Professional-Patient Relations; D036301:Qualitative Research; D020127:Recovery of Function / Q000502:physiology
keywords: Acute care; Content analysis; Healthy patients; Hip fracture; Hospital care; Patient experiences; Patient-centred care