A study about the care support in the recovery process of hip fracture postoperative elderly using a welfare institution

摘要本研究的目的，是要从福利机构老年人髋骨骨折后的生活经验，来厘清影响髋骨骨折后活动与参与的因素。研究对象是该机构的7名年龄在78至96岁之间的老年人。我对他们进行了半结构化的采访。对收集到的资料进行定性分析。因此，成立了九个类别。他们的分类描述了影响髋部骨折后老年人活动参与的因素特征，如下：作为活动参与的促进因素，[始终与社会相关，有时间快乐度过][保持自我的生活方式]被认为是活动参与的阻碍因素；[照顾周围环境，控制自己的活动/参与][髋部骨折后的抑郁][承受疼痛][再次意识到功能下降]。[积极争取周围的支持][意识到老年人并接受他们的现实][自己协调他们的活动]被认为是支持他们活动和参与的因素。影响活动和参与的各种阻碍因素和促进因素相互关联。他们得到邻里的鼓励和周围环境的支持，通过支持因素保持自己的生活方式，在社会生活中有自己的时间和地方，快乐地度过。有必要对其他老年人的这些因素以及它们之间的关系进行研究，然后研究与这些因素相关的护理支持如何对住院老年人髋部骨折后的活动和参与、生活质量产生影响。

The purpose of this study was to clarify the factor to have an influence on activity and participation after hip fracture from experience in their lives of elderly using a welfare institution.The subjects were seven elderly, aged 78 to 96, using the institution. I performed a semi-structured interview for them. The data which collected were analyzed by the qualitative methods. As a result, nine categories were founded. Their categories described the characteristic of the factors to have an influence on activity and participation of elderly after hip fracture, as follows :As promotion factors of activity and participation, [While always related with the society, have their time to spend happily] [Preserve a lifestyle of the self] were supposed, as obstruction factors of activity and participation, [Care of surroundings and control themselves activity/participation] [Depression after hip fracture] [Bear the pain] [Realize the decrease of functioning again] were supposed. [Wrestle positively in surrounding support] [Be conscious of old and accept their reality] [Coordinate their activity by themselves] were supposed as factors that support their activity and participation.Each obstruction factor and promotion factor which influenced on activity and participation related mutually. They obtained the encouragement from neighborhood and the support of surroundings, maintained own life style through the support factors, and then they had their time and their place that spent happily in the social life.It will be necessary to examine these factors in other elderly and the relation of them, and then, to examine how to care support in relation with them to have an influence on activity and participation, QOL after hip fracture of elderly using the institution in future.