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

本研究以七位年龄介乎78至96岁的老人为研究对象，探讨影响髋部骨折患者髋部骨折后活动与参与的因素。我为他们进行了一次半结构化的面试。对收集到的数据进行定性的分析。结果，建立了九个类别。他们的分类描述了影响老年人髋部骨折后活动和参与的因素的特点：作为活动和参与的促进因素，[虽然总是与社会相关，但有时间快乐地度过][保持自己的生活方式]作为活动和参与的障碍因素，[关心周围环境并控制自己活动/参与][髋部骨折后抑郁][忍受疼痛][再次意识到功能的下降]。[积极摔跤在周围的支持][知老接受他们的现实][自己协调他们的活动]被认为是支持他们的活动和参与的因素，每个影响活动和参与的阻碍因素和促进因素都是相互关联的。他们得到邻居的鼓励和周围环境的支持，通过支持因素维持自己的生活方式，从而在社会生活中有了快乐的时间和场所。因此，有必要考察其他老年人的这些因素以及他们之间的关系，进而研究护理支持与他们之间的关系，以影响将来使用该机构的老年人髋部骨折后的活动和参与、生活质量。

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.