Long-term health and mobility of older adults following traumatic injury: a qualitative longitudinal study

被引:2
作者
Reeder, Sandra [1 ]
Ameratunga, Shanthi [2 ,3 ]
Ponsford, Jennie [4 ,5 ]
Fitzgerald, Mark [6 ]
Lyons, Ronan [7 ]
Nunn, Andrew [8 ]
Ekegren, Christina [1 ,9 ]
Cameron, Peter [1 ,6 ]
Gabbe, Belinda [1 ,7 ]
机构
[1] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
[2] Univ Auckland, Sch Populat Hlth, Auckland, New Zealand
[3] Counties Manukau Hlth Dist Hlth Board, Populat Hlth Directorate, Auckland, New Zealand
[4] Monash Univ, Sch Psychol Sci, Melbourne, Vic, Australia
[5] Epworth Healthcare, Monash Epworth Rehabil Res Ctr, Melbourne, Vic, Australia
[6] Alfred Hlth, Emergency & Trauma Ctr, Melbourne, Vic, Australia
[7] Swansea Univ, Hlth Data Res UK, Swansea, W Glam, Wales
[8] Austin Hlth, Victorian Spinal Cord Serv, Melbourne, Vic, Australia
[9] Sch Primary & Allied Hlth Care, Melbourne, Vic, Australia
基金
英国医学研究理事会; 澳大利亚研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Older adult; traumatic injury; recovery; disability; ageing; qualitative; SPINAL-CORD-INJURY; MAJOR TRAUMA; OF-LIFE; OUTCOMES; EXPERIENCES; PARTICIPATION; INDIVIDUALS; DISABILITY; RESOURCE; REGISTRY;
D O I
10.1080/09638288.2021.1998671
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose The aim of this study was to explore older adults' experiences of and approaches to managing their long-term health and mobility after traumatic injury. Methods A longitudinal qualitative study was undertaken with older adults following traumatic injury in Victoria, Australia. Fifteen participants (>= 65 years) were interviewed at three years post-injury (n = 15), and re-interviewed at four (n = 14) and five years (n = 12) post-injury. Using a framework approach, a longitudinal thematic analysis was performed. Results Older age at the time of injury was identified by participants as a key factor influencing their recovery. Many participants reported actively attempting to regain their strength and fitness in the first five years following injury. However, their age, injury impacts, other health conditions, and weight gain made it difficult to achieve recovery goals. Many older adults reported a decline in their physical function over time. While these experiences and persistent disability constrained or changed the quality of social relationships, community participation, and independence, several participants described adapting to their functional limitations, and managing their secondary conditions over time. Conclusion In our cohort, the intertwined combination of ageing, injury, and comorbid conditions negatively affected health and mobility, reinforcing the need for preventative strategies.
引用
收藏
页码:7818 / 7828
页数:11
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