Document Detail

Sources older people draw on to nurture, strengthen and improve self-efficacy in managing home rehabilitation following orthopaedic surgery.
MedLine Citation:
PMID:  23020872     Owner:  NLM     Status:  MEDLINE    
AIMS AND OBJECTIVES: To explore how older people maintained and improved their self-efficacy in managing home rehabilitation and their adherence to rehabilitation exercise programmes following orthopaedic surgery.
BACKGROUND: Successful postoperative orthopaedic rehabilitation for older people depends on building their confidence about adherence to exercise programmes designed to improve their functional performance. Many older people, however, do not reach a satisfactory level of functional ability before discharge and some fail to adhere to their rehabilitation exercise programme at home. This contributes to a reduced quality of life. Although many studies report the influences of self-efficacy, little is known about the factors that help rebuild self-efficacy beliefs towards postdischarge exercise following orthopaedic surgery.
DESIGN: A descriptive exploratory qualitative study.
METHODS: Semi-structured interviews were used with 15 older people who had returned to their homes following orthopaedic surgery.
RESULTS: Findings emphasise the importance of social support from family, friends and community to nurture self-efficacy. Accessing personal beliefs and attitudes, adaptive strategies and goal setting were all sources and ways participants rebuilt their confidence and motivation in regard to adhering to a rehabilitation programme.
CONCLUSION: Facilitating self-efficacy assists older people to manage home rehabilitation and planning care with family and friends to create a support system in early discharge planning allows a safer and smoother recovery.
RELEVANCE TO CLINICAL PRACTICE: Rehabilitation programmes and education should encourage an understanding of self-efficacy as a means to improve individual functional performance.
Yi-Chen Tung; Marie Cooke; Wendy Moyle
Publication Detail:
Type:  Journal Article     Date:  2012-10-01
Journal Detail:
Title:  Journal of clinical nursing     Volume:  22     ISSN:  1365-2702     ISO Abbreviation:  J Clin Nurs     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-11     Completed Date:  2013-12-06     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9207302     Medline TA:  J Clin Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  1217-25     Citation Subset:  N    
Copyright Information:
© 2012 Blackwell Publishing Ltd.
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MeSH Terms
Aged, 80 and over
Qualitative Research
Quality of Life
Rehabilitation / methods*
Self Efficacy*
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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