Background Hip fracture is a common and serious traumatic injury for older adults characterised by poor outcomes. Objective This systematic review aimed to synthesise qualitative evidence about the psychosocial impact of hip fracture on the people who sustain these injuries. Methods Five databases were searched for qualitative studies reporting on the psychosocial impact of hip fracture, supplemented by reference list checking and citation tracking. Data were synthesised inductively and confidence in findings reported using the Confidence in the Evidence from Reviews of Qualitative research approach, taking account of methodological quality, coherence, relevance and adequacy. Results Fifty-seven studies were included. Data were collected during the peri-operative period to >12 months post fracture from 919 participants with hip fracture (median age > 70 years in all but 3 studies), 130 carers and 297 clinicians. Hip fracture is a life altering event characterised by a sense of loss, prolonged negative emotions and fear of the future, exacerbated by negative attitudes of family, friends and clinicians. For some people after hip fracture there is, with time, acceptance of a new reality of not being able to do all the things they used to do. There was moderate to high confidence in these findings. Conclusions Hip fracture is a life altering event. Many people experience profound and prolonged psychosocial distress following a hip fracture, within a context of negative societal attitudes. Assessment and management of psychosocial distress during rehabilitation may improve outcomes for people after hip fracture.

中文翻译：

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髋部骨折具有深远的社会心理影响： 定性研究的系统评价


背景 髋部骨折是老年人常见且严重的创伤性损伤，其特征是预后不良。目的 本系统综述旨在综合有关髋部骨折对遭受这些损伤的人的社会心理影响的定性证据。方法 检索了 5 个数据库，以查找报告髋部骨折社会心理影响的定性研究，并辅以参考文献列表检查和引文跟踪。数据经过归纳综合，并使用定性研究综述证据置信度方法报告结果的可信度，同时考虑到方法学质量、连贯性、相关性和充分性。结果 共纳入 57 项研究。在围手术期至骨折后 >12 个月的数据收集了 919 名髋部骨折参与者 （除 3 项研究外，所有研究的中位年龄 > 70 岁）、130 名护理人员和 297 名临床医生。髋部骨折是一个改变生活的事件，其特征是失落感、长期的负面情绪和对未来的恐惧，而家人、朋友和临床医生的消极态度则加剧了这种情绪。对于一些髋部骨折后的人来说，随着时间的推移，他们接受了一个新的现实，即无法做他们过去做的所有事情。这些发现有中等到高度的可信度。结论 髋部骨折是一个改变生活的事件。许多人在髋部骨折后，在消极的社会态度背景下，会经历深刻而持久的社会心理困扰。康复期间社会心理困扰的评估和管理可能会改善髋部骨折患者的结局。