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Patient resilience in the fracture orthopaedic rehabilitation geriatric environment
Sabrina Kohler1, Sze Ming Loh1
1Department of Geriatric Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
Objective:
To explore the relationship between resilience and rehabilitation outcomes in older orthopaedic patients.
Methods:
Geriatric rehabilitation patients admitted to a general metropolitan hospital following a fracture were interviewed face-to-face. Their resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC), and rehabilitation outcomes were assessed according to functional independence measure (FIM) gain, length of stay, discharge destination and mortality rate.
Results:
A total of 29 patient interviews were used in data analysis. Resilience scores varied from 49-92, with an average of 73, representing overall high resilience compared to general population samples. Resilience scores as measured by the CD-RISC did not correlate with functional improvements during rehabilitation postfracture.
Conclusion:
Further studies, including patients with a broader range of resilience scores, particularly at the lower end of the spectrum, are required to explore the relationship between resilience and rehabilitation outcomes in greater depth.
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