Abstract：
Background: Proximal femoral fracture is common in older people. Beyond a long recovery process and significant permanent functional limitations, older people often experience subsequent Fear of Falling. The phenomenon of Fear of Falling is not fully understood; qualitative research is underrepresented but can provide insights into the experience of those affected. Objectives: We aimed to explore the experiences of Fear of Falling development and to what extent it affects peoples\' life after proximal femoral fracture. Methods: We conducted semi-structured, in-depth interviews with nine older people, aged between 61 and 88, who participated in a prospective observational study. Interview data were analysed through inductive content analysis. Results: Six major themes emerged: The development of Fear of Falling; the effect of FoF and hope for recovery; alternating between moments of fear and security; fear of helplessness and of losing independence; strategies for dealing with Fear of Falling and maintaining independence; need of support by health care professionals. Conclusion: To identify and support older people in coping with Fear of Falling (after proximal femoral fracture), strategies for dealing with Fear of Falling across occupational groups and all healthcare settings should be implemented. Nurses have a key role in this process.
摘要：
背景：股骨近端骨折常见于老年人。除了漫长的恢复过程和显著的永久性功能限制，老年人经常经历随后的跌倒恐惧。恐惧下降的现象还没有得到充分理解；定性研究的代表性不足，但可以提供对受影响者经历的见解。目的：我们旨在探讨股骨近端骨折后恐惧发展的经历及其在多大程度上影响人们的生活。方法：我们进行了半结构化，深入采访了九位老年人，年龄在61至88岁之间，参加了一项前瞻性观察性研究。通过归纳内容分析对访谈数据进行分析。结果：出现了六个主要主题：恐惧下降的发展；FAF的影响和恢复的希望；在恐惧和安全的时刻之间交替；对无助和失去独立性的恐惧；应对恐惧下降和维持独立性的策略；需要卫生保健专业人员的支持。结论：识别和支持老年人应对跌倒恐惧（股骨近端骨折后），应实施跨职业群体和所有医疗保健环境应对恐惧下降的策略。护士在这个过程中起着关键作用。
