Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year.
J Gerontol A Biol Sci Med Sci
; 63(1): 92-7, 2008 Jan.
Article
em En
| MEDLINE
| ID: mdl-18245766
ABSTRACT
BACKGROUND:
Little is known about the effects of interventions for elderly patients with hip fracture in Asian countries, particularly beyond the short term.METHODS:
Outcomes (service utilization, clinical outcomes, self-care ability, and depressive symptoms) were assessed at 1, 3, 6, and 12 months after discharge. Self-care ability (ability to perform activities of daily living [ADLs]), was measured by the Chinese Barthel Index. Depressive symptoms were measured by the Chinese Geriatric Depression Scale, short form.RESULTS:
The experimental group (n = 80) had a significantly better ADL trajectory than the control group (n = 82) during the 1st year after discharge (p =.002). More participants in the experimental group than in the control group recovered their previous walking ability both at 6 months (81% vs 58%, respectively) and 12 months (84% vs 66%, respectively) after discharge. Overall, the odds ratio for the experimental group recovering their previous walking ability was 2.72 (p <.001) compared to the control group. The experimental group had significantly fewer depressive symptoms than the control group during the 1st year following discharge (p =.004).CONCLUSION:
An interdisciplinary intervention for hip fracture with a discharge support component benefited elderly persons with hip fracture by improving both self-care ability and walking ability, and by decreasing depressive symptoms during the 1st year after hospital discharge.
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Base de dados:
MEDLINE
Assunto principal:
Equipe de Assistência ao Paciente
/
Qualidade de Vida
/
Atividades Cotidianas
/
Fraturas do Quadril
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article