Discharge Transitional Care Programme for Older Adults After Hip Fracture Surgery: a Quasi-experimental Study

Overview

Journal J Res Nurs

Publisher Sage Publications

Specialty Nursing

Date 2024 Jan 1

PMID 38162723

Authors

YoungJi Ko

Jong-Moon Hwang

Seung-Hoon Baek

Affiliations

Soon will be listed here.

Abstract

Background: Hip fractures require extended periods of recovery and rehabilitation, subjecting older adults to discontinuous care. Discharge transition is a critical point of heightened vulnerability for older adults.

Aims: This study aimed to evaluate the effectiveness of a transitional care programme on the physical functions and quality of life (QOL) of older adults after hip fracture surgery.

Methods: Seventy-five older adults were assessed from pre-discharge to 6 weeks after hip surgery, and their physical functions, including walking status and activities of daily living, were measured. The QOL was measured using the European Quality of life-5 Dimensions-5 Levels (EQ 5D 5L).

Results: There was a significant strong effect of time ( = 10.565; 95% CI = 2.584-18.547; = 0.009) on the EuroQol Visual Analog Scale (EQ-VAS) for the experimental group. However, there were no significant effects of time on physical functions and EQ-5D-5L scores.

Conclusions: The discharge transitional care programme improved the EQ-VAS of older adults following hip fracture surgery 6 weeks post-surgery. However, there were no significant differences in physical functions and EQ-5D between the groups.

Citing Articles

Benefits of a family-based care transition program for older adults after hip fracture surgery.

Mashhadi-Naser S, Sabet F, Nasiri M, Vasli P Aging Clin Exp Res. 2024; 36(1):142.

PMID: 39002096 PMC: 11246294. DOI: 10.1007/s40520-024-02794-8.

References

Peeters C, Visser E, van de Ree C, Gosens T, Den Oudsten B, de Vries J . Quality of life after hip fracture in the elderly: A systematic literature review. Injury. 2016; 47(7):1369-82. DOI: 10.1016/j.injury.2016.04.018. View

Koval K, Aharonoff G, Rosenberg A, Bernstein R, Zuckerman J . Functional outcome after hip fracture. Effect of general versus regional anesthesia. Clin Orthop Relat Res. 1998; (348):37-41. View

Kim S, Jo M, Ahn J, Shin S, Ock M, Park J . The Valuation of EQ-5D-5L Health States in Korea. Value Health. 2016; 17(7):A753. DOI: 10.1016/j.jval.2014.08.211. View

Meleis A, Trangenstein P . Facilitating transitions: redefinition of the nursing mission. Nurs Outlook. 1994; 42(6):255-9. DOI: 10.1016/0029-6554(94)90045-0. View

Fischer K, Trombik M, Freystatter G, Egli A, Theiler R, Bischoff-Ferrari H . Timeline of functional recovery after hip fracture in seniors aged 65 and older: a prospective observational analysis. Osteoporos Int. 2019; 30(7):1371-1381. DOI: 10.1007/s00198-019-04944-5. View

Des Jarlais D, Lyles C, Crepaz N . Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004; 94(3):361-6. PMC: 1448256. DOI: 10.2105/ajph.94.3.361. View

Clari M, Frigerio S, Ricceri F, Pici A, Alvaro R, Dimonte V . Follow-up telephone calls to patients discharged after undergoing orthopaedic surgery: double-blind, randomised controlled trial of efficacy. J Clin Nurs. 2015; 24(19-20):2736-44. DOI: 10.1111/jocn.12795. View

Meleis A, Sawyer L, Im E, Hilfinger Messias D, Schumacher K . Experiencing transitions: an emerging middle-range theory. ANS Adv Nurs Sci. 2000; 23(1):12-28. DOI: 10.1097/00012272-200009000-00006. View

Sun S, Chen J, Kind P, Xu L, Zhang Y, Burstrom K . Experience-based VAS values for EQ-5D-3L health states in a national general population health survey in China. Qual Life Res. 2014; 24(3):693-703. PMC: 4349948. DOI: 10.1007/s11136-014-0793-6. View

10.

Ko Y, Hwang J, Baek S . The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery. Geriatr Orthop Surg Rehabil. 2022; 12:21514593211006693. PMC: 8848083. DOI: 10.1177/21514593211006693. View

11.

Handoll H, Sherrington C, Mak J . Interventions for improving mobility after hip fracture surgery in adults. Cochrane Database Syst Rev. 2011; (3):CD001704. DOI: 10.1002/14651858.CD001704.pub4. View

12.

Mabire C, Dwyer A, Garnier A, Pellet J . Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs. 2017; 74(4):788-799. DOI: 10.1111/jan.13475. View

13.

Kim S, Hwang J, Kim T, Hong Y, Jo M . Validity and reliability of the EQ-5D for cancer patients in Korea. Support Care Cancer. 2012; 20(12):3155-60. DOI: 10.1007/s00520-012-1457-0. View

14.

Yoo J, Lee J, Kim S, Kim B, Choi H, Song D . Length of hospital stay after hip fracture surgery and 1-year mortality. Osteoporos Int. 2018; 30(1):145-153. DOI: 10.1007/s00198-018-4747-7. View

15.

Lim S, Lee S, Beom J, Lim J . Comparative outcomes of inpatient fragility fracture intensive rehabilitation management (FIRM) after hip fracture in sarcopenic and non-sarcopenic patients: a prospective observational study. Eur Geriatr Med. 2021; 9(5):641-650. DOI: 10.1007/s41999-018-0089-4. View

16.

Gilboa Y, Maeir T, Karni S, Eisenberg M, Liebergall M, Schwartz I . Effectiveness of a tele-rehabilitation intervention to improve performance and reduce morbidity for people post hip fracture - study protocol for a randomized controlled trial. BMC Geriatr. 2019; 19(1):135. PMC: 6528189. DOI: 10.1186/s12877-019-1141-z. View

17.

Sibbern T, Sellevold V, Steindal S, Dale C, Watt-Watson J, Dihle A . Patients' experiences of enhanced recovery after surgery: a systematic review of qualitative studies. J Clin Nurs. 2016; 26(9-10):1172-1188. DOI: 10.1111/jocn.13456. View

18.

Katz S, Ford A, Moskowitz R, Jackson B, JAFFE M . STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963; 185:914-9. DOI: 10.1001/jama.1963.03060120024016. View

19.

Facchinetti G, Ianni A, Piredda M, Marchetti A, DAngelo D, Dhurata I . Discharge of older patients with chronic diseases: What nurses do and what they record. An observational study. J Clin Nurs. 2019; 28(9-10):1719-1727. DOI: 10.1111/jocn.14782. View

20.

Papi S, Cheraghi M . Multiple factors associated with life satisfaction in older adults. Prz Menopauzalny. 2021; 20(2):65-71. PMC: 8297631. DOI: 10.5114/pm.2021.107025. View