BMC Musculoskeletal Disorders
Volume 11, 2010

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life (Article) (Open Access)

Shyu Y.-I.L. , Liang J. , Wu C.-C. , Cheng H.-S. , Chen M.-C.
  • a School of Nursing, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan
  • b School of Public Health, University of Michigan, 1420 Washington Heights, M3234, SPH II, Ann Arbor, MI 48109-2029, United States, Institute of Gerontology, University of Michigan, 300 North Ingalls, Ann Arbor, MI 48109-2007, United States
  • c Traumatological Division, Department of Orthopedics, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, Kwei-Shan, Taoyuan 333, Taiwan
  • d Department of Internal Medicine, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, Kwei-Shan, Taoyuan 333, Taiwan
  • e Department of Public Health, Biostatistics Consulting Center, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Taoyuan 333, Taiwan

Abstract

Background: The effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients with hip fracture who received our interdisciplinary intervention program would have better HRQOL than those who did not. Methods: A randomized experimental design was used. Older patients with hip fracture (N = 162), 60 to 98 years old, from a medical center in northern Taiwan were randomly assigned to an experimental (n = 80) or control (n = 82) group. HRQOL was measured by the SF-36 Taiwan version at 1, 3, 6, and 12 months after discharge. Results: The experimental group had significantly better overall outcomes in bodily pain (β = 9.38, p = 0.002), vitality (β = 9.40, p < 0.001), mental health (β = 8.16, p = 0.004), physical function (β = 16.01, p < 0.001), and role physical (β = 22.66, p < 0.001) than the control group at any time point during the first year after discharge. Physical-related health outcomes (physical functioning, role physical, and vitality) had larger treatment effects than emotional/mental- and social functioning-related health outcomes. Conclusions: This interdisciplinary intervention program may improve health outcomes of elders with hip fracture. Our results may provide a reference for health care providers in countries using similar programs with Chinese/Taiwanese immigrant populations. © 2010 Shyu et al; licensee BioMed Central Ltd.

Author Keywords

[No Keywords available]

Index Keywords

patient care Short Form 36 controlled clinical trial nursing physiology psychological aspect clinical trial methodology Hip Fractures Postoperative Care Single-Blind Method mental health human multimodality cancer therapy hip fracture middle aged aging single blind procedure Combined Modality Therapy controlled study pain randomized controlled trial Aged social interaction Taiwan quality of life health program Humans Treatment Outcome male female Aged, 80 and over Article emotion major clinical study adult Patient Care Team
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957131888&doi=10.1186%2f1471-2474-11-225&partnerID=40&md5=81912f84221534703358ccdcb9db285a
DOI: 10.1186/1471-2474-11-225
ISSN: 14712474
Cited by: 21
Original Language: English