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Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year
Yea-Ing L Shyu1, Jersey Liang, Chi-Chuan Wu
1School of Nursing, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan. yeaing@mail.cgu.edu.tw
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.