https://scholars.lib.ntu.edu.tw/handle/123456789/563815
標題: | Functional recovery after hip fracture: Six months' follow-up of patients in a multidisciplinary rehabilitation program | 作者: | YU-TZU DAI GUEY-SHIUN HUANG RONG-SEN YANG JAU-YIH TSAUO Yang L.-H. |
公開日期: | 2002 | 卷: | 101 | 期: | 12 | 起(迄)頁: | 846-853 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background and Purpose: Hip fracture is a major source of disability among the elderly. The purpose of this study was to evaluate the effects of an in-hospital multidisciplinary rehabilitation program (MRP) on basic activities of daily living (BADL) and mobility 6 months after hospital discharge in patients with hip fractures. Methods: A before and after quasi-experimental design was used. Subjects were recruited in a large teaching hospital in Taipei, Taiwan. The first 44 consecutive patients recruited received conventional care (control group). The next 50 consecutive patients received physical therapy, nursing-supervised practice of exercise, and discharge planning (intervention group). The 94 patients recruited were aged 60 years or older and were hospitalized to receive open reduction and internal fixation or arthroplasty. Subjects were assessed at admission, on the fourth operative day, on the day of discharge, and 6 months after discharge. Results: On average, subjects did not regain their prefracture functional score for BADL and mobility 6 months after discharge. The intervention versus control group had a lower incidence of functional decline in BADL (16.0% vs. 34.1%; p = 0.01) and mobility (48.0% vs. 75.0%; p = 0.01) 6 months after discharge. Subjects who were independent before fracture (odds ratio [OR], 12.24), did not receive MRP intervention (OR, 4.63), or who were female (OR, 5.24), were more likely to have a decline in function 6 months after discharge. Conclusion: An MRP had a continuous positive effect on hip-fracture patients, thus facilitating improved recovery in BADL and mobility 6 months after discharge. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036983874&partnerID=40&md5=cd2f53acd817ae0ee42c13d41e3caa90 https://scholars.lib.ntu.edu.tw/handle/123456789/563815 |
ISSN: | 0929-6646 | SDG/關鍵字: | adult; aged; article; controlled study; convalescence; daily life activity; exercise; female; follow up; health care planning; hip arthroplasty; hip fracture; hospital admission; hospital care; hospital discharge; hospitalization; human; incidence; independence; major clinical study; male; medical assessment; methodology; mobilization; nurse; open reduction; osteosynthesis; patient care; physical activity; physical disability; physiotherapy; postoperative period; scoring system; Taiwan; teaching hospital; treatment outcome; Activities of Daily Living; Aged; Case-Control Studies; Female; Follow-Up Studies; Hip Fractures; Hospitalization; Humans; Male; Recovery of Function; Treatment Outcome |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。