Kaohsiung Medical University, Taiwan
Li-Chu Wu comes from a central medical of Kaohsiung Veterans General Hospital in Taiwan Kaohsiung. Attendance comprehensive section of supervisor and nurse over 30 years experience.
Purpose: The focus of this study is to examine the predictors of functional recovery after surgery in older people with hip fractures using longitudinal data analysis methods. Methods: A 6-months prospective study. Information was obtained through structured interviews following surgery and at 3 days, 1, 3, and 6 months after hospital discharge and from medical chart review. The sample consisted of 113 older adults, admitted to a medical center of the southern Taiwan with a hip fracture, who received surgery. Data collected through structured questionnaires administered in an interview with the patient. The tools include Frailty scale, Mini Nutritional Assessment (MNA), Geriatric depression scale (GDS-15), ADL, IADL. Results: There was no significant correlation between “depression condition” 3 days after operation and ADL and IADL six months after surgery, but with the advance of femoral neck fracture, the patients with depression score ≥10 IADL higher than those with depression score of 5-9, but there was no difference. In patients with a depression score of 5-9, IADL improved over time, but in patients with depression scores ≥10, over time, six months after surgery was worse than the IADL one month after surgery. Conclusion: The predictor of ADL and IADL in the postoperative six months was “pre-fracture ADL/IADL”, and significant factor of ADL was "the nutrition status of 3 days after surgery “and significant factor of IADL was" three days of depression status of 3 days after surgery ". Suggestion: Healthcare providers should be aware of changes in the Depression tendency of the elderly after hip fractures. Early assessment, detection and treatment depression problem, to improve the depression status of the aged, in order to enhance the postoperative six months ADL and IADL.