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Volume 22, Issue 1 (1-2025)
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Koçyiğit S, Yorulmaz H. The Effect of Nursing Care at Home on the Quality of Life and Movement Problems of Older Adults with Hip Fractures Operation. Mod Care J 2025; 22 (1) : e157832
URL: http://mcj.bums.ac.ir/article-1-318-en.html
URL: http://mcj.bums.ac.ir/article-1-318-en.html
1- Faculty of Health Sciences, Haliç University, İstanbul, Türkiye
2- Faculty of Medicine, Haliç University, İstanbul, Türkiye ,haticeyorulmaz@halic.edu.tr
2- Faculty of Medicine, Haliç University, İstanbul, Türkiye ,
Abstract: (157 Views)
Background:The most important factor affecting mortality after hip fracture is the patient's comorbidities and their overall health status.
Objectives:This study examined the effect of a home-based nursing care program, in addition to routine maintenance services, on the quality of life and mobility issues encountered in older adults who underwent hip fracture surgery.
Methods:This semi-experimental study was conducted in Istanbul. Patients were divided into two groups: (1) Control, and (2) experimental. The control group received only the standard care provided at the hospital or community clinic. In contrast, the experimental group received home care services, including educational training prepared by the researcher, at the first and third months post-discharge. The Oxford Hip Score (OHS) and the 'Quality of Life Scale' were administered to the patients.
Results:In this study, 30% of the control group were aged 65 - 69, and 56.7% were female. In the experimental group, 50% were aged 75 - 79, and 56.7% were female. We observed that scores for 'Hip Pain', 'Walking Distance', and 'Interference with General Work' at the first month, and 'Hip Pain', 'Washing', 'Transportation', and 'Wearing Socks' at the third month, decreased in the experimental group compared to the control group in the OHS. The experimental group also showed higher average scores in physical function, physical role, general health perception, and physical summary health score compared to the control one after the training (P < 0.05).
Conclusions:The postoperative discharge education program implemented for older adults resulted in significant improvements in their physical activities. Thorough preparation and execution of such educational programs can substantially alleviate the adverse outcomes associated with hip fractures in the elderly population.
Objectives:This study examined the effect of a home-based nursing care program, in addition to routine maintenance services, on the quality of life and mobility issues encountered in older adults who underwent hip fracture surgery.
Methods:This semi-experimental study was conducted in Istanbul. Patients were divided into two groups: (1) Control, and (2) experimental. The control group received only the standard care provided at the hospital or community clinic. In contrast, the experimental group received home care services, including educational training prepared by the researcher, at the first and third months post-discharge. The Oxford Hip Score (OHS) and the 'Quality of Life Scale' were administered to the patients.
Results:In this study, 30% of the control group were aged 65 - 69, and 56.7% were female. In the experimental group, 50% were aged 75 - 79, and 56.7% were female. We observed that scores for 'Hip Pain', 'Walking Distance', and 'Interference with General Work' at the first month, and 'Hip Pain', 'Washing', 'Transportation', and 'Wearing Socks' at the third month, decreased in the experimental group compared to the control group in the OHS. The experimental group also showed higher average scores in physical function, physical role, general health perception, and physical summary health score compared to the control one after the training (P < 0.05).
Conclusions:The postoperative discharge education program implemented for older adults resulted in significant improvements in their physical activities. Thorough preparation and execution of such educational programs can substantially alleviate the adverse outcomes associated with hip fractures in the elderly population.
Article number: e157832
Article Types: Research Article |
Subject:
General
Received: 2024/11/9 | Accepted: 2025/01/21 | Published: 2025/01/15
Received: 2024/11/9 | Accepted: 2025/01/21 | Published: 2025/01/15
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