An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

BMC Musculoskeletal Disorders

Research Article

Huey-Shinn Cheng¹  Min-Chi Chen²  Yea-Ing L Shyu³  Jersey Liang⁴  Chi-Chuan Wu⁵ 

[1] Department of Internal Medicine, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, 333, Kwei-Shan, Taoyuan, Taiwan;Department of Public Health & Biostatistics Consulting Center, Chang Gung University, 259 Wen-Hwa 1st Road, 333, Kwei-Shan, Taoyuan, Taiwan;School of Nursing, Chang Gung University, 259 Wen-Hwa 1st Road, 333, Kwei-Shan, Taoyuan, Taiwan;School of Public Health, University of Michigan, 1420 Washington Heights, M3234, SPH II, 48109-2029, Ann Arbor, MI, USA;Institute of Gerontology, University of Michigan, 300 North Ingalls, 9th Floor, 48109-2007, Ann Arbor, MI, USA;Traumatological Division, Department of Orthopedics, Chang Gung Memorial Hospital, 5 Fu-Hsin Street, 333, Kwei-Shan, Taoyuan, Taiwan;

关键词: Role Physical;    Minimally Important Difference;    Discharge Planning;    Generalize Estimate Equation;    Severe Cognitive Impairment;   

DOI  :  10.1186/1471-2474-11-225

 received in 2010-02-02, accepted in 2010-09-29,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsA 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.ResultsThe 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.ConclusionsThis 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.Trial registrationNCT01052636

【 授权许可】

CC BY   
© Shyu et al; licensee BioMed Central Ltd. 2010