title: Environmental barriers and mobility in Taiwan: is the Roy adaptation model applicable?
abstract: This study tested Roy's adaptation model by exploring the relationship between environmental stimuli, specifically barriers, and the mobility, and instrumental behaviors of hip-fractured elderly persons after surgery in Taiwan. A prospective study was conducted 3 months after hospital discharge with 87 elderly persons with hip fracture who had received surgery at a medical center in northern Taiwan. After controlling for prefracture conditions, subjective environmental barriers significantly diminished the walking ability, self-care ability, and role performance of hipfractured elderly persons. The findings of this study lend to suggestions for intervening with hip-fractured elderly persons after surgery.
authors.affiliation: Graduate Institute of Nursing, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan.
authors.forename: Yea-Ing Lotus
authors.initials: YI
authors.lastname: Shyu
authors.forename: Jersey
authors.initials: J
authors.lastname: Liang
authors.forename: Jui-Fen Rachel
authors.initials: JF
authors.lastname: Lu
authors.forename: Chi-Chuan
authors.initials: CC
authors.lastname: Wu
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001107:Architectural Accessibility / Q000706:statistics & numerical data; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006620:Hip Fractures / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation; D006798:Housing / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D012044:Regression Analysis; D012380:Role; D012648:Self Care; D013624:Taiwan; D016138:Walking