Factors influencing function and recovery following hip repair surgery.
OBJECTIVE
Despite advances in surgical techniques and rehabilitation, many patients or individuals fail to regain their prior functional ability following hip repair surgery. The purpose of this study was to evaluate the most commonly cited predictors of successful recovery: age, balance, gender, fatigue, fall efficacy, pain, comorbidity, complications following surgery, cognitive ability, depression, and functional status prior to surgical intervention.


METHODS
Seventy-three persons following hip repair surgery were evaluated in an inpatient rehabilitation program and 3 months following discharge.


METHODS
This is a secondary analysis of data used in a previous study. The data analyzed in this study were from a study evaluating the impact of post surgical video-based education.


RESULTS
Balance and cognitive ability were the best predictors of functional ability 3 months following discharge from a rehabilitation setting. As to return to functional ability following discharge, balance, cognitive status, and prior functional ability were the best predictors. Men reported higher functional levels 3 months following discharge and were more likely to return to their presurgical functional level. DISCUSSION/RECOMMENDATIONS: The significant influence of balance and fatigue on functional ability highlights the need for interventions aimed at improving balance and reducing fatigue as persons recover following hip repair surgery.
Folden
Susan
S
Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA.
Tappen
Ruth
R
D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D015897:Comorbidity; D003863:Depression / Q000150:complications; D005221:Fatigue / Q000150:complications; D015577:Geriatric Assessment; D006620:Hip Fractures / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D016530:Orthopedic Nursing; D010149:Postoperative Pain / Q000150:complications; D010353:Patient Education as Topic; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D011183:Postoperative Complications; D004856:Postural Balance; D020127:Recovery of Function; D012307:Risk Factors; D011795:Surveys and Questionnaires