Interdisciplinary intervention for hip fracture in older Taiwanese: benefits last for 1 year.
BACKGROUND
Little is known about the effects of interventions for elderly patients with hip fracture in Asian countries, particularly beyond the short term.


METHODS
Outcomes (service utilization, clinical outcomes, self-care ability, and depressive symptoms) were assessed at 1, 3, 6, and 12 months after discharge. Self-care ability (ability to perform activities of daily living [ADLs]), was measured by the Chinese Barthel Index. Depressive symptoms were measured by the Chinese Geriatric Depression Scale, short form.


RESULTS
The experimental group (n = 80) had a significantly better ADL trajectory than the control group (n = 82) during the 1st year after discharge (p =.002). More participants in the experimental group than in the control group recovered their previous walking ability both at 6 months (81% vs 58%, respectively) and 12 months (84% vs 66%, respectively) after discharge. Overall, the odds ratio for the experimental group recovering their previous walking ability was 2.72 (p <.001) compared to the control group. The experimental group had significantly fewer depressive symptoms than the control group during the 1st year following discharge (p =.004).


CONCLUSIONS
An interdisciplinary intervention for hip fracture with a discharge support component benefited elderly persons with hip fracture by improving both self-care ability and walking ability, and by decreasing depressive symptoms during the 1st year after hospital discharge.
Shyu
Yea-Ing L
YI
School of Nursing, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan. yeaing@mail.cgu.edu.tw
Liang
Jersey
J
Wu
Chi-Chuan
CC
Su
Juin-Yih
JY
Cheng
Huey-Shinn
HS
Chou
Shih-Wei
SW
Chen
Min-Chi
MC
Yang
Ching-Tzu
CT
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003863:Depression / Q000209:etiology; D005260:Female; D006620:Hip Fractures / Q000534:rehabilitation* / Q000628:therapy; D006801:Humans; D008297:Male; D010348:Patient Care Team; D011788:Quality of Life; D013624:Taiwan; D013997:Time Factors; D016138:Walking