Assessment of Self-Care Abilities and Associated Factors among Elderly Patients after Hip Fracture Surgery

Hip Fracture Surgery

Authors

  • Roofen Julious Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Hajra Sarwar Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Muhammad Afzal Lahore School of Nursing, The University of Lahore, Lahore, Pakistan
  • Zunaira Aziz Lahore School of Nursing, The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i10.1102

Keywords:

Self-Care, Associated Factors, Elderly Patients, Hip Fracture

Abstract

Hip fractures are a significant cause of morbidity and mortality among the elderly population, often requiring surgical intervention to restore mobility and independence. Following hip fracture surgery, the assessment of self-care abilities becomes crucial as it directly impacts the overall recovery of these patients. Objective: To assess the self-care abilities and associated factors among elderly patients after hip fracture surgery. Methods: A descriptive cross-sectional study was conducted at Mayo Hospital Lahore to assess self-care abilities among elderly patients who had undergone hip fracture surgery. 150 patients were selected using a simple random sampling technique. A self-developed questionnaire with a content validity of 0.88 and reliability of 0.674 was used for data collection. Results: Most of the participants were female 53.3%, almost 45.3%, within the age of 61 to 65 years and 38% had received education up to middle school level. Furthermore, 65.3% of the participants were married. In terms of self-care ability, 58.7% of the participants demonstrated a moderately adequate level of self-care. The findings of this study indicate that increasing age, lack of formal education, and being married are factors associated with a decrease in self-care ability, with a significance level of p<0.05. Conclusions: The findings indicate that the participants have moderate adequacy in terms of their self-care abilities. These results emphasize the significance of addressing self-care needs not only during the surgery period but also in the post-operative phase, particularly when individuals experience self-care deficit.

References

Tseng MY, Huang YF, Liang J, Wang JS, Yang CT, Wu CC, et al. Diabetic neuropathies influence recovery from hip-fracture surgery in older persons with diabetes. Experimental Gerontology. 2019 May; 119: 168-73. doi: 10.1016/j.exger.2019.02.004. DOI: https://doi.org/10.1016/j.exger.2019.02.004

Amarilla-Donoso FJ, López-Espuela F, Roncero-Martín R, Leal-Hernandez O, Puerto-Parejo LM, Aliaga-Vera I, et al. Quality of life in elderly people after a hip fracture: a prospective study. Health and Quality of Life Outcomes. 2020 Dec; 18:1-0. doi: 10.1186/s12955-020-01314-2. DOI: https://doi.org/10.1186/s12955-020-01314-2

Kiriaki Gkirni P, Paris Iakovidis P, Konstantinos Kasimis P. Factors Related to the Recovery of Functional Autonomy of the Elderly Following Hip Fractures. International Journal of Caring Sciences. 2021 Apr; 14(1): 158-65.

Min K, Beom J, Kim BR, Lee SY, Lee GJ, Lee JH, et al. Clinical practice guideline for postoperative rehabilitation in older patients with hip fractures. Annals of Rehabilitation Medicine. 2021 Jun; 45(3):225-59. doi: 10.5535/arm.21110. DOI: https://doi.org/10.5535/arm.21110

LeBrun DG, Konnaris MA, Ghahramani GC, Premkumar A, DeFrancesco CJ, Gruskay JA, et al. Hip fracture outcomes during the COVID-19 pandemic: early results from New York. Journal of Orthopaedic Trauma. 2020 May; 0(0): 1-8. doi: 10.1097/BOT.0000000000001849. DOI: https://doi.org/10.1097/BOT.0000000000001849

Gheshlag RG, Mohammadnejad E, Jafarnejad M, Sayadi L, Aliramezani A. Factors affecting the incidence of surgical site infections after geriatric hip fracture surgery: a retrospective study during 2017-2020. Przegląd Epidemiologiczny. 2023 Jan; 77(1): 34-40. doi: 10.32394/pe.77.03. DOI: https://doi.org/10.32394/pe.77.03

Wu J, Yin Y, Jin M, Li B. The risk factors for postoperative delirium in adult patients after hip fracture surgery: a systematic review and meta‐analysis. International Journal of Geriatric Psychiatry. 2021 Jan; 36(1): 3-14. doi: 10.1002/gps.5408. DOI: https://doi.org/10.1002/gps.5408

Zhang C, Feng J, Wang S, Gao P, Xu L, Zhu J, et al. Incidence of and trends in hip fracture among adults in urban China: a nationwide retrospective cohort study. PLoS Medicine. 2020 Aug; 17(8): e1003180. doi: 10.1371/journal.pmed.1003180. DOI: https://doi.org/10.1371/journal.pmed.1003180

Ren Y, Hu J, Lu B, Zhou W, Tan B. Prevalence and risk factors of hip fracture in a middle-aged and older Chinese population. Bone. 2019 May; 122: 143-9. doi: 10.1016/j.bone.2019.02.020. DOI: https://doi.org/10.1016/j.bone.2019.02.020

Yong E, Ganesan G, Kramer M, Logan S, Lau T, Cauley J, et al. Hip fractures in Singapore: ethnic differences and temporal trends in the new millennium. Osteoporosis International. 2019 Apr; 30: 879-86. doi: 10.1007/s00198-019-04839-5. DOI: https://doi.org/10.1007/s00198-019-04839-5

Kuo W-Y, Shyu Y-IL, Wang J-S, Chen M-C, Wu C-C, Chen M-L. Adherence to home-based rehabilitation in older adults with diabetes after hip fracture. Nursing Research. 2019 Sep; 68(5): 383-9. doi: 10.1097/NNR.0000000000000371. DOI: https://doi.org/10.1097/NNR.0000000000000371

Arshad A, Ibrahim MT, Arshad H, Hammad MB, Sheikh SA, Khan AH, et al. Clinical characteristics and outcomes of patients presenting with hip fractures at a tertiary care hospital in Pakistan. Archives of Osteoporosis. 2021 Dec; 16: 1-10. doi: 10.1007/s11657-021-00895-9. DOI: https://doi.org/10.1007/s11657-021-00895-9

Aftab A, Habibullah S, Bhutta NI. Effects of fragility fracture integrated rehabilitation management hip fracture in pakistani older adults: soi: 21-2017/re-trjvol05iss01p192. The Rehabilitation Journal. 2021 Jul; 5(01): 192-7. doi: 10.52567/trj.v5i01.55. DOI: https://doi.org/10.52567/trj.v5i01.55

Van Heghe A, Mordant G, Dupont J, Dejaeger M, Laurent MR, Gielen E. Effects of orthogeriatric care models on outcomes of hip fracture patients: a systematic review and meta-analysis. Calcified Tissue International. 2022 Feb; 110(2): 162-84. doi: 10.1007/s00223-021-00913-5. DOI: https://doi.org/10.1007/s00223-021-00913-5

Jeon E-J, Sohng K-Y, Yeom H-A. Development and validation of a self-care scale for older adults undergoing hip fracture surgery: the HFS-SC. BMC Nursing. 2022 Jul; 21(1): 197. doi: 10.1186/s12912-022-00982-3. DOI: https://doi.org/10.1186/s12912-022-00982-3

Liu X, Dong Z, Li J, Feng Y, Cao G, Song X, et al. Factors affecting the incidence of surgical site infection after geriatric hip fracture surgery: a retrospective multicenter study. Journal of Orthopaedic Surgery and Research. 2019 Dec; 14(1): 382. doi: 10.1186/s13018-019-1449-6. DOI: https://doi.org/10.1186/s13018-019-1449-6

Clement ND, Ng N, Simpson CJ, Patton RFL, Hall AJ, Simpson AHRW, et al. The prevalence, mortality, and associated risk factors for developing COVID-19 in hip fracture patients: a systematic review and meta-analysis. Bone & Joint Research. 2020 Dec; 9(12): 873-83. doi: 10.1302/2046-3758.912.BJR-2020-0473.R1. DOI: https://doi.org/10.1302/2046-3758.912.BJR-2020-0473.R1

Selvakumar S, Das S, Newsome K, Chan K, Ang D, Bilski T, et al. Preoperative and postoperative cognitive assessment in geriatric patients following acute traumatic injuries: Towards improving geriatric trauma outcomes. Journal of Surgical Research. 2022 Sep; 277: 352-64. doi: 10.1016/j.jss.2022.04.038. DOI: https://doi.org/10.1016/j.jss.2022.04.038

Berk T, Thalmann M, Jensen KO, Schwarzenberg P, Jukema GN, Pape H-C, et al. Implementation of a novel nursing assessment tool in geriatric trauma patients with proximal femur fractures. PloS One. 2023 Jun; 18(6): e0284320. doi: 10.1371/journal.pone.0284320. DOI: https://doi.org/10.1371/journal.pone.0284320

Yang X-X, Chen Y-Y, Meng F-J. Research progress on self-efficacy in patients with total hip replacement. TMR Integrative Medicine. 2020 Jan; 4(4): 88888-e20006. doi: 10.53388/TMRIM202004006. DOI: https://doi.org/10.53388/TMRIM202004006

Wang X, Yang H, Zhang X, Fan Q. The effect of nursing intervention on self-care self-efficacy and genes related to anxiety in patients with bone marrow transplantation. Cellular and Molecular Biology. 2023 Mar; 69(3): 98-102. doi: 10.14715/cmb/2023.69.3.13. DOI: https://doi.org/10.14715/cmb/2023.69.3.13

Segev-Jacubovski O. Functional ability, psychological factors, and rehabilitation outcomes after elective total hip replacement. Canadian Journal of Occupational Therapy. 2023 Apr: 00084174231168018. doi: 10.1177/00084174231168018. DOI: https://doi.org/10.1177/00084174231168018

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Published

2023-10-31
CITATION
DOI: 10.54393/pjhs.v4i10.1102
Published: 2023-10-31

How to Cite

Julious, R., Sarwar, H., Afzal, M. ., & Aziz, Z. (2023). Assessment of Self-Care Abilities and Associated Factors among Elderly Patients after Hip Fracture Surgery: Hip Fracture Surgery. Pakistan Journal of Health Sciences, 4(10), 121–125. https://doi.org/10.54393/pjhs.v4i10.1102

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