Tzu-Ting Huang1, Su-Hwa Liang. 1. Chang Gung University, School of Nursing, Tao-Yuan, Taiwan, R.O.C. thuang@mail.cgu.edu.tw
Abstract
AIM: The objective of this study was to examine the effectiveness of a discharge plan in hospitalized elderly patients with hip fracture due to falling. BACKGROUND: Hip fractures are an important cause of morbidity and mortality among older people. Hip fracture patients require ongoing medical and long-term care services. Discharge plan services can play a very important role for these patients, since the services improved their outcome conditions. METHODS:Hip fracture patients aged 65 years and older (n = 126), hospitalized due to falling and discharged from a medical centre in northern Taiwan, were randomly assigned to either a comparison group (the routine care) or experimental group (the discharge planning intervention). The outcomes used to determine the effectiveness of the intervention were: length of hospitalized stay, rate of readmission, repeat falls and survival, and activities of daily living. RESULTS: The discharge planning intervention decreased length of stay, rate of readmission and rate of survival and improved activities of daily living for intervention group compared with those of control group. Mean total SF-36 scores of patients in the experimental group were higher than for the control group and both groups had improved quality of life. CONCLUSION: The discharge planning benefited older people with hip fractures. RELEVANCE TO CLINICAL PRACTICE: A discharge planning intervention by a nurse can improve physical outcomes and quality of life in hip fracture patients.
RCT Entities:
AIM: The objective of this study was to examine the effectiveness of a discharge plan in hospitalized elderly patients with hip fracture due to falling. BACKGROUND:Hip fractures are an important cause of morbidity and mortality among older people. Hip fracturepatients require ongoing medical and long-term care services. Discharge plan services can play a very important role for these patients, since the services improved their outcome conditions. METHODS:Hip fracturepatients aged 65 years and older (n = 126), hospitalized due to falling and discharged from a medical centre in northern Taiwan, were randomly assigned to either a comparison group (the routine care) or experimental group (the discharge planning intervention). The outcomes used to determine the effectiveness of the intervention were: length of hospitalized stay, rate of readmission, repeat falls and survival, and activities of daily living. RESULTS: The discharge planning intervention decreased length of stay, rate of readmission and rate of survival and improved activities of daily living for intervention group compared with those of control group. Mean total SF-36 scores of patients in the experimental group were higher than for the control group and both groups had improved quality of life. CONCLUSION: The discharge planning benefited older people with hip fractures. RELEVANCE TO CLINICAL PRACTICE: A discharge planning intervention by a nurse can improve physical outcomes and quality of life in hip fracturepatients.
Authors: L Beaupre; B Sobolev; P Guy; J D Kim; L Kuramoto; K J Sheehan; J M Sutherland; E Harvey; S N Morin Journal: Osteoporos Int Date: 2019-04-01 Impact factor: 4.507
Authors: Antonio De Vincentis; Astrid Ursula Behr; Giuseppe Bellelli; Marco Bravi; Anna Castaldo; Lucia Galluzzo; Giovanni Iolascon; Stefania Maggi; Emilio Martini; Alberto Momoli; Graziano Onder; Marco Paoletta; Luca Pietrogrande; Mauro Roselli; Mauro Ruggeri; Carmelinda Ruggiero; Fabio Santacaterina; Luigi Tritapepe; Amedeo Zurlo; Raffaele Antonelli Incalzi Journal: Aging Clin Exp Res Date: 2021-07-21 Impact factor: 3.636
Authors: Juleen Rodakowski; Philip B Rocco; Maqui Ortiz; Barbara Folb; Richard Schulz; Sally C Morton; Sally Caine Leathers; Lu Hu; A Everette James Journal: J Am Geriatr Soc Date: 2017-04-03 Impact factor: 5.562
Authors: Chiao-Li Chan; Kathleen M Diehl; Karen E Hall; William C Palazzolo; YaoYao Pollock; Lillian C Min Journal: J Surg Res Date: 2018-11-26 Impact factor: 2.192
Authors: B Fougère; C Lagourdette; P Abele; B Resnick; M Rantz; C Kam Yuk Lai; Q Chen; W Moyle; B Vellas; J E Morley Journal: J Nutr Health Aging Date: 2018 Impact factor: 4.075