Influencing factors of postoperative activities of daily living in elderly patients after hip fracture
10.3760/cma.j.issn.1674-2907.2017.33.016
- VernacularTitle:老年髋部骨折患者术后日常生活活动能力的影响因素分析
- Author:
Xihong GAN
1
;
Jingjing ZHU
;
Chengfang CAI
;
Yang YE
;
Yuxiu XIA
;
Langlang XU
;
Hezhen CHEN
;
Yi WANG
Author Information
1. 温州医科大学附属第二医院骨科
- Keywords:
Aged;
Activities of daily living;
Surgical operation;
Hip fracture;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2017;23(33):4259-4262
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of postoperative activities of daily living in elderly patients after hip fracture. Methods By convenience sampling,from October 2013 to June 2015,150 elderly patients having undergone surgery after hip fracture were selected,with data of 141 cases finally collected. Gender,age,underlying diseases,surgical procedures,postoperative complications,ambulation time,whether walking with aids,family caregivers and reexamination conditions were recorded for evaluation of the patients about their activities of daily living half a year after the surgery. Mean comparison and chi-square test were used for univariate analysis about the above factors and Logistic regression analysis was used to identify possible risk factors. Results It was shown in univariate analysis that recovery of postoperative activities of daily living was influenced by age,surgical procedures,postoperative complications,ambulation time,walking aids,etc. (P< 0.05);it was shown in multivariate logistic regression that age (OR=1.065,95%CI:1.010-1.124, P=0.020),surgical procedures (OR=2.900,95%CI:1.200-7.008,P=0.018),postoperative complications (OR=6.366,95%CI:2.592-15.632,P< 0.001),ambulation time (OR=2.684,95%CI:1.133-6.359,P=0.025) and walking aids (OR=5.796,95%CI:1.542-21.780,P=0.009) were risk factors of postoperative daily living ability in elderly patients after hip fracture. Conclusions Old age,developing internal fixation surgery after incision,postoperative complications, walking more than 3 months after operation or walking without aids affect postoperative activities of daily living in elderly patients after hip fracture,thus affecting their quality of life, which makes it necessary for nursing staff to focus on risk factors for positive prevention and intervention.
