Family-based Care Interventions to Improve Health Outcomes in Older Adults with Hip Fractures: A Systematic Review
DOI:
https://doi.org/10.60099/prijnr.2026.276413Keywords:
Family-based care, Family intervention, Family nursing, Health outcomes, Hip fracture, Older adults, Systematic reviewAbstract
Hip fractures are common health issues among older adults, and many require surgery to restore mobility and alleviate pain. However, post-surgical recovery can take months and requires intensive care and rehabilitation at home, which is linked to better health outcomes. Family-based care interventions with optimal management have been advocated to support good recovery and improve health outcomes, but their effectiveness remains inconsistent across studies. This systematic review aimed to critically synthesize evidence on the effects of family-based care interventions in improving health outcomes in older adults undergoing hip fracture surgery. The review was conducted on November 1, 2024, by searching databases PubMed, Science Direct, Web of Science, Scopus, ThaiJo, and other sources from Google Scholar from 2014 to 2024. The inclusion criteria were people aged 60 and older with hip fractures, and the articles related to family interventions that affect physical or psychological health outcomes. The review used the Joanna Briggs Institute approach and is reported here in accordance with PRISMA. The PROSPERO registration was CRD42024625893.
Six of 521 articles met the criteria: three randomized controlled trials, a secondary data analysis of such trials, and two quasi-experimental studies. A meta-analysis was not conducted because the studies differed in their characteristics. Therefore, a narrative synthesis was used. Results show that interventions using various components are mostly provided during the pre-discharge phase. The main components were assessment and consultation, a team-based approach, health education, patient and caregiver training/coaching, rehabilitation, motivational intervention, and follow-up. Physical outcomes were a primary health outcome measured in all studies that showed positive trends using mobile innovation and self-management programs. Psychological outcomes such as stress, fear of falling, depression, and burden were also improved.
The review underscores the potential of the family-based care intervention in improving health outcomes of older adults who underwent hip fracture surgery. The intervention consists of multiple components that improve physical and psychological outcomes. A comprehensive hospital-to-home-based intervention and the use of technology during care transitions appear to help both community nurses and families achieve successful care. However, these require a more comprehensive assessment of their cost-effectiveness in terms of patient outcomes.
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