Functional Recovery in the elderly Hip Surgery on Fracture Liaison Service: A Retrospective Comparative Study
Keywords:
physical functional recovery, fracture liaison service, elderly hip surgeryAbstract
Background: Fracture Liaison Service is a policy for operating health system development of Suratthani Hospital. Focusing on hip surgery within 72 hours to reduce complications and better improve the efficiency of physical functional recovery after surgery.
Objectives: 1) to compare pain levels after surgery, number of days of the first walk after surgery and length of stay in hospital between the experimental group and the control group.
Methods: This research was a descriptive study (A Retrospective Comparative Study) from 2016-2019, at the Orthopedic Ward, Suratthani Hospital. Two hundred and twenty subjects were recruited that 110 subjects were in the experimental group and 110 subjects were in the control groups by convenience sampling. The instruments consisted of 1) The Fracture Liaison Service Guidelines, 2) the Illness record form and 3) information about illness. Data were analyzed using descriptive statistics, independent t-test and chi-square test.
Results: Results showed that 1) pain, number of days of the first walk after surgery and length of stay in hospital were significantly different among control and experimental groups (p < 0.05). 2) Pain scored in the control group ( = 3.59, SD = 0.75) was higher than that of the experimental group ( = 2.78, SD = 0.86). The length of stay in hospital of the control group was higher ( = 12.40, SD = 6.69) than the experimental group ( = 10.13, SD = 4.48). The first walk after surgery in the control group showed mean higher mean score than that in the experimental group ( = 2.409, SD = 2.09).
Conclusion: The elderly care for hip surgery with Fracture Liaison Service better improves the efficiency of physical functional recovery after surgery better.
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