Older Adults With Hip Arthroplasty: An Individualized Transitional Care Program

Ko, Young Ji; Oh, Eui Geum; Choi, Mona; Kim, Chang Oh; Sung, Ki Wol; Baek, Seung‐Hoon

doi:10.1097/rnj.0000000000000120

Cited by 11 publications

(20 citation statements)

References 28 publications

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“…A possible reason for the significant effect on EQ-VAS may be that a supportive environment was created through the discharge transitional care programme (Ko et al, 2019; Meleis et al, 2000), which affected subjects’ perception of health status. In this study, the discharge transitional care programme mainly focused on improving older adults’ self-care rather than providing direct intervention.…”

Section: Discussionmentioning

confidence: 99%

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Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

Ko,

Hwang,

Baek

2023

Journal of Research in Nursing

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Background: Hip fractures require extended periods of recovery and rehabilitation, subjecting older adults to discontinuous care. Discharge transition is a critical point of heightened vulnerability for older adults. Aims: This study aimed to evaluate the effectiveness of a transitional care programme on the physical functions and quality of life (QOL) of older adults after hip fracture surgery. Methods: Seventy-five older adults were assessed from pre-discharge to 6 weeks after hip surgery, and their physical functions, including walking status and activities of daily living, were measured. The QOL was measured using the European Quality of life-5 Dimensions-5 Levels (EQ 5D 5L). Results: There was a significant strong effect of time ( B = 10.565; 95% CI = 2.584–18.547; p = 0.009) on the EuroQol Visual Analog Scale (EQ-VAS) for the experimental group. However, there were no significant effects of time on physical functions and EQ-5D-5L scores. Conclusions: The discharge transitional care programme improved the EQ-VAS of older adults following hip fracture surgery 6 weeks post-surgery. However, there were no significant differences in physical functions and EQ-5D between the groups.

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Section: Discussionmentioning

confidence: 99%

“…The face-to-face intervention was conducted separately in the patient’s room by a trained nurse with approximately 4 years of experience in the orthopaedic ward. The trained nurse conducted an assessment, education and role supplementation of nursing therapeutics based on the transitional theory (Ko et al, 2019; Schumacher and Meleis, 1994).…”

Section: Methodsmentioning

confidence: 99%

Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

Ko,

Hwang,

Baek

2023

Journal of Research in Nursing

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“…The transition from hospital care to outpatient care or home settings requires significant paradigm changes, which is not widely used and is mainly implemented in outpatient surgery centres or specialised orthopaedic hospitals, despite the reduction of complications and readmissions [ 41 ], with high levels of satisfaction for the person and the caregiver, as it allows for the clarification of the process and expectations [ 8 , 42 ]. There is evidence of individualised transition care programmes implemented and led by nurses that show gains in functionality in the postoperative period of hip arthroplasty [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Nicolau

Mendes

Ciríaco

et al. 2022

JPM

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(1) Background: The prevalence of coxarthrosis associated with ageing is one of the main reasons for the increase in hip arthroplasty. Educational intervention in the pre- and postoperative period of hip arthroplasty can improve functionality and, consequently, quality of life. Therefore, we intend to map the educational interventions that improve the functional capacity of people undergoing hip arthroplasty on their rehabilitation process. (2) Methods: Scoping review. The search was carried out in the databases: CINAHL complete, MEDLINE Complete, Nursing and Allied Health Collection: Comprehensive, Cochrane Methodology Register, Library, Information Science and Technology Abstracts, MedcLatina, and Google Academic. We included studies that evaluated the implementation of educational rehabilitation interventions that enable the empowerment and teaching of people undergoing hip arthroplasty. (3) Results: Thirteen studies were analysed that met the eligibility criteria and allowed the research question to be answered. Education in the perioperative period promotes training to perform rehabilitation exercises, improves the hospitalisation experience, increases participation in the rehabilitation process, allows early mobilisation, and increases the functional potential, thus enabling faster reintegration into society. (4) Conclusion: Early mobilisation plays a very important role in a person′s functional recovery, as well as in the prevention of thromboembolic complications. Exercise produces benefits in relation to physical function, namely, in improving strength, balance, facilitating functional activities, and preventing complications.

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“…To facilitate safe discharge transition, communication and collaboration with healthcare professionals and ensuring adequate care settings are important roles in nursing [ 17 , 34 ]. In addition, in a previous study [ 35 ], nurse-led rehabilitative practices were reported to reduce functional decline for older adults that have undergone hip fracture surgery. Thus, it is necessary for nurses to not only to recognize the importance of rehabilitative care but also establish rehabilitative strategies.…”

Section: Discussionmentioning

confidence: 99%

Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study

Baek

2021

BMC Nurs

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Background This study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery. Methods This was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis. Results Four main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability. Conclusions After their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea.

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Older Adults With Hip Arthroplasty: An Individualized Transitional Care Program

Abstract: The ITCP promoted individual physical functioning for older adults with hip arthroplasty. This study results can aid healthy transitions of elderly patients with other various diseases.

Cited by 11 publications

References 28 publications

Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

Educational Intervention in Rehabilitation to Improve Functional Capacity after Hip Arthroplasty: A Scoping Review

Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study

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