Trajectory of adherence to home rehabilitation among older adults with hip fractures and cognitive impairment |
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| Institution: | 4. Department of Hematology and Oncology, Chang Gung Memorial Hospital, Chiayi, Taiwan, ROC;7. Department of Orthopedic Surgery, Division of Orthopedic Traumatology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC;8. School of Nursing, College of Medicine, & Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan, ROC;1. School of Nursing, University of Maryland, 655 West Lombard Street, Baltimore, MD 21201, USA;2. Assistant Professor, College of Nursing, University of Florida, PO Box 100197, Gainesville, FL 32610, USA;1. Center of Innovation in Long-Term Services and Supports, Providence VA Medical Center, Providence, United States;2. Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, United States;3. Department of Veterans Affairs, VA Western NY Healthcare System, Center for Integrated Healthcare, NY, United States;4. Serious Mental Illness Treatment Resource Evaluation Center, Department of Veterans Affairs, Office of Mental Health and Suicide Prevention, Ann Arbor, MI, United States;5. Geriatrics and Extended Care Data Analysis Center, Office of Geriatrics and Extended Care, US Department of Veterans Affairs, Washington, DC, United States;6. Canandaigua Veterans Affairs Medical Center, Canandaigua, NY, United States;7. Department of Public Health Sciences, University of Rochester, Rochester NY, United States;8. Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, MA, United States;9. Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, United States;10. Office of Mental Health and Suicide Prevention, Department of Veterans Affairs, MI, United States;11. Department of Psychiatry and Behavioral Sciences, University of California San Francisco, San Francisco, CA, United States;12. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States;1. The First Affiliated Hospital of Soochow University, No. 188 Shizi Road, Suzhou 215006, People''s Republic of China;2. School of Nursing, Medical College of Soochow University, No. 188 Shizi Street, Suzhou 215006, People''s Republic of China;3. Toronto Rehabilitation Institute—UHN, Toronto, ON, Canada;4. University of Toronto, ON, Canada;5. Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, Suzhou 215006, People''s Republic of China;1. The Ohio State University College of Nursing, Columbus, OH Columbus, OH, Newton Hall,1585 Neil Ave, Columbus, OH 43210, USA;2. The Ohio State University College of Nursing Newton Hall, 1585 Neil Ave, Columbus, OH, USA 43210;3. The Ohio State University College of Education and Human Ecology, 152 PAES, 305 Annie and John Glenn Ave, Columbus, OH, USA, 43210;4. The Ohio State University College of Medicine, 300 West 10th Avenue Suite 1150, Columbus, USA, OH 43210;1. Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan;2. Department of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Hokkaido, Japan;3. Division of Nursing, Hokkaido University Hospital, Hokkaido, Japan;4. Social Welfare Corporation Hokkaido Shakaijigyokyokai Yoichi Hospital, Hokkaido, Japan;5. Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan;1. Department of Nursing, Medical School, Taizhou University, Taizhou, Zhejiang, China;2. Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China;3. School of Nursing, Southern Medical University, Guangzhou, Guangdong, China;;4. School of Nursing, Hebei Medical University, China;5. Obstetrics Department, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China |
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| Abstract: | This study aimed to identify different trajectories of adherence to home rehabilitation for older adults with hip fracture and cognitive impairment, to examine associations between different adherence trajectories and postoperative recovery outcomes, and to explore the predictors of adherence trajectories. Group-based trajectory modeling showed two adherence trajectories: low (39.06%) and high (60.94%) adherence. The high adherence group had better activities of daily living (β=11.77, p<.001), instrumental activities of daily living (β=0.56, p<.01), femoral muscular strength (β=3.35, p<.01) on the fractured side and quality of life (β=-0.81, p=.02) than the low adherence group. Participants who established exercise habits (OR=6.49, p<.01) and consulted a physical therapist (OR=4.29, p=.03) during hospitalization were more likely to be in the high adherence group. |
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