A retrospective pilot study of preoperative mobilization program for older adults with hip fracture |
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| Affiliation: | 1. The University of North Carolina at Chapel Hill, Carrington Hall, Campus Box #7460, Chapel Hill, NC 27599-7460, United States;2. Lutheran Services in America, 100 Maryland Ave. NE, Suite 500, Washington, DC 20002, United States;1. Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd, Atlanta, GA 30322, United States;2. School of Nursing, Oregon Health & Science University, Portland, OR, United States;3. Connell School of Nursing, Boston College, Chestnut Hill, MA, United States;1. The Max Stern Yezreel Valley College, Mobile Post Emek Yezreel, 1930600, Israel;2. Galilee Medical Center, P.O. Box 21, Nahariya 22100, Israel;3. Department of Community Mental Health, University of Haifa, Abba Khoushy Ave., Haifa 3498838, Israel;1. Faculty of Health Sciences and Medicine, Bond University, Queensland, Australia & Menzies Health Institute Queensland – Healthcare Practice and Survivorship, Queensland, Australia;2. School of Nursing and Midwifery, Griffith University, Queensland, Australia & Menzies Health Institute Queensland – Healthcare Practice and Survivorship, Queensland, Australia;3. College of Nursing, Pennsylvania State University, Pennsylvania, United States of America;1. Yonsei University College of Nursing, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 03722, Korea;2. Brain Korea 21 FOUR Project, Yonsei University, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 03722, Korea;3. Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 03722, Korea |
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| Abstract: | ObjectiveTo investigate the feasible effect of a preoperative mobilization program for older hip fracture patients who waited more than two days before surgery.MethodsA total of 38 patients with hip fracture were analyzed in this retrospective descriptive pilot study. The modified Barthel index (MBI) was used to measure functional outcome. Visual analogue scale (VAS) was used to evaluate the changes of pain degree during preoperative mobilization. The perioperative complications were recorded.ResultsAfter the preoperative mobilization program was implemented, the MBI score was improved immediately and further improved after surgery until 3 months after discharge. On the premise of analgesia, no patient experienced severe pain during preoperative mobilization. Perioperative complications occurred in 2 (5.3%) patients.ConclusionFor older patients with hip fracture, the preoperative mobilization program may be a feasible method, which may have a positive effect on promoting functional recovery and preventing perioperative complications. |
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