Factor Predicting Movement Recovery in the Older Patients after Hip Fracture Surgery in Singburi Hospital
Keywords:
Movement recovery, Older patients, Hip fracture surgeryAbstract
This retrospective descriptive research aims to study the factors predicting movement recovery in the
older patients after hip fracture surgery. Purposive sampling was used to select the medical records of 92 elderly
patients who underwent hip orthopedic surgery in Singburi Hospital. The research instruments consisted of 1) a
case record form, 2) a Numeric Rating Scale (NRS), and 3) a postoperative movement recovery form. The
general data of the samples were analyzed using frequency, percentage, mean and standard deviation statistics
while factors predicting movement recovery in the older patients after hip fracture surgery were analyzed using
multinomial logistic regression.
The results showed that the older patients with blood loss less than 200 ml had increased 50.12 times
of chance of recovery in movement (OR = 50.12, 95% CI 2.62, 959.73) compared to the older patients with blood
loss greater than 200 ml. The older patients with the surgery time less than 60 minutes had increased 20.70 times
of chance of recovery in movement (OR = 20.70, 95% CI 2.06, 208.90) compared to the older patients with the
surgery time greater than 90 minutes, and 3) the older patients with the pain level score of 6-6.5 had 7.47 times
of chance of recovery in movement (OR = 7.47, 95% CI 1.09, 51.37) compared to the older patients with pain
level score of 7-7.5. Therefore, nurses and multidisciplinary teams should prepare the older patients before surgery
and manage pain appropriately in order to support post-hip surgery to have better mobility recovery to reduce
complications and allow the patient to restore the body to be close to normal.
References
Aprato, A., Bechis, M., Buzzone, M., Bistolfi, A.,
Daghino, W., & Massè, A. (2020). No rest for elderly
femur fracture patients: Early surgery and early
ambulation decrease mortality. Journal of orthopaedics
and traumatology: official journal of the Italian
Society of Orthopaedics and Traumatology, 21(1),
https://doi.org/10.1186/s10195-020-00550-y
Burns, N. & Grove, S. K. (2004). The practice of nursing
research: Conduct, critique and utilization.
Philadelphia: W.B. Saunders Company.
Chotiyarnwong, P. (2019). Epidemiology of hip fracture
in the elderly In A. Unnanuntana (Ed.), Textbook of
hip fracture in the elderly (pp. 41-51). Bangkok:
Siriraj Press, Faculty of Medicine Siriraj Hospital.
[In Thai].
Chumpung, K., & Manit, A. (2018). Development of pain
management model for patients undergoing lumbar
surgery at King Narai Hospital. Thai Journal of
Cardio-Thoracic Nursing, 29(1), 42-57. [In Thai].
Cohen, J. (1977). Statistical power analysis for the
behavioral sciences (2nd ed.). New York: Academic
Press.
Dubljanin-Raspopovi , E., Markovi -Deni , L., Živkovi ,
K., Nedeljkovi , U., Tomanovi , S., Kadija, M., ...
& Bumbaširevi , M. (2013). The impact of
postoperative pain on early ambulation after hip
fracture. Acta Chirurgica Iugoslavica, 60(1), 61-64.
Foundation of Thai Gerontology Research and Development institute (TGRI). (2022). Situation of the Thai
older persons 2021. Nakhon Pathom: Institute for
Population and Social Research Mahidol University.
[In Thai].
Hagler, D., Harding, M. M., Kwong, J., Roberts, D., &
Reinisch, C. (2020). Part one: Disorder. In D. Hagler
(Ed.), Lewis’s medical-surgical nursing: Assessment
and management of clinical problems (7th ed.)
(pp.227-229). St. Louis, Missouri: Elsevier.
Ibrahim, M. S., Twaij, H., Giebaly, D. E., Nizam, I., &
Haddad, F. S. (2013). Enhanced recovery in total hip
replacement: A clinical review. The bone & joint
journal, 95(12), 1587-1594.
Khiewamorn, Y. (2021). Incidence and factors associated
with 1-year mortality in elderly hip fracture patients
underwent hip surgery at Chaophrayayommarat
hospital. Region 4-5 Medical Journal, 40(3), 439-
[In Thai].
Klestil, T., Röder, C., Stotter, C., Winkler, B., Nehrer,
S., Lutz, M., ... & Nussbaumer-Streit, B. (2018).
Impact of timing of surgery in elderly hip fracture
patients: A systematic review and meta-analysis.
Scientific reports, 8(1), 1-15.
Kolisek, F. R., Bonutti, P. M., Hozack, W. J., Purtill, J.,
Sharkey, P. F., Zelicof, S. B., ... & Rothman, R. H.
(2007). Clinical experience using a minimally
invasive surgical approach for total knee arthroplasty:
Early results of a prospective randomized study
compared to a standard approach. The Journal of
arthroplasty, 22(1), 8-13. https://doi.org/10.1016/j.
arth.2006.06.004
Kongmun, T. (2021). Effectiveness of multidisciplinary
care development in geriatric hip fractures. Srinagarind
Medical Journal, 36(1), 55-60. [In Thai].
Kumdech, P., Jitramontree, N. Wirojratana, V., &
Thosingha, O. (2018). Predicting factors on
functional recovery post operative hip fracture in
older persons, 19(2), 143-151. [In Thai].
Linton, A. D., & Matteson, M. A. (2020). Medicalsurgical nursing (7th ed.). St. Louis, Missouri:
Elsevier.
Mahoney, F. I. (1965). Functional evaluation: the Barthel
Index: A simple index of independence useful in
scoring improvement in the rehabilitation of the
chronically ill. Maryland state medical journal, 14,
-65.
Male-female Orthopedics wards. (2021). Statisical Report
Orthopedics wards, male-female. Nursing Department,
Sing Buri Hospital. (Unpublished). [In Thai].
Meyer, A. C., Ek, S., Drefahl, S., Ahlbom, A., Hedström,
M., & Modig, K. (2021). Trends in hip fracture
incidence, recurrence, and survival by education and
comorbidity: A Swedish Register-based Study.
Epidemiology, 32(3), 425-433.
Neurological Institute of Thailand. (2017). Clinical
nursing practice guidelines for surgical spine.
Bangkok: Department of Medical Services, Ministry
of Public Health. [In Thai].
Ross, D., Erkocak, O., Rasouli, M. R., & Parvizi, J. (2019).
Operative time directly correlates with blood loss
and need for blood transfusion in total joint
arthroplasty. Archives of Bone and Joint Surgery,
(3), 229-234.
Sanitlou N., Sartphet W., & Naphaarrak, Y. (2019).
Sample size calculation using G*POWER Program.
Journal of Suvarnabhumi Institute of Technology
(Humanities and Social Sciences), 5 (1), 497-507.
[In Thai].
Seong, Y. J., Shin, W. C., Moon, N. H., & Suh, K. T.
(2020). Timing of hip-fracture surgery in elderly
patients: Literature review and recommendations.
Hip & pelvis, 32(1), 11-16.
Shebubakar, L., Hutagalung, E., Sapardan, S., & Sutrisna,
B. (2009). Effects of older age and multiple comorbidities on functional outcome after partial hip
replacement surgery for hip fractures. Acta Medica
Indonesiana, 41(4), 195-199.
Sinclair, C., Brunton, N., Hopman, W. M., & Kelly, L.
(2015). Length of stay and achievement of functional
milestones in a rural first nations population in
northwestern Ontario during acute-care admission
after total hip replacement: A retrospective chart
review. Physiotherapy Canada, 67(3), 268-272.
Sydney, W., & Jo, E. B. (2014). Factors affecting post
surgery hip fracture recovery. Journal of Orthopaedics, Trauma and Rehabilitation, 18(2), 54-58.
doi:10.1016/j.jotr.2013.08.005
Ugbeye, M. E., Lawal, W. O., Ayodabo, O. J., Adadevoh,
I. P., & Akpan, I. J. (2017). An evaluation of intra
and post operative blood loss in total hip arthroplasty
at the National Orthopaedic Hospital, Lagos.
Nigerian Journal of Surgery, 23(1), 42-46.
Unnanuntana, A. (2019). Principle of rehabilitation after
hip fracture in the elderly In A. Unnanuntana (Ed.),
Textbook of hip fracture in the elderly (pp. 305-321).
Bangkok: Siriraj Press, Faculty of Medicine Siriraj
Hospital. [In Thai].
Villa, J. C., Koressel, J., van der List, J. P., Cohn, M.,
Wellman, D. S., Lorich, D. G., & Lane, J. M. (2019).
Predictors of in-hospital ambulatory status following
low-energy hip fracture surgery. Geriatric
Orthopaedic Surgery & Rehabilitation, 10,
Wongtriratanachai, P., Luevitoonvechkij, S., Songpatanasilp, T., Sribunditkul, S., Leerapun, T., Phadungkiat, S., & Rojanasthien, S. (2013). Increasing
incidence of hip fracture in Chiang Mai, Thailand.
Journal of clinical densitometry, 16(3), 347-352. [In
Thai].
Yager, M., & Stichler, J. (2015). The effect of early
ambulation on patient outcomes for total joint
replacement. Orthopaedic Nursing, 34(4), 197-200.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Journal of Nursing and Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
