A TAILORED INTERVENTION TO REDUCE FEAR OF FALLING AND IMPROVE FUNCTIONAL ABILITY AMONG OLDER ADULTS UNDERGOING HIP SURGERY: A FEASIBILITY STUDY
Keywords:fear of falling, hip fracture, older adults
Fear of falling after a hip surgery has drastically impacted on multi-dimensions of health. This study aimed to examine the feasibility of a tailored intervention program using the self-efficacy concept as a basis to reduce the fear of falling, decrease the incidence of re-falling, and improve functional abilities in older adults undergoing hip surgery. A quasi-experimental one-group pretest-posttest design was employed. Fifteen participants who met inclusion criteria were recruited to receive the tailored intervention, which included comprehensive discharge planning and rehabilitation program related to surgery approaches during their admission. Data were analyzed by using descriptive statistics, the Friedman test, and Wilcoxon signed rank test.
Results demonstrated high scores of the tailored intervention program feasibility for implementation in the clinic. Fears of falling at discharge and six weeks after the surgery were significantly decreased compared with the baseline (Z = -3.680, p =.002 and Z = -3.352, p =.001, respectively), but the fear of falling at discharge and six weeks after surgery were not significantly different ((Z =-1.633, p =.102). The functional ability at six weeks was significantly different from the baseline and the discharge day (Z = -3.424, p = .001 and Z = -3.190, p = .001, respectively). During the six weeks after the surgery, the participants had no incidence of re-falling. In conclusion, integrating self-efficacy theory-based intervention into a clinical practice emphasized the professional nursing role is vital to promote health, meliorate physical ability, and enhance the quality of care in older adults undergoing hip surgery.
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