ปัจจัยทำนายความสามารถในการปฏิบัติกิจวัตรประจำวันของผู้สูงอายุหลังผ่าตัดสะโพก

Chawewan Pranangrong; Suporn  Danaidutsadeekul; Virapun  Wirojratana; Viroj  Larbpaiboonpong

Authors

Chawewan Pranangrong Faculty of Nursing, Mahidol University, Bangkok
Suporn Danaidutsadeekul Faculty of Nursing, Mahidol University, Bangkok
Virapun Wirojratana Faculty of Nursing, Mahidol University, Bangkok
Viroj Larbpaiboonpong Faculty of Nursing, Mahidol University, Bangkok

Keywords:

hip fracture, quality of sleep, nutritional status, activities of daily living, older adults

Abstract

This predictive research was conducted to predict the effects of postoperative pain, quality of sleep, and nutritional status support on the activities of daily living in older adults after hip surgery. The samples in this study were older adults who had undergone surgical treatment of hip fractures in three tertiary hospitals. The purposive samples were a total of 77 older adults. The instruments used in this study consisted of the Visual Analog Scale, Pittsburgh Sleep Quality Index, Mini Nutritional Assessment – Short Form, and Modified Barthel Activities of Daily Index. Pittsburgh Sleep Quality Index, Mini Nutritional Assessment – Short Form, and Modified Barthel Activities of Daily Index were tested for reliabilities and equaled .79, .93, and .87, respectively. The data were analyzed using descriptive statistics and multiple linear regressions statistics.

The results of this study revealed that 66.2% of the sample had mild postoperative pain. Meanwhile, 72.7% of the sample experienced poor quality of sleep. Then, 49.4% of the sample were at risk for malnutrition. Finally, 66.2% of the sample were slightly dependent on other people. Postoperative pain, quality of sleep, and nutritional status were able to be utilized to co-predict the activities of daily living of older adult patients after hip surgery at 24% (R = .49, R² = .24, R²_Adjust =.20, F(3, 73)=7.47, p =.000)

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