Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial
The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma uni...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-12, Vol.17 (24), p.9327 |
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| creator | Amarilla-Donoso, Francisco Javier Roncero-Martín, Raúl Lavado-García, Jesus Canal-Macías, María de la Luz Pedrera-Canal, María Chimpén-López, Carlos Toribio-Felipe, Rosaura Rico-Martin, Sergio Barrios-Fernández, Sabina López-Espuela, Fidel |
| description | The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (
= 0.447;
= 0.827) and social functioning in the intervention group (
= 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (
= 0.043), vitality (
= 0.010), and social functioning (
< 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group. |
| doi_str_mv | 10.3390/ijerph17249327 |
| format | Article |
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= 0.447;
= 0.827) and social functioning in the intervention group (
= 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (
= 0.043), vitality (
= 0.010), and social functioning (
< 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17249327</identifier><identifier>PMID: 33322161</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Aged, 80 and over ; Education ; Falls ; Female ; Fractures ; Health Services for the Aged ; Health surveys ; Hip Fractures - psychology ; Hip Fractures - surgery ; Hospitals ; Humans ; Intervention ; Male ; Mortality ; Older people ; Osteoporosis ; Outcome Assessment, Health Care ; Pain ; Pain - prevention & control ; Patient Education as Topic - methods ; Patients ; Postoperative Care - methods ; Quality of Life ; Questionnaires ; Surveys and Questionnaires ; Trauma ; Variables</subject><ispartof>International journal of environmental research and public health, 2020-12, Vol.17 (24), p.9327</ispartof><rights>2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-abe5c1be1f310d3495734055a9e17ad9e95ccf7fb564d632c5ab0caa4534347e3</citedby><cites>FETCH-LOGICAL-c418t-abe5c1be1f310d3495734055a9e17ad9e95ccf7fb564d632c5ab0caa4534347e3</cites><orcidid>0000-0001-7128-5451 ; 0000-0001-5861-3908 ; 0000-0002-7509-1192 ; 0000-0003-4932-1940</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7763039/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7763039/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33322161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amarilla-Donoso, Francisco Javier</creatorcontrib><creatorcontrib>Roncero-Martín, Raúl</creatorcontrib><creatorcontrib>Lavado-García, Jesus</creatorcontrib><creatorcontrib>Canal-Macías, María de la Luz</creatorcontrib><creatorcontrib>Pedrera-Canal, María</creatorcontrib><creatorcontrib>Chimpén-López, Carlos</creatorcontrib><creatorcontrib>Toribio-Felipe, Rosaura</creatorcontrib><creatorcontrib>Rico-Martin, Sergio</creatorcontrib><creatorcontrib>Barrios-Fernández, Sabina</creatorcontrib><creatorcontrib>López-Espuela, Fidel</creatorcontrib><title>Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (
= 0.447;
= 0.827) and social functioning in the intervention group (
= 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (
= 0.043), vitality (
= 0.010), and social functioning (
< 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. 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In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (
= 0.447;
= 0.827) and social functioning in the intervention group (
= 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (
= 0.043), vitality (
= 0.010), and social functioning (
< 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33322161</pmid><doi>10.3390/ijerph17249327</doi><orcidid>https://orcid.org/0000-0001-7128-5451</orcidid><orcidid>https://orcid.org/0000-0001-5861-3908</orcidid><orcidid>https://orcid.org/0000-0002-7509-1192</orcidid><orcidid>https://orcid.org/0000-0003-4932-1940</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of environmental research and public health, 2020-12, Vol.17 (24), p.9327 |
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| source | MEDLINE; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Activities of daily living Aged, 80 and over Education Falls Female Fractures Health Services for the Aged Health surveys Hip Fractures - psychology Hip Fractures - surgery Hospitals Humans Intervention Male Mortality Older people Osteoporosis Outcome Assessment, Health Care Pain Pain - prevention & control Patient Education as Topic - methods Patients Postoperative Care - methods Quality of Life Questionnaires Surveys and Questionnaires Trauma Variables |
| title | Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial |
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