TY - JOUR
T1 - Comprehensive care improves health outcomes among elderly Taiwanese patients with hip fracture
AU - Shyu, Yea Ing L.
AU - Liang, Jersey
AU - Tseng, Ming Yueh
AU - Li, Hsiao Juan
AU - Wu, Chi Chuan
AU - Cheng, Huey Shinn
AU - Yang, Ching Tzu
AU - Chou, Shih Wei
AU - Chen, Ching Yen
PY - 2013/2
Y1 - 2013/2
N2 - Background. Few studies have investigated the effects of care models that combine interdisciplinary care with nutrition consultation, depression management, and fall prevention in older persons with hip fracture. The purpose of this study was to compare the effects of a comprehensive care program with those of interdisciplinary care and usual care for elderly patients with hip fracture.Methods. A randomized experimental trial was used to explore outcomes for 299 elderly patients with hip fracture receiving three treatment care models: interdisciplinary care (n = 101), comprehensive care (n = 99), and usual care (n = 99). Interdisciplinary care included geriatric consultation, continuous rehabilitation, and discharge planning with post-hospital services. Comprehensive care consisted of interdisciplinary care plus nutrition consultation, depression management, and fall prevention. Usual care included only in-hospital rehabilitation without geriatric consultation, in-home rehabilitation, and home environmental assessment.Results. Participants in the comprehensive care group had better self-care ability (odds ratio, OR = 3.19, p <. 01) and less risk of depression (OR = 0.48, p <. 01) than those who received usual care. The comprehensive care group had less risk of depression (OR = 0.51, p <. 05) and of malnutrition (OR = 0.48, p <. 05) than the interdisciplinary care group during the first year following discharge. Older persons with hip fracture benefitted more from the comprehensive care program than from interdisciplinary care and usual care.Conclusions. Older persons with hip fracture benefitted more from comprehensive care including interdisciplinary care and nutrition consultation, depression management, and fall prevention than simply interdisciplinary care.
AB - Background. Few studies have investigated the effects of care models that combine interdisciplinary care with nutrition consultation, depression management, and fall prevention in older persons with hip fracture. The purpose of this study was to compare the effects of a comprehensive care program with those of interdisciplinary care and usual care for elderly patients with hip fracture.Methods. A randomized experimental trial was used to explore outcomes for 299 elderly patients with hip fracture receiving three treatment care models: interdisciplinary care (n = 101), comprehensive care (n = 99), and usual care (n = 99). Interdisciplinary care included geriatric consultation, continuous rehabilitation, and discharge planning with post-hospital services. Comprehensive care consisted of interdisciplinary care plus nutrition consultation, depression management, and fall prevention. Usual care included only in-hospital rehabilitation without geriatric consultation, in-home rehabilitation, and home environmental assessment.Results. Participants in the comprehensive care group had better self-care ability (odds ratio, OR = 3.19, p <. 01) and less risk of depression (OR = 0.48, p <. 01) than those who received usual care. The comprehensive care group had less risk of depression (OR = 0.51, p <. 05) and of malnutrition (OR = 0.48, p <. 05) than the interdisciplinary care group during the first year following discharge. Older persons with hip fracture benefitted more from the comprehensive care program than from interdisciplinary care and usual care.Conclusions. Older persons with hip fracture benefitted more from comprehensive care including interdisciplinary care and nutrition consultation, depression management, and fall prevention than simply interdisciplinary care.
KW - Depression
KW - Hip-fractured elders
KW - Interdisciplinary intervention
KW - Malnutrition
KW - Self-care ability
UR - http://www.scopus.com/inward/record.url?scp=84871753175&partnerID=8YFLogxK
U2 - 10.1093/gerona/gls164
DO - 10.1093/gerona/gls164
M3 - 文章
C2 - 22960477
AN - SCOPUS:84871753175
SN - 1079-5006
VL - 68
SP - 188
EP - 197
JO - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
JF - Journals of Gerontology - Series A Biological Sciences and Medical Sciences
IS - 2
ER -
