PERCEIVED HEALTH IN HIP-FRACTURE PATIENTS - A PROSPECTIVE FOLLOW-UP OF 100 PATIENTS

被引:30
作者
BORGQUIST, L
NILSSON, LT
LINDELOW, G
WIKLUND, I
THORNGREN, KG
机构
[1] UNIV LUND, DEPT COMMUNITY HLTH SCI, DALBY, SWEDEN
[2] GOTHENBURG UNIV, DEPT ORTHOPAED, S-41124 GOTHENBURG, SWEDEN
[3] UNIV LUND HOSP, DEPT ORTHOPAED, S-22185 LUND, SWEDEN
[4] UNIV LUND, INST ECON RES, S-22101 LUND, SWEDEN
关键词
D O I
10.1093/ageing/21.2.109
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
We report the impact of the treatment and rehabilitation in hip-fracture patients by using self-assessment instruments of perceived health and relate them to objective outcome assessments, such as ADL (personal hygiene/dressing), walking ability and technical complications. Subjective and objective status for 100 hip-fracture patients admitted from their own home, and rehabilitated in primary health care, were registered over 1 year after fracture. Mean age was 74, and 80% of the patients were women. Two self-assessment questionnaires: the Nottingham Health Profile (NHP part 1) and the Mood Adjective Checklist (MACL) were answered by the patients 6 and 12 months after fracture and compared with functional status (ADL, and walking ability) 4 months after fracture. Problems related to the hip fracture such as pain and physical mobility had most effect on the self-assessment questionnaire (NHP) and were in accordance with the district physiotherapists' evaluation of function. Patients with complications (resulting in nail extraction and total hip replacement) after the primary hip osteosynthesis and patients with a poor function 4 months after fracture had scores in the self-assessment questionnaires indicating a more pronounced and distressing impact of the disease. Small changes in subjective mood (MACL) were found. In an acute, curable, disease such as hip fracture the objective outcome seems as informative as the subjective evaluations of patients' self-assessment.
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页码:109 / 116
页数:8
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