Factors Influencing Quality of Life in Older Adults Following Hip Surgery

A cross-sectional survey study was conducted to examine older adults hip surgery patients' post-surgery quality of life, and to study the causal relationships that directly and indirectly influence it. A total of 447 patients who met the inclusion criteria were recruited from eight tertiary care hospitals and four universities in Thailand' using convenience sampling. The results revealed that post-discharge quality of life in older adults patients following hip surgery was at a moderate level ((K) over bar = 79.40, SD = 12.41). The results of the final model fit well with the empirical data of all variables (X-2 = 12.24, df = 15, p =.661, RMSEA =.000, GFI =.99, CFI = 1.00, X-2/ df =.816). The final model accounted for 16% of the total variance in QoL, 25% of the variance in self-management, and 3% of the variance in physical function recovery. Age, pain, comorbidity, family caregiver support and health service system factors had indirect effects on self-management through physical function recovery and quality of life. Self-management had a direct effect on physical function recovery. Comorbidities and health service system also had direct effects on quality of life. The findings suggest that appropriate health service system factors should be performed to help support self-management, including follow-up services with home or telephone visiting, in order to promote physical function recovery, particularly for female older adults hip surgery patients. This will improve patients' quality of life.