• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Determinants of nonrecovery following hip fracture in older adults: A chronic disease trajectory analysis.
【24h】

Determinants of nonrecovery following hip fracture in older adults: A chronic disease trajectory analysis.

机译：老年人髋部骨折后无法恢复的决定因素：慢性疾病轨迹分析。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Hip fracture in older adults may be the sentinel event leading to functional decline, long-term disability, and death. For the substantial number of older persons who fracture a hip each year, the chances of full functional recovery remains relatively low. The purpose of this study was to examine the differences between older persons with hip fracture who recover fully and those individuals who do not fully recover. A chronic disease trajectory framework guided the theoretical design of the research. Data were collected from the medical records of 102 persons aged 60 years and older who sustained a proximal hip fracture from 1993 to 1998 at a medical center in North Carolina. Data included personal characteristics, prefracture health status, hospital factors, rehabilitation features, and functional outcomes. The analysis consisted of a two-step hierarchical logistic regression model with the control variables of age, prefracture ambulation status, and prefracture cognitive status entered first and the variables of type of therapy program, frequency of therapy, number of therapy provider organizations, and location of therapy at 4 weeks entered second. Significance of the final model was observed, χ2 (7, n = 99) = 43.55, p < .05. Significant individual predictors (p < .05) in the model were prefracture ambulation status (43.56 odds ratio) and cognitive status (6.44 odds ratio). Post-hoc analysis of the cases revealed a substantial lack of stability in ambulation status from three months post-fracture to the six-month and one-year follow-up. Findings support other research studies that indicate prefracture personal characteristics of older persons who fracture a hip are the most influential factors in predicting successful recovery. Linkage of the findings to the chronic disease trajectory model suggests that intervention efforts should focus on prevention, health promotion, and policies that extend the ability of health care providers to assist older persons with hip fracture in managing their conditions.
机译：老年人的髋部骨折可能是导致功能下降，长期残疾和死亡的前哨事件。对于每年每年有大量髋部骨折的老年人来说，完全恢复功能的机会仍然相对较低。这项研究的目的是研究完全康复的髋部骨折老年人与未完全康复的老年人之间的差异。慢性疾病轨迹框架指导了研究的理论设计。数据是从1993年至1998年在北卡罗来纳州的一个医疗中心接受102例60岁及60岁以上髋部近端骨折的患者的病历中收集的。数据包括个人特征，骨折前的健康状况，医院因素，康复特征和功能结局。该分析由两步分层逻辑回归模型组成，其中首先输入年龄，骨折前走动状态和骨折前认知状态的控制变量，以及治疗程序类型，治疗频率，治疗提供者组织的数量和位置的变量在第4周进行的治疗进入第二。观察到最终模型的意义，χ2（7，n = 99）= 43.55，p <.05。该模型中的重要个体预测因素（p <.05）是骨折前活动状态（比值比为43.56）和认知状态（比值比为6.44）。对这些病例的事后分析显示，从骨折后三个月到六个月和一年的随访期间，患者的活动状态严重缺乏稳定性。这些发现支持了其他一些研究，这些研究表明，髋部骨折的老年人的骨折前个人特征是预测成功康复的最重要因素。研究结果与慢性病轨迹模型的联系表明，干预工作应集中在预防，促进健康和政策上，这些政策应扩大卫生保健提供者协助老年人髋部骨折患者控制病情的能力。

著录项

  • 作者

    Dawson, Donna Kay.;

  • 作者单位

    Virginia Polytechnic Institute and State University.;

  • 授予单位 Virginia Polytechnic Institute and State University.;
  • 学科 Health Sciences Medicine and Surgery.;Health Sciences Human Development.
  • 学位 Ph.D.
  • 年度 2000
  • 页码 87 p.
  • 总页数 87
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号