| Objective To explore the daily living skills,balance and functional activitis and social supports after Internal Fixation among elderly hip fracture patients; then explore related factors and the relationships between patients, social supports and daily living skills,balance and functional activitis;to promote hip fracture healing and postoperative life quality of elderly patients.Methods A cross-sectional survey was conducted on a sample of 175 elderly patients from a provincial-level hospital emergency and orthopedic departments in Zhengzhou. The research subjects must be older than 65 years, had femoral neck fractures and intertrochanteric fracture fixation parallel treatment. The investigation included basic information, the disease situation, before and after 6 months of daily living, social support and balance function. Convenience sampling method was used to recruite objects meet requirements since January 2015. Epidata3.1 was used to input the survey data. SPSS17.0 was used foe statistical analysis. The statistical methods used included general descriptive statistics, T test, non-parametric test, Logistic regression analysis.Results There were 162 valid data after strictly matched, with an effective rate of 92.5%. The main results include: The age of the subjects was from65 to 98 years old,with an average of 75.27±3.92. Male to female subjects ratio was 1:1.54. About half of the patients were at marriage and were taken care of by the spouse. Per capita income were more than half among 1000-3000 yuan accounted. Hospitalization days were 7-21 days, with an average of 13.78 ± 6.24 days; there were 88 intertrochanteric fracture(54.3%), 74 femoral neck fracture(45.7%), and most of them were freshfractures(93.2%). 82 to fractures cases were caused by falls, accounting for 50.6%; 74.7% patients underwent surgery four days after fracture. The top five comorbidities were cerebrovascular disease, hypertension, heart disease, diabetes and chronic bronchitis; Pain and joint stiffness were the main postoperative complications. The score of daily living skills before and after surgery were averaged 16.84 ± 5.38 points and 20.94 ± 7.27 points separately, suggesting that patients, daily living skills decreased, the difference was statistically significant(t =-2.068, P = 0.023). Logistic regression analysis showed that age, fracture stability, operation time of fracture, preoperative and postoperative complications were factors of daily living skills. Balance function in patients 6 months after surgery were 29.97 ± 15.51 points and the influence factors included age, fracture stability and operation time(P <0.01). Social support scored mean 39.72 ± 5.77 points, and were related with postoperative daily living skills and balance function scores(P <0.01), suggesting that the higher social support, the better postoperative functional recovery.Conclusion There were different degrees of undesirable daily living skills and balance functions among elderly hip fracture patients; Social support could affect the postoperative rehabilitation of elderly hip fracture patients, the higher available social support,the better daily living skills and balance functions. Older, preoperative associated diseases, unstable fracture, fracture timing delays, complications and less social support were risk factors in elderly hip fracture patients after surgery. In addition, the influence of gender on functional recovery of patients needs to be further explored. |
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