Factors influencing mobility among people post-surgery for hip fractures: A cross-sectional study
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Keywords

cognition
comorbidity
fatigue
hip fracture
mobility
pain
sleep
social support

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Yoryuenyong, C., Jitpanya, C., & Sasat, S. (2023). Factors influencing mobility among people post-surgery for hip fractures: A cross-sectional study. Belitung Nursing Journal, 9(4), 349–358. https://doi.org/10.33546/bnj.2759
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Accepted for publication: 2023-08-01
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Abstract

Background: After hip fracture surgery, patients often experience complications and a decline in mobility, leading to physical disability and increased dependency on caregivers. This may result in reduced independence, institutionalization, and higher mortality rates. However, there is limited research on mobility and its influencing factors in patients undergoing hip fracture surgery in Thailand.

Objective: This study aimed to determine the factors influencing mobility in patients with fractured hips within one year after surgery. 

Methods: A cross-sectional study was conducted involving 143 randomly selected participants who had undergone hip fracture surgery between August 2022 to February 2023. Mobility and its influencing factors were measured using standardized questionnaires, including the De Morton Mobility Index, Parker Mobility Scale, Charlson Comorbidity Index, General Practitioner Assessment of Cognition, Groningen Orthopedic Social Support Scale, Fatigue Severity Scale, Pain Rating Scale, and Pittsburgh Sleep Quality Index. Descriptive statistics and multiple regression were utilized for data analysis.

Results:  The mean mobility score for the patients was 48.86 out of 100 (SD = 17.89). The study found that comorbidity (β = -0.156, p = 0.009), cognitive function (β = 0.310, p <0.001), social support (β = 0.145, p = 0.010), pain (β = -0.176, p = 0.004), fatigue (β = -0.249, p <0.001), and sleep (β = -0.169, p = 0.009) collectively influenced mobility in patients after hip fracture surgery, explaining 61.8% of the variance (R2 = 0.618; F = 36.598; p <0.001).

Conclusion: The study’s results provide valuable insights for nurses to target these modifiable factors to enhance patients’ mobility. However, it is essential to note that patients with comorbidity and poor cognitive function may face difficulty maintaining mobility. Nurses should be attentive to these patients and provide appropriate management. Additionally, early rehabilitation should be initiated promptly to optimize outcomes.

https://doi.org/10.33546/bnj.2759
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Supporting Agencies

This research was funded by the National Research Council of Thailand (NRCT) NO. N41A660170. Recipient: Miss Chanipa Yoryuenyong

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Copyright (c) 2023 Chanipa Yoryuenyong, Chanokporn Jitpanya, Siriphan Sasat

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

There was no potential conflict of interest in this study.

Acknowledgment

The authors extend their heartfelt gratitude to all the participants who made valuable contributions to this study. Additionally, appreciation is given to the National Research Council of Thailand for providing the funding support that made this research possible.

Authors’ Contributions

All authors contributed significantly to the conception, design, and completion of this study and have approved the final version of the manuscript for submission. Specifically, CY and CJ made substantial contributions to the conception and research design, data collection, analysis, and interpretation of data. They were involved in drafting the manuscript and critically revising it for important scholarly content. CY, CJ, and SS provided final approval of the version to be published and have agreed to be accountable for all aspects of the work, ensuring that any potential issues have been thoroughly investigated and resolved.

Data Availability

The datasets generated during and analyzed during the current study are available from the corresponding author upon reasonable request.

Declaration of Use of AI in Scientific Writing

None to declare.


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