Trajectory of adherence to home rehabilitation among older adults with hip fractures and cognitive impairment

Wen-Yu Kuo; Min-Chi Chen; Ya-Chi Lin; Shu-Fang Yan; Yea-Ing Lotus Shyu

doi:10.1016/j.gerinurse.2021.10.019

Trajectory of adherence to home rehabilitation among older adults with hip fractures and cognitive impairment

Geriatr Nurs. 2021 Nov-Dec;42(6):1569-1576. doi: 10.1016/j.gerinurse.2021.10.019. Epub 2021 Nov 8.

Authors

Wen-Yu Kuo¹, Min-Chi Chen², Ya-Chi Lin³, Shu-Fang Yan³, Yea-Ing Lotus Shyu⁴

Affiliations

¹ School of Nursing, Chang Gung University of Science and Technology, 261 Wenhua 1(st) Road, Guishan District, Taoyuan City 33303, Taiwan, ROC; Geriatric and Long-Term Care Research Center, Chang Gung University of Science and Technology, 261 Wenhua 1(st) Road, Guishan District, Taoyuan City 33303, Taiwan, ROC.
² Department of Public Health & Biostatistics, College of Medicine, Consulting Center, Chang Gung University, 259 Wenhua 1(st) Road, Guishan District, Taoyuan City 33302, Taiwan, ROC; Department of Hematology and Oncology, Chang Gung Memorial Hospital, Chiayi, Taiwan, ROC.
³ School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1(st) Road, Guishan District, Taoyuan City 33302, Taiwan, ROC.
⁴ School of Nursing, College of Medicine, Chang Gung University, 259 Wenhua 1(st) Road, Guishan District, Taoyuan City 33302, Taiwan, ROC; Department of Orthopedic Surgery, Division of Orthopedic Traumatology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC; School of Nursing, College of Medicine, & Healthy Aging Research Center, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan, ROC. Electronic address: yeaing@mail.cgu.edu.tw.

PMID: 34763234
DOI: 10.1016/j.gerinurse.2021.10.019

Abstract

This study aimed to identify different trajectories of adherence to home rehabilitation for older adults with hip fracture and cognitive impairment, to examine associations between different adherence trajectories and postoperative recovery outcomes, and to explore the predictors of adherence trajectories. Group-based trajectory modeling showed two adherence trajectories: low (39.06%) and high (60.94%) adherence. The high adherence group had better activities of daily living (β=11.77, p<.001), instrumental activities of daily living (β=0.56, p<.01), femoral muscular strength (β=3.35, p<.01) on the fractured side and quality of life (β=-0.81, p=.02) than the low adherence group. Participants who established exercise habits (OR=6.49, p<.01) and consulted a physical therapist (OR=4.29, p=.03) during hospitalization were more likely to be in the high adherence group.

Trial registration: ClinicalTrials.gov NCT03894709.

Keywords: Adherence to rehabilitation; Cognitive impairment; Group-based trajectory modeling; Hip fracture; Older adult.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Activities of Daily Living
Aged
Cognitive Dysfunction*
Exercise Therapy
Hip Fractures* / surgery
Humans
Quality of Life

Associated data

ClinicalTrials.gov/NCT03894709