Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial

Francisco Javier Amarilla-Donoso, Raúl Roncero-Martín, Jesus Lavado-García, María de la Luz Canal-Macías, María Pedrera-Canal, Carlos Chimpén-López, Rosaura Toribio-Felipe, Sergio Rico-Martin, Sabina Barrios-Fernández and Fidel López-Espuela
Additional contact information
Francisco Javier Amarilla-Donoso: Department of Nursing, Hospital Campo Arañuelo, Calle Tomas Yuste S/N, Navalmoral de la Mata, 10300 Cáceres, Spain
Raúl Roncero-Martín: Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
Jesus Lavado-García: Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
María de la Luz Canal-Macías: Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
María Pedrera-Canal: Department of Nuclear Medicine, Hospital Clínico San Carlos, Av. Profesor Martín Lagos s/n., 28040 Madrid, Spain
Carlos Chimpén-López: Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
Rosaura Toribio-Felipe: Department of Nursing, Hospital Virgen del Puerto, Carretera del Puerto s/n, 10600 Cáceres, Spain
Sergio Rico-Martin: Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
Sabina Barrios-Fernández: Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain
Fidel López-Espuela: Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s/n, 10003 Cáceres, Spain

IJERPH, 2020, vol. 17, issue 24, 1-15

Abstract: The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups ( p = 0.447; p = 0.827) and social functioning in the intervention group ( p = 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) ( p = 0.043), vitality ( p = 0.010), and social functioning ( p < 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.

Keywords: quality of life; hip fracture; educational program; geriatric care; old people (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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