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Abstract：
BACKGROUND: Hip fracture (HF) in older adults is strongly associated with a greater decline in their activities of daily living (ADLs) and health-related (HRQoL). The present study aimed to evaluate the effects of a family-based care transition program (FBCTP) on ADLs, HRQoL and social support in this age group after HF surgery.
METHODS: A quasi-experimental design was conducted on 100 older adults who had undergone HFS and were selected by convenience sampling and allocated to the IG (n = 50) and the CG (n = 50). Data were collected utilizing the Barthel Index, the 12-item Short Form Health Survey (SF-12), and the Multidimensional Scale of Perceived Social Support. The FBCTP was delivered in-hospital education sessions, home visit, and a follow-up and telephone counselling session. The data were collected at three stages, including the baseline, four weeks after discharge, and eight weeks later. The level of statistical significance was set at 0.05.
RESULTS: The results of the study indicated that the effects of time and group on the increase in ADLs were 15.2 and 36.69 (p < 0.000), respectively, following the completion of the FBCTP. Furthermore, time and group were found to have a positive effect on HRQoL, with an increase of 2.82 and 5.60 units, respectively (p < 0.000). In this context, time and group also interacted in the IG compared to the CG, with scores increasing by 1.86 units over time (p < 0.000). Although the study results indicated that social support improved by 1.98 units over time (p < 0.000), the effects of group alone and the time × group interaction were not statistically significant. This indicates that the program was not effective in accelerating social support.
CONCLUSIONS: Consequently, nurses, policymakers, and planners engaged in geriatric healthcare may utilize these results to enhance the health status of this age group following HFS.
METHODS: A quasi-experimental design was conducted on 100 older adults who had undergone HFS and were selected by convenience sampling and allocated to the IG (n = 50) and the CG (n = 50). Data were collected utilizing the Barthel Index, the 12-item Short Form Health Survey (SF-12), and the Multidimensional Scale of Perceived Social Support. The FBCTP was delivered in-hospital education sessions, home visit, and a follow-up and telephone counselling session. The data were collected at three stages, including the baseline, four weeks after discharge, and eight weeks later. The level of statistical significance was set at 0.05.
RESULTS: The results of the study indicated that the effects of time and group on the increase in ADLs were 15.2 and 36.69 (p < 0.000), respectively, following the completion of the FBCTP. Furthermore, time and group were found to have a positive effect on HRQoL, with an increase of 2.82 and 5.60 units, respectively (p < 0.000). In this context, time and group also interacted in the IG compared to the CG, with scores increasing by 1.86 units over time (p < 0.000). Although the study results indicated that social support improved by 1.98 units over time (p < 0.000), the effects of group alone and the time × group interaction were not statistically significant. This indicates that the program was not effective in accelerating social support.
CONCLUSIONS: Consequently, nurses, policymakers, and planners engaged in geriatric healthcare may utilize these results to enhance the health status of this age group following HFS.
摘要：
背景：老年人髋部骨折（HF）与日常生活活动（ADLs）和健康相关活动（HRQoL）的下降密切相关。本研究旨在评估基于家庭的护理过渡计划（FBCTP）对ADL的影响，HF手术后该年龄段的HRQoL和社会支持。
方法：对100名患有HFS的老年人进行了准实验设计，并通过方便采样选择并分配给IG（n=50）和CG（n=50）。数据是利用Barthel指数收集的，12项简短形式健康调查(SF-12)，以及感知社会支持的多维量表。FBCTP在医院进行了教育课程，家访,以及后续行动和电话咨询会议。数据收集分为三个阶段，包括基线，出院四周后，八周后。统计学意义的水平设定为0.05。
结果：研究结果表明，时间和小组对ADL增加的影响分别为15.2和36.69（p<0.000），分别,在FBCTP完成之后。此外，发现时间和组对HRQoL有积极影响，增加2.82和5.60个单位，分别为（p<0.000）。在这种情况下，与CG相比，IG中的时间和组也相互作用，分数随时间增加1.86个单位（p<0.000）。尽管研究结果表明，随着时间的推移，社会支持提高了1.98个单位(p<0.000)，单独组和时间×组交互作用的影响无统计学意义。这表明该计划在加速社会支持方面没有有效。
结论：因此，护士,政策制定者，从事老年保健的规划者可以利用这些结果来改善HFS后该年龄组的健康状况。
方法：对100名患有HFS的老年人进行了准实验设计，并通过方便采样选择并分配给IG（n=50）和CG（n=50）。数据是利用Barthel指数收集的，12项简短形式健康调查(SF-12)，以及感知社会支持的多维量表。FBCTP在医院进行了教育课程，家访,以及后续行动和电话咨询会议。数据收集分为三个阶段，包括基线，出院四周后，八周后。统计学意义的水平设定为0.05。
结果：研究结果表明，时间和小组对ADL增加的影响分别为15.2和36.69（p<0.000），分别,在FBCTP完成之后。此外，发现时间和组对HRQoL有积极影响，增加2.82和5.60个单位，分别为（p<0.000）。在这种情况下，与CG相比，IG中的时间和组也相互作用，分数随时间增加1.86个单位（p<0.000）。尽管研究结果表明，随着时间的推移，社会支持提高了1.98个单位(p<0.000)，单独组和时间×组交互作用的影响无统计学意义。这表明该计划在加速社会支持方面没有有效。
结论：因此，护士,政策制定者，从事老年保健的规划者可以利用这些结果来改善HFS后该年龄组的健康状况。
