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Health-related quality of life and self-reported ability concerning ADL and IADL after hip fracture: a randomized trial.
Acta Orthop. 2006 Feb; 77(1):114-9.AO

Abstract

BACKGROUND

It is not known whether postoperative occupational therapy is of value for hip fracture patients. In this randomized trial we evaluated the effects of an individualized, postoperative, occupational training (OT) program on the patient's self-reported health-related quality of life (HRQL) and self-reported abilities to perform activities of daily living (ADL) and instrumental activities of daily living (IADL).

PATIENTS AND METHODS

100 eligible patients (aged >or= 65 years) were randomized 50:50 to an OT or control group (termed the C group: conventional care). The OT group received individualized OT from day 3 or 4 after surgery and until discharge, and also a home visit. The patients answered the Swedish Health-Related Quality of Life questionnaire (SWED-QUAL) and the modified Disability Rating Index (DRI) three times: 3-4 days after surgery, at discharge, and at follow-up after 2 months.

RESULTS

We found no statistically significant differences between the groups at discharge and at follow-up regarding mean SWED-QUAL scores. However, on comparing each group over time, 2 months after the fracture the OT group had regained their self-reported pre-fracture HRQL status in 10 of 12 SWED-QUAL subscales, and the C group in 6 subscales. Statistically significant differences (p < 0.05) were found between the groups after 2 months regarding self-reported IADL (moving around indoors, performance of light housework, and getting in and out of a car).

INTERPRETATION

Our findings indicate that the individualized occupational training improved the ability to perform IADL and appeared to speed up the recovery in some HRQL areas.

Authors+Show Affiliations

Department of Nursing, Karolinska Institutet, Stockholm, Sweden. birgit.hagsten@karolinska.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16534710

Citation

Hagsten, Birgit, et al. "Health-related Quality of Life and Self-reported Ability Concerning ADL and IADL After Hip Fracture: a Randomized Trial." Acta Orthopaedica, vol. 77, no. 1, 2006, pp. 114-9.
Hagsten B, Svensson O, Gardulf A. Health-related quality of life and self-reported ability concerning ADL and IADL after hip fracture: a randomized trial. Acta Orthop. 2006;77(1):114-9.
Hagsten, B., Svensson, O., & Gardulf, A. (2006). Health-related quality of life and self-reported ability concerning ADL and IADL after hip fracture: a randomized trial. Acta Orthopaedica, 77(1), 114-9.
Hagsten B, Svensson O, Gardulf A. Health-related Quality of Life and Self-reported Ability Concerning ADL and IADL After Hip Fracture: a Randomized Trial. Acta Orthop. 2006;77(1):114-9. PubMed PMID: 16534710.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health-related quality of life and self-reported ability concerning ADL and IADL after hip fracture: a randomized trial. AU - Hagsten,Birgit, AU - Svensson,Olle, AU - Gardulf,Ann, PY - 2006/3/15/pubmed PY - 2006/3/25/medline PY - 2006/3/15/entrez SP - 114 EP - 9 JF - Acta orthopaedica JO - Acta Orthop VL - 77 IS - 1 N2 - BACKGROUND: It is not known whether postoperative occupational therapy is of value for hip fracture patients. In this randomized trial we evaluated the effects of an individualized, postoperative, occupational training (OT) program on the patient's self-reported health-related quality of life (HRQL) and self-reported abilities to perform activities of daily living (ADL) and instrumental activities of daily living (IADL). PATIENTS AND METHODS: 100 eligible patients (aged >or= 65 years) were randomized 50:50 to an OT or control group (termed the C group: conventional care). The OT group received individualized OT from day 3 or 4 after surgery and until discharge, and also a home visit. The patients answered the Swedish Health-Related Quality of Life questionnaire (SWED-QUAL) and the modified Disability Rating Index (DRI) three times: 3-4 days after surgery, at discharge, and at follow-up after 2 months. RESULTS: We found no statistically significant differences between the groups at discharge and at follow-up regarding mean SWED-QUAL scores. However, on comparing each group over time, 2 months after the fracture the OT group had regained their self-reported pre-fracture HRQL status in 10 of 12 SWED-QUAL subscales, and the C group in 6 subscales. Statistically significant differences (p < 0.05) were found between the groups after 2 months regarding self-reported IADL (moving around indoors, performance of light housework, and getting in and out of a car). INTERPRETATION: Our findings indicate that the individualized occupational training improved the ability to perform IADL and appeared to speed up the recovery in some HRQL areas. SN - 1745-3674 UR - https://www.unboundmedicine.com/medline/citation/16534710/Health_related_quality_of_life_and_self_reported_ability_concerning_ADL_and_IADL_after_hip_fracture:_a_randomized_trial_ L2 - https://www.tandfonline.com/doi/full/10.1080/17453670610045786 DB - PRIME DP - Unbound Medicine ER -