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Older Adults With Hip Arthroplasty

An Individualized Transitional Care Program

Ko, YoungJi PhD, RN1; Lee, JuHee PhD, APRN, RN2; Oh, EuiGeum PhD, RN2; Choi, MoNa PhD, RN2; Kim, ChangOh PhD, MD3; Sung, KiWol PhD, RN4; Baek, SeungHoon PhD, MD5

doi: 10.1097/rnj.0000000000000120
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Background Most older adults with hip fracture surgery experience functional decline (FD), causing devastating outcomes. However, few studies have examined the effects of nursing interventions to reduce FD for them.

Purpose The aim of the study was to evaluate an individualized transitional care program (ITCP) to reduce FD for older adults with hip arthroplasty.

Methods The study was quasiexperimental, with a nonequivalent control group design. A total of 37 participants scheduled for hip arthroplasty were recruited—21 in the experimental and 16 in the control group.

Findings Two weeks following surgery (i.e., just prior to discharge), the ITCP group displayed less fear of falling than the usual care group. Moreover, the experimental group displayed objectively less FD with increased activities of daily living and Timed Up and Go scores, 6 weeks after hip arthroplasty.

Conclusions This study provides evidence of the effectiveness of nurse-led rehabilitative practices to reduce FD in older adults with hip arthroplasty.

Clinical Relevance The ITCP promoted individual physical functioning for older adults with hip arthroplasty. This study results can aid healthy transitions of elderly patients with other various diseases.

1 College of Nursing, Daegu Haany University, Daegu, South Korea

2 Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea

3 College of Medicine, Yonsei University, Seoul, South Korea

4 College of Nursing, Catholic University of Daegu, Daegu, South Korea

5 School of Medicine, Kyungpook National University, Daegu, South Korea

Correspondence: JuHee Lee, Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea. E-mail: jhl@yuhs.ac

Cite this article as: Ko, Y., Lee, J., Oh, E., Choi, M., Kim, C. O., Sung, K., & Baek, S. (2019). Older adults with hip arthroplasty: An individualized transitional care program. Rehabilitation Nursing, 44(4), 203–212. doi: 10.1097/rnj.0000000000000120

© 2019 Association of Rehabilitation Nurses.
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