Paper: Predictors of Functional Recovery after Hip Fracture In the Elderly: A Research of System Review (20th International Nursing Research Congress Focusing on Evidence-Based Practice)

Tuesday, 14 July 2009

Wu Li-Chu, RN, MSN
Nursing Department, Kaohsiung Veteran General Hospital, Kaohsiung, Taiwan
Wang Ruey-Hsia, PhD
Colledge of Nursing, Kaohsiung Medical University, School of Nursing, Kaohsiung, Taiwan

Learning Objective 1: The learner will know the influencing factors on functional recovery for patients with hip fracture.

Learning Objective 2: The result will be able to afford the professional healthcare members to help the elders recovery from their functional activities.

Purpose: The purpose of this systematic review was to investigate the influencing factors on functional recovery for patients with hip fracture.

Methods: The literature was searched in the following online electronic databases: PubMed, Medline, CINAHL, Cochran Library, CEPS, & Image System of Index to Chinese Periodical Literature Published Periodical Guide System.

Results: Pre-fracture functional activity is the most important predictor for the elderly with hip fracture. However, age, depression/emotional condition, pre-fracture cognitive status, social support, knowledge, self-efficacy, and the lower extremity measurement three days after surgery were the related factors with functional recovery.

Conclusion: The present systematic review showed the following results. First, Pre-fracture functional activity is the most important predictor for the elderly with hip fracture. Second, depression/emotional condition is also a predictor, too. Third, pre-fracture cognitive status is an other predictor, but there still had some different opinions. Forth, network of social support size and the frequency are the predictors.

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