Factors Influencing Recovery Trajectory of Post-Operative Hip Replacement Patients on Their Functional Capacity

2.50
Hdl Handle:
http://hdl.handle.net/10755/151288
Type:
Presentation
Title:
Factors Influencing Recovery Trajectory of Post-Operative Hip Replacement Patients on Their Functional Capacity
Abstract:
Factors Influencing Recovery Trajectory of Post-Operative Hip Replacement Patients on Their Functional Capacity
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Chang, Ching-Fen, RN, MSN
P.I. Institution Name:National Taipei College of Nursing
Title:Instructor
Co-Authors:Tsae-Jyy Wang, PhD, RN
21st INRC [Research Presentation] Purpose: The purposes of the study were to describe factors influencing recovery trajectory of post-operative hip replacement patients on their functional capacity. Methods: This studyÿ is a ÿstructured observational design. 65 pre-operative hip replacement patients were recruited from two medical centers. Patients' ability to perform 12 functional activities was assessed daily from the operation day until discharged. The Survival-Cox Regressions were used to analyze the duration for 50% of the patients to reach the target behavior in each of the 12 activities measured. Results: The mean time for 50% of the patients to be able to raise the leg straightly to 15 degrees and to 30 degrees were 6.6 days and 9.2 days, respectively. To perform leg abduction to 15 degrees and to 30 degrees were 5.8 and 7.6 days, respectively. The average duration for setting on the edge of bed for 5 minutes was 3.4 days and for double-limb stance by using a walker or crutches was 4.6 days. Waking with aid (walker or crutches) for 5 meters, for 10 meters, and for 20 meters were 5.4 days, 6.5 days, and 8.5 days, respectively. The average time for getting out of bed was 5.9 days and getting into bed was 6.6 days. On an average 6.7 days, the patients were able to using aid sitting and rising from a chair. Wound pain, limb weakness, and orthostatic intolerance were reasons for terminating rehabilitation activities. Non-obey in-bed leg muscle training was the most important factor for delaying the time to be able to perform these target activities. Conclusion: The majority of the patients were able to perform most of the activities within a week. Nurses should address the potential barriers and encourage patients to do in bed leg muscle training as early as possible to facilitate their recovery.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors Influencing Recovery Trajectory of Post-Operative Hip Replacement Patients on Their Functional Capacityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151288-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors Influencing Recovery Trajectory of Post-Operative Hip Replacement Patients on Their Functional Capacity</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chang, Ching-Fen, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Taipei College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">chingfen@ntcn.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Tsae-Jyy Wang, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: The purposes of the study were to describe factors influencing recovery trajectory of post-operative hip replacement patients on their functional capacity. Methods: This study&yuml; is a &yuml;structured observational design. 65 pre-operative hip replacement patients were recruited from two medical centers. Patients' ability to perform 12 functional activities was assessed daily from the operation day until discharged. The Survival-Cox Regressions were used to analyze the duration for 50% of the patients to reach the target behavior in each of the 12 activities measured. Results: The mean time for 50% of the patients to be able to raise the leg straightly to 15 degrees and to 30 degrees were 6.6 days and 9.2 days, respectively. To perform leg abduction to 15 degrees and to 30 degrees were 5.8 and 7.6 days, respectively. The average duration for setting on the edge of bed for 5 minutes was 3.4 days and for double-limb stance by using a walker or crutches was 4.6 days. Waking with aid (walker or crutches) for 5 meters, for 10 meters, and for 20 meters were 5.4 days, 6.5 days, and 8.5 days, respectively. The average time for getting out of bed was 5.9 days and getting into bed was 6.6 days. On an average 6.7 days, the patients were able to using aid sitting and rising from a chair. Wound pain, limb weakness, and orthostatic intolerance were reasons for terminating rehabilitation activities. Non-obey in-bed leg muscle training was the most important factor for delaying the time to be able to perform these target activities. Conclusion: The majority of the patients were able to perform most of the activities within a week. Nurses should address the potential barriers and encourage patients to do in bed leg muscle training as early as possible to facilitate their recovery.</td></tr></table>en_GB
dc.date.available2011-10-26T10:57:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:57:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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