Interdisciplinary intervention reduced the risk of being persistently depressive mong older patients with hip fracture

MUIR > Graduate Institute of Health Care > Department of Nursing > Papers > Item 987654321/3408

Please use this identifier to cite or link to this item: http://ir.meiho.edu.tw/ir/handle/987654321/3408

Title:	Interdisciplinary intervention reduced the risk of being persistently depressive mong older patients with hip fracture
Authors:	Tseng, Ming-Yueh;Shyu, Yea-Ing L;Liang, Jersey;Tsai, Wen-Che
Keywords:	depressive symptoms;hip fracture elders;interdisciplinary intervention;randomized controlled trial
Date:	2017-11-01
Issue Date:	2017-11-03T06:24:37Z (UTC)
Abstract:	AIM: To assess the effects of an interdisciplinary intervention on the trajectories of depressive symptoms among older patients during 2 years after hip fracture surgery. METHODS: A secondary analysis of data from a randomized controlled trial that contrasted usual care with an interdisciplinary program. Whereas usual care (n = 77) entailed only in-hospital rehabilitation and occasional discharge planning, the interdisciplinary program (n = 76) consisted of geriatric consultation, in-hospital rehabilitation, discharge planning and rehabilitation at home for 3 months after hospitalization. Depressive symptoms were assessed by using the Chinese version of the Geriatric Depression Scale short-form, before discharge, and 1, 3, 6, 12, 18 and 24 months after discharge. Covariates included demographic attributes, pre-fracture performance of activities of daily living (Chinese Barthel Index) and cognitive functioning (Mini-Mental State Examination). RESULTS: Changes in depressive symptoms can be characterized by three trajectory groups, including a non-depressive group (n = 58, 37.8%), a marginally depressive group (n = 46, 30.7%) and a persistently depressive group (n = 49, 31.5%). Relative to those who received usual care, participants in the interdisciplinary program had a significantly lower risk of being in the persistently depressive group (odds ratio 0.23, P < 0.05). In addition, women and those physically and cognitively more impaired were more likely to be in the marginally and persistently depressive groups. CONCLUSIONS: Our interdisciplinary intervention reduced older persons' likelihood of having persistent depressive symptoms after hip fracture surgery. Geriatr Gerontol Int 2016; 16: 1145-1152. © 2015 Japan Geriatrics Society.
Appears in Collections:	[Department of Nursing] Papers

Files in This Item:

File	Description	Size	Format
曾明月2016 Tseng-GGI.pdf		175Kb	Adobe PDF	0	View/Open

View Licence

Loading...