The effect of post-discharge education provided via telenursing on the quality of life and functional independence levels of elderly patients undergoing hip fracture surgery: a randomized controlled trial

远程护理提供的出院后教育对接受髋关节骨折手术的老年患者的生活质量和功能独立性水平的影响:一项随机对照试验

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Abstract

The aim of this study is to evaluate the effect of post-discharge education provided via tele-nursing on the quality of life and functional independence levels of elderly patients who have undergone surgery due to a hip fracture. This randomized controlled, pre-test/post-test, single-center experimental study included 30 patients in the intervention group and 30 in the control group, conducted between August and April 2023. The intervention consisted of three online video consultations, three telephone calls, and an educational booklet, while no intervention was applied to the control group. Data were collected using a Patient Identification Form, QoL scale, and FIM. Ethical approval, institutional permissions, and informed consent were obtained. In the intervention group, 56.7% of the patients were female, while 53.3% of the patients in the control group were female (P = .79). The average age in the intervention group was 75.80, compared to 75.87 in the control group (P = .97). After the education, the post-test scores of the vitality and mental health subscales of the QoL scale were higher in the intervention group than in the control group (P < .05). After the education, the intervention group had a higher total FIM score than the control group, mainly driven by improvements in self-care and transfer subscales (P < .05). Post-discharge education provided via tele-nursing to elderly patients undergoing surgery for hip fractures improves their quality of life and functional independence levels. Trial Registration: ClinicalTrials.gov, NCT06257615.

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