Key result
Comorbidities, cognition, social support, pain, fatigue, and sleep explain ~62% of post-hip fracture mobility variance.
Why the study?
Patients often face complications and mobility decline after hip fracture surgery, but research on mobility and its influencing factors in Thailand is limited.
Cross-Sectional (n=143)
Effect estimate: R2 0.618
p-value: p=<0.001
Modifiable factors such as cognitive function, social support, pain, fatigue, and sleep, along with comorbidities, significantly influence mobility in patients recovering from hip fracture surgery.
May inform holistic post-hip fracture mobility assessment; hypothesis-generating and requires prospective validation before guiding care.
Background: After hip fracture surgery, patients often experience complications and a decline in mobility, leading to physical disability and increased dependency on caregivers. This may result in reduced independence, institutionalization, and higher mortality rates. However, there is limited research on mobility and its influencing factors in patients undergoing hip fracture surgery in Thailand. Objective: This study aimed to determine the factors influencing mobility in patients with fractured hips within one year after surgery. Methods: A cross-sectional study was conducted involving 143 randomly selected participants who had undergone hip fracture surgery between August 2022 to February 2023. Mobility and its influencing factors were measured using standardized questionnaires, including the De Morton Mobility Index, Parker Mobility Scale, Charlson Comorbidity Index, General Practitioner Assessment of Cognition, Groningen Orthopedic Social Support Scale, Fatigue Severity Scale, Pain Rating Scale, and Pittsburgh Sleep Quality Index. Descriptive statistics and multiple regression were utilized for data analysis. Results: The mean mobility score for the patients was 48.86 out of 100 (SD = 17.89). The study found that comorbidity (β = -0.156, p = 0.009), cognitive function (β = 0.310, p <0.001), social support (β = 0.145, p = 0.010), pain (β = -0.176, p = 0.004), fatigue (β = -0.249, p <0.001), and sleep (β = -0.169, p = 0.009) collectively influenced mobility in patients after hip fracture surgery, explaining 61.8% of the variance (R2 = 0.618; F = 36.598; p <0.001). Conclusion: The study’s results provide valuable insights for nurses to target these modifiable factors to enhance patients’ mobility. However, it is essential to note that patients with comorbidity and poor cognitive function may face difficulty maintaining mobility. Nurses should be attentive to these patients and provide appropriate management. Additionally, early rehabilitation should be initiated promptly to optimize outcomes.
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Yoryuenyong et al. (2023) conducted a cross-sectional in hip fracture (n=143). Comorbidity, cognitive function, social support, pain, fatigue, and sleep collectively influenced mobility in patients after hip fracture surgery, explaining 61.8% of the variance (p<0.001).
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