Ahmed, W., Mohammed, G., Abdel Salam, M., Mostafa, N. (2023). Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture. Assiut Scientific Nursing Journal, 11(36), 263-272. doi: 10.21608/asnj.2023.202050.1549
Wafaa Ramadan Ahmed; Ghada Thabet Mohammed; Mohamed Abdel Radi Abdel Salam; Neama Mamdouh Mostafa. "Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture". Assiut Scientific Nursing Journal, 11, 36, 2023, 263-272. doi: 10.21608/asnj.2023.202050.1549
Ahmed, W., Mohammed, G., Abdel Salam, M., Mostafa, N. (2023). 'Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture', Assiut Scientific Nursing Journal, 11(36), pp. 263-272. doi: 10.21608/asnj.2023.202050.1549
Ahmed, W., Mohammed, G., Abdel Salam, M., Mostafa, N. Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture. Assiut Scientific Nursing Journal, 2023; 11(36): 263-272. doi: 10.21608/asnj.2023.202050.1549
Effect of Intensive Rehabilitation Protocol on Patients' Ambulation and Daily Living Activities Post Hip Fracture
1Assistant Professors of Medical-Surgical Nursing, Faculty of Nursing, Assuit University, Egypt.
2Assistant Consultant of Medical-Surgical Nursing, Assuit University Hospital, Assuit University, Egypt.
3Lecturer of Orthopedics Surgery, Faculty of Medicine, Assuit University, Egypt.
Abstract
A hip fracture is a serious injury, with complications that can be life-threatening. The study aimed to evaluate the effect of intensive rehabilitation protocol on patients’ ambulation and daily living activity post hip fracture. Patients and Method: This study was carried out in the orthopedics surgery department and its outpatient clinics at Assiut university hospital. A purposive sample of 60 patients was divided into two groups (study group and control group) 30 patients for each group. The following tools were utilized for data collection: First tool: Self – administered questionnaire, Second tool: Ambulation Score, Third tool: Lawton – Brody Instrumental activities of daily living scale. Results: two-thirds of the studied patients in both groups were in the age group 56 ≥ 65 years old with a mean age of 56.93± 10.97 years, most of the participating patients in study and control groups have femoral neck fracture ( 80 & 83.3%) and had previous complain of osteoporosis (53.4 & 60 %) respectively. There was a significant difference between the study and control group regarding mean ambulation and muscular control after the application of intensive rehabilitation protocol with (5.4 ± 2.22 and 3.23 ± 2.17) for ambulation score and (7.2 ± 1.90 and 5.36 ± 2.15) for muscular control with p.value (0.0001* & 0.001*) respectively, but, there was no statistically significant difference between the study and control groups regarding activities of daily living scale except their responsibility for their medications. Conclusion: intensive rehabilitation can improve the ambulation and muscular control post femoral fracture arthroplasty but was not enough for improving the patient's activity of daily living. Recommendations: Establishing an effective rehabilitation protocol for post-hip fracture patients and providing a written rehabilitation instructions booklet.
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