Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency
Else V Grue1, Marit Kirkevold2, Petter Mowinchel3, Anette H Ranhoff41Diakonhjemmet University College, Department of Research and Development, Oslo, Norway; 2University of Oslo, Department of Medisin, Institute of Nursing Sciences and Health Profession, Oslo, Norway; 3Department of Paediatrics, Woma...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2008-11-01
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| Series: | Journal of Multidisciplinary Healthcare |
| Online Access: | http://www.dovepress.com/sensory-impairment-in-hip-fracture-patients-65-years-or-older-and-effe-a2549 |
| _version_ | 1811246145594195968 |
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| author | Else V Grue Marit Kirkevold Petter Mowinchel Anette H Ranhoff |
| author_facet | Else V Grue Marit Kirkevold Petter Mowinchel Anette H Ranhoff |
| author_sort | Else V Grue |
| collection | DOAJ |
| description | Else V Grue1, Marit Kirkevold2, Petter Mowinchel3, Anette H Ranhoff41Diakonhjemmet University College, Department of Research and Development, Oslo, Norway; 2University of Oslo, Department of Medisin, Institute of Nursing Sciences and Health Profession, Oslo, Norway; 3Department of Paediatrics, Woman-child division, Ullevål University Hospital Oslo, Norway; 4Diakonhjemmet Hospital, Geriatric Unit, Oslo, NorwayAim: Examine the effect of nursing interventions to improve vision and hearing, systematic assessment, and referral to sensory specialists on falling.Methods: Controlled intervention trial targeting hip fracture patients, 65 years and older, living at home and having problems seeing/reading regular print (VI) or hearing normal speech (HI). Intervention group = 200, control group = 131. The InterRAI-AcuteCare (RAI-AC) and the Combined-Serious-Sensory-Impairment interview guide (KAS-Screen) were used. Follow-up telephone calls were done every third month for one year.Results: Mean age was 84.2 years, 79.8% were female, and 76.7% lived alone. HI was detected in 80.7% and VI in 59.8%. Falling was more frequent among the intervention group (P = 0.003) and they also more often moved to a nursing home (P < 0.001) and were dependent walking up stairs (P = 0.003).Conclusions: This study could not document the effect of intervention on falling, possibly because of different base line characteristics (more females, P = 0.018, and more living alone P = 0.011 in the intervention group), differences in nursing care between subjects, and different risk factors. Interventions to improve sensory function remain important in rehabilitation, but have to be studied further.Keywords: vision, hearing, hip fracture, falls, intervention, hospital |
| first_indexed | 2024-04-12T14:49:29Z |
| format | Article |
| id | doaj.art-15fd7a6a333343b0bb5f52acea79a297 |
| institution | Directory Open Access Journal |
| issn | 1178-2390 |
| language | English |
| last_indexed | 2024-04-12T14:49:29Z |
| publishDate | 2008-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj.art-15fd7a6a333343b0bb5f52acea79a2972022-12-22T03:28:30ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902008-11-012009default111Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequencyElse V GrueMarit KirkevoldPetter MowinchelAnette H RanhoffElse V Grue1, Marit Kirkevold2, Petter Mowinchel3, Anette H Ranhoff41Diakonhjemmet University College, Department of Research and Development, Oslo, Norway; 2University of Oslo, Department of Medisin, Institute of Nursing Sciences and Health Profession, Oslo, Norway; 3Department of Paediatrics, Woman-child division, Ullevål University Hospital Oslo, Norway; 4Diakonhjemmet Hospital, Geriatric Unit, Oslo, NorwayAim: Examine the effect of nursing interventions to improve vision and hearing, systematic assessment, and referral to sensory specialists on falling.Methods: Controlled intervention trial targeting hip fracture patients, 65 years and older, living at home and having problems seeing/reading regular print (VI) or hearing normal speech (HI). Intervention group = 200, control group = 131. The InterRAI-AcuteCare (RAI-AC) and the Combined-Serious-Sensory-Impairment interview guide (KAS-Screen) were used. Follow-up telephone calls were done every third month for one year.Results: Mean age was 84.2 years, 79.8% were female, and 76.7% lived alone. HI was detected in 80.7% and VI in 59.8%. Falling was more frequent among the intervention group (P = 0.003) and they also more often moved to a nursing home (P < 0.001) and were dependent walking up stairs (P = 0.003).Conclusions: This study could not document the effect of intervention on falling, possibly because of different base line characteristics (more females, P = 0.018, and more living alone P = 0.011 in the intervention group), differences in nursing care between subjects, and different risk factors. Interventions to improve sensory function remain important in rehabilitation, but have to be studied further.Keywords: vision, hearing, hip fracture, falls, intervention, hospitalhttp://www.dovepress.com/sensory-impairment-in-hip-fracture-patients-65-years-or-older-and-effe-a2549 |
| spellingShingle | Else V Grue Marit Kirkevold Petter Mowinchel Anette H Ranhoff Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency Journal of Multidisciplinary Healthcare |
| title | Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency |
| title_full | Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency |
| title_fullStr | Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency |
| title_full_unstemmed | Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency |
| title_short | Sensory impairment in hip-fracture patients 65 years or older and effects of hearing/vision interventions on fall frequency |
| title_sort | sensory impairment in hip fracture patients 65 years or older and effects of hearing vision interventions on fall frequency |
| url | http://www.dovepress.com/sensory-impairment-in-hip-fracture-patients-65-years-or-older-and-effe-a2549 |
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