Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery
Objectives: To explore the impact of home environment on effects of a diabetes mellitus (DM)–specific care model among older adults following hip-fracture surgery. Methods: A secondary analysis using the Home Environmental Barriers Scale assessed home environment (intervention group=81, control grou...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Experimental Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556522003412 |
| _version_ | 1797776232662695936 |
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| author | Ruey-Shiuan Ueng Min-Chi Chen Yea-Ing L. Shyu |
| author_facet | Ruey-Shiuan Ueng Min-Chi Chen Yea-Ing L. Shyu |
| author_sort | Ruey-Shiuan Ueng |
| collection | DOAJ |
| description | Objectives: To explore the impact of home environment on effects of a diabetes mellitus (DM)–specific care model among older adults following hip-fracture surgery. Methods: A secondary analysis using the Home Environmental Barriers Scale assessed home environment (intervention group=81, control group=79) at 1- and 3-months post-discharge. Outcomes of physical functioning were assessed at 1-, 3-, 6-, and 12-months post-discharge. Results: The intervention group had better home environmental improvements compared with the control group. Participants were characterized as having good or poor environmental improvements. Those with good improvements and received the intervention had better activities of daily living compared with matched controls. Participants with poor improvements and received the intervention had better scores for hip range of motion and quadriceps muscle strength compared with matched controls. Discussion: A DM-specific home rehabilitation for older adults following hip-fracture surgery that includes assessment of the home environment can facilitate complex postoperative functional recovery. |
| first_indexed | 2024-03-12T22:47:25Z |
| format | Article |
| id | doaj.art-a5801dfb0401487b8ced92d1658b5605 |
| institution | Directory Open Access Journal |
| issn | 1873-6815 |
| language | English |
| last_indexed | 2024-03-12T22:47:25Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj.art-a5801dfb0401487b8ced92d1658b56052023-07-21T04:58:34ZengElsevierExperimental Gerontology1873-68152023-01-01171112032Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgeryRuey-Shiuan Ueng0Min-Chi Chen1Yea-Ing L. Shyu2School of Nursing, Chang Gung University, Taoyuan, Taiwan; Department of Long-Term Care planning and Developing Center, Taipei City Hospital, TaiwanDepartment of Public Health and Parasitology, Chang Gung University, Taoyuan, TaiwanSchool of Nursing, Chang Gung University, Taoyuan, Taiwan; Dementia Center, Department of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan; Department of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Corresponding author at: School of Nursing, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 33302, Taiwan.Objectives: To explore the impact of home environment on effects of a diabetes mellitus (DM)–specific care model among older adults following hip-fracture surgery. Methods: A secondary analysis using the Home Environmental Barriers Scale assessed home environment (intervention group=81, control group=79) at 1- and 3-months post-discharge. Outcomes of physical functioning were assessed at 1-, 3-, 6-, and 12-months post-discharge. Results: The intervention group had better home environmental improvements compared with the control group. Participants were characterized as having good or poor environmental improvements. Those with good improvements and received the intervention had better activities of daily living compared with matched controls. Participants with poor improvements and received the intervention had better scores for hip range of motion and quadriceps muscle strength compared with matched controls. Discussion: A DM-specific home rehabilitation for older adults following hip-fracture surgery that includes assessment of the home environment can facilitate complex postoperative functional recovery.http://www.sciencedirect.com/science/article/pii/S0531556522003412Diabetes mellitusDiabetes mellitus-specific care modelHip fractureHome environmental quality |
| spellingShingle | Ruey-Shiuan Ueng Min-Chi Chen Yea-Ing L. Shyu Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery Experimental Gerontology Diabetes mellitus Diabetes mellitus-specific care model Hip fracture Home environmental quality |
| title | Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery |
| title_full | Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery |
| title_fullStr | Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery |
| title_full_unstemmed | Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery |
| title_short | Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery |
| title_sort | effects of a diabetes mellitus specific care intervention and home environment among older adults following hip fracture surgery |
| topic | Diabetes mellitus Diabetes mellitus-specific care model Hip fracture Home environmental quality |
| url | http://www.sciencedirect.com/science/article/pii/S0531556522003412 |
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