Huang Tzu-Ting, Liang Su-Hwa
Chang Gung University, School of Nursing, Tao-Yuan, Taiwan, R.O.C.
J Clin Nurs. 2005 Nov;14(10):1193-201. doi: 10.1111/j.1365-2702.2005.01260.x.
The objective of this study was to examine the effectiveness of a discharge plan in hospitalized elderly patients with hip fracture due to falling.
Hip fractures are an important cause of morbidity and mortality among older people. Hip fracture patients require ongoing medical and long-term care services. Discharge plan services can play a very important role for these patients, since the services improved their outcome conditions.
Hip fracture patients aged 65 years and older (n = 126), hospitalized due to falling and discharged from a medical centre in northern Taiwan, were randomly assigned to either a comparison group (the routine care) or experimental group (the discharge planning intervention). The outcomes used to determine the effectiveness of the intervention were: length of hospitalized stay, rate of readmission, repeat falls and survival, and activities of daily living.
The discharge planning intervention decreased length of stay, rate of readmission and rate of survival and improved activities of daily living for intervention group compared with those of control group. Mean total SF-36 scores of patients in the experimental group were higher than for the control group and both groups had improved quality of life.
The discharge planning benefited older people with hip fractures.
A discharge planning intervention by a nurse can improve physical outcomes and quality of life in hip fracture patients.
本研究的目的是检验出院计划对因跌倒导致髋部骨折的住院老年患者的有效性。
髋部骨折是老年人发病和死亡的重要原因。髋部骨折患者需要持续的医疗和长期护理服务。出院计划服务对这些患者可发挥非常重要的作用，因为该服务改善了他们的预后状况。
年龄在65岁及以上、因跌倒住院并从台湾北部一家医疗中心出院的髋部骨折患者（n = 126），被随机分配到对照组（常规护理）或试验组（出院计划干预）。用于确定干预有效性的结果指标包括：住院时间、再入院率、再次跌倒率和生存率以及日常生活活动能力。
与对照组相比，出院计划干预缩短了试验组的住院时间、再入院率和提高了生存率，并改善了日常生活活动能力。试验组患者的SF - 36总分均值高于对照组，且两组的生活质量均有所改善。
出院计划对髋部骨折的老年人有益。
护士进行的出院计划干预可改善髋部骨折患者的身体状况和生活质量。
