Amarilla-Donoso Javier, Gómez-Luque Adela, Huerta-González Sara, Panea-Pizarro Isabel, Güesta-Guerra Elena, López-Espuela Fidel
Departamento de Enfermería, Hospital Campo Arañuelo, Navalmoral de la Mata, Cáceres, España.
Departamento de Enfermería, Facultad de Enfermería y Terapia Ocupacional, Universidad de Extremadura, Cáceres, España.
Enferm Clin (Engl Ed). 2020 Jul-Aug;30(4):244-252. doi: 10.1016/j.enfcli.2019.03.003. Epub 2019 Apr 24.
To determine the quality of life related to health, functional capacity and mood to hip fracture and one month after surgery.
Prospective and descriptive study developed from January 2015 to January 2016 in Campo Arañuelo Hospital (Navalmoral de la Mata, Cáceres, Spain). Sociodemographic variables, functional capacity (Barthel Index), dependence (Lawton and Brody Scale), quality of life related to health (Questionnaire Euroqol-5D) and on mood (Yesavage geriatric depression scale GDS15) were collected, prior to the hip fracture and one month after the intervention.
Significant decrease in functional capacity (Barthel), the mean score was 86.66 before the fracture, compared to 58.72 at the month after surgery (P<.001). Regarding the Lawton and Brody Scale, the mean was 4.95 and at 2.24months (P<.001). The mean scores on health related quality of life, baseline and post-intervention in the analog visual scale of the EQ-5D questionnaire were 72.95 vs 59.45 respectively (P=.004). Although before the fracture, 94.10% had no alteration in mood, one month after the intervention there was a possible depression of 20.50% and an established depression of 11%.
The fracture of the head affects the functionality of the elderly, causing dependence for the basic and instrumental activities of daily life. It also affects the quality of life related to health and this decreases significantly in the month after surgery. Depressive mood is inversely related to perceived perceived quality of life.
确定髋部骨折及术后1个月与健康、功能能力和情绪相关的生活质量。
2015年1月至2016年1月在西班牙卡塞雷斯省纳瓦尔莫拉尔德拉马塔市坎波阿拉纽埃洛医院开展的一项前瞻性描述性研究。收集了社会人口统计学变量、功能能力（巴氏指数）、依赖性（劳顿和布罗迪量表）、与健康相关的生活质量（欧洲五维健康量表问卷）以及情绪方面（耶萨维奇老年抑郁量表GDS15），在髋部骨折前及干预后1个月进行收集。
功能能力（巴氏指数）显著下降，骨折前平均得分为86.66，术后1个月为58.72（P<0.001）。关于劳顿和布罗迪量表，平均值分别为4.95和2.24（P<0.001）。EQ-5D问卷模拟视觉量表中与健康相关的生活质量的平均得分，基线时和干预后分别为72.95和59.45（P = 0.004）。尽管骨折前94.10%的人情绪无变化，但干预后1个月有20.50%的人可能存在抑郁，11%的人确诊为抑郁。
股骨头骨折影响老年人的功能，导致日常生活的基本和工具性活动需要依赖他人。它还影响与健康相关的生活质量，且术后1个月显著下降。抑郁情绪与感知到的生活质量呈负相关。
