Socijalna psihijatrija, Vol. 53 No. 1, 2025.
Izvorni znanstveni članak
https://doi.org/10.24869/spsih.2025.45
Determinants of Early Postoperative Functional Status After Hip Fracture Surgery in Patients over 65 Years Old
Danijela Miljanić
orcid.org/0009-0004-0341-6682
; Alma Mater Europaea – ECM, Maribor, Slovenia;
Ivana Tucak Junaković
orcid.org/0000-0003-2166-1089
; University of Zadar, Department of Psychology, Zadar, Croatia
Sažetak
Hip fracture is one of the most severe fractures in elderly individuals. It is associated with high rates of mortality, morbidity
and disability, representing an economic burden for the patients, their families and the healthcare system. For this reason,
in addition to the preventive measures that could reduce the incidence of falls and fractures, it is important to identify the
factors that could facilitate the postoperative functional recovery after a fracture and the consequent surgery. The main
aim of the conducted study was to identify the most important determinants of successful functional recovery immediately
after hip fracture surgery in elderly individuals, i.e. to examine and compare the predictive contributions of factors from
three different functional recovery performance groups (sociodemographic, health and functional, and psychosocial)
among elderly individuals immediately after hip surgery, i.e. on the day of discharge from the hospital. The study involved
150 patients between 65 and 99 years of age (M = 81.63, SD = 8.11) hospitalized for hip fracture surgery, of whom 35
were male and 115 were female. Data on the potential predictors of successful postoperative functional recovery were
collected on the day of hospital admission, while data on the postoperative functional status were collected on the day
of hospital discharge. The Barthel Index was used to assess the functional status. The study results point to a significant
role of sociodemographic characteristics, previous functional status and previous involvement in more strenuous physical
activity in the postoperative functional recovery of elderly individuals immediately after hip
surgery. The results do not
confirm a greater role of the examined psychosocial resources (mental health, resilience and social
support) in the course of postoperative functional recovery. The identification and strengthening
of the factors that could facilitate patients’ postoperative recovery after hip fracture surgery
are of extreme importance, since they could accelerate their recovery and, generally, contribute to
their quality of life, as well as lessen the burden on the healthcare system.
Ključne riječi
Hip Fracture; Elderly; Functional Status; Physical Activity; Mental Health; Resilience
Hrčak ID:
330216
URI
Datum izdavanja:
26.3.2025.
Posjeta: 652 *