Factors Affecting and Predicting Quality of Life in Elderly Patients Following Hip Fracture Surgery at Phrachomklao Hospital, Phetchaburi
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Abstract
Background: To study the quality of life among post-surgical hip-fracture elderly patients at Phrachomklao Hospital Phetchaburi, investigate factors related to quality of life, and determine the impact on quality of life among these patients.
Methods: A cross-sectional descriptive study design using a self-administered questionnaire was applied to collect studied data of 98 elderly patients with post-surgical hip fracture at 6 to 12 months after discharge from Phrachomklao Hospital Phetchaburi. The EQ-5D-5L (Thai version) was used to assess quality of life. The data were analyzed by descriptive statistics and inferential statistics including the Chi-square test and binary logistic regression analysis.
Results: Factors influencing the deterioration in the quality of life of patients following hip fracture surgery included the non-weight bearing status of the operated limb (OR 12.96, 95% CI 4.77-35.22), malnutrition (OR 14.23, 95% CI 3.71-54.65), and patient depression (OR 9.73, 95% CI 2.49-38.03). These factors are significantly statistically associated (p < 0.05). Only two factors affecting the quality of life of the patient at the clinically significant level of 0.05 included malnutrition and non-weight bearing status which could construct the logistic regression equation to predict the worse quality of life for elderly patients with post-surgical hip fracture as the model equation of Log (odds) = -2.09 + 2.31 (non-weight bearing status) + 1.80 (malnutrition) which correctly predicted outcomes 81.60% of the time.
Conclusions: Factors related to worse quality of life in elderly patients with post-surgical hip fracture were malnutrition, non-weight bearing status, and depression. These factors should be screened and managed before discharging patients who have undergone hip surgery to improve their future quality of life.
Keywords: factors predicting, quality of life, elderly, hip fracture
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