| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 92 === Abstract
The purposes of this study were to explore depression and its impacts during one year following discharge, and depression related factors for hip fractured elders at admission. This study used secondary data from a longitudinal prospective study. One hundred and thirty-seven patients with hip fracture were recruited from a medical center in northern Taiwan. Data were collected at admission, the 1st, 3rd, 6th, and 12th month after hospital discharge, using descriptive statistics analysis and logistic regression.
The findings of this study showed that elderly with tendency of depression at the admission keep having depression tendency at the 1st, 3rd, 6th, and 12th month were 56.5%、55.9%、43.5%、50.0%, without tendency of depression elderly were 26.4%、29.2%、18.9%、18.5%. Prevalence of having tendency of depression at the admission, 1st, 3rd, 6th, and 12th month were 57.5%, 43.4%, 43.9%, 32.5%, 37.3%. There was a significant decreasing numbers of patient with tendency toward depression within one month and between the 3rd and 6th month following hospital discharge by using the GEE approach. Predictors for tendency toward depression were gender being female, poor social support system, cognitive impairment, living rotating with children, and impaired physical function before fracture. Patients with tendency toward depression at the admission appeared to have longer hospital stays (p < .001), poorer functional recovery in climbing stairs (item from activities daily living, ADL) at the 3rd month (p < .05), poorer functional recovery (instrumental activities daily living, IADL) at the 1st (p < .05) and 3rd month (p < .05), and poorer mental components in quality of life at the 1st (p < .001), 3rd (p < .05), and 12th month (p < .05) after discharge than those without.
Based on the results, health provider can have better understanding in post-fracture changes of tendency toward depression, its impacts on disease outcomes, and risks of depression for patients with hip fracture. Therefore, in clinical practice, health professionals should pay more attention to assess and manage depressive problems of hip fractured elders in order to have better outcomes.
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