The effect of a moderate-intensity physical activity enhancing program for elderly patients with hip fracture post surgery

Abstract

Since hip fracture prevalence increases exponentially with age, as population’s age and longevity increases worldwide, these injuries are likely to increase various degrees of subsequent disability. The purposes of this research were to examine the effects of a moderate-intensity physical activity enhancing program (MPEP) on physical activity and satisfaction with nursing intervention in elderly patient with hip fracture post surgery. This study was randomized control trial two group pretest and posttest research design. The sample, 46 first diagnosed hip fracture elderly patients were randomly assigned to the experimental or control group by using coin flip randomization, consisting of 23 subjects in each group. The participants in the control group received usual care, whereas the participants in the experimental group received the MPEP together with usual care within 7 weeks. The MPEP was developed based on the model of theory of self-efficacy (Resnick, 2009). The MPEP emphasized physical training and efficacy based intervention based on four information sources for self-efficacy: performance accomplishment, vicarious experience, verbal encouragement, and physiological feedback. The experimental group underwent 4 phases: 1 assessment phase, 2) the preparation phase, 3) the practice phase, and 4) the evaluation phase. The media of the program were composed of physical activity booklet concerning what physical activity should to do, benefit of physical activity, key of success, how to overcome unpleasant sensations associated with given activities, physical activity for hip fractures poster, and flip book, and physical activity diary and log. The instrument for collecting the physical activity was International physical activity questionnaire, long form (IPAQ-L), whose internal consistency was proved by Cronbach’s alphas coefficient = .68 and Satisfaction with nursing intervention, whose internal consistency was proved by Cronbach’s alphas coefficient = .94. MANCOVA were used for data analysis The results revealed that overall physical activity scores and satisfaction with nursing intervention scores at posttest were significantly higher than the control group after controlling delirium (p < .05). The finding indicated that the MPEP effectively increased the physical activity and satisfaction with nursing intervention in elderly hip fracture patients with surgery.