Factors Influencing Physical Activities of Older Adults with Hip Fracture Surgery in Vietnam

다국어 초록 (Multilingual Abstract)

Factors Influencing Physical Activities of Older Adults with Hip Fracture Surgery in Vietnam

Vo Thanh Ton
(Advisor: Prof. Jina Oh PhD.RN)
Department of Nursing
Graduate School, Inje University

* This study was supported by the Global Korea Scholarship (GKS) of the National Institute for International Education under the Ministry of Education, Korea (grant number KGSP-GRA-2016-092).

Background: Worldwide, about two million patients suffer a hip fracture per year and as the population continues to age this figure has increased. In Vietnam hip fracture is a big problem especially with older adults. Therefore, we need to find the factors influencing physical activities of older adults with hip fracture to support for rehabilitation after hip fracture and to know basic information about physical activities after hip fracture in older adults.
Objectives: The purpose of this study was assess the factors influencing physical activities of the older adults with hip fracture surgery in Vietnam.
Methods: A descriptive cross-sectional design was used. Participants of 120 in-patients over 60 years old in two general hospitals located in a central province of Vietnam completed a questionnaire. The questionnaire included six parts; physical activities, pain, sleep quality, fear of falling, cognitive function and general characteristics. Descriptive statistics was used to describe the socio-demographic variables and level of study variables. Pearson correlation coefficient was used to examine of the relationship among study variables. Independent t-test, ANOVA and Scheffé's post-hoc test was used to identify differences of study variables according to general characteristics, and multiple regression analysis was performed to identify factors influencing physical activities of patients with hip fracture surgery.
Results: The total mean score of physical activities was 1.63±1.12, pain was 7.26±1.19, sleep quality was 6.87±3.04, fear of falling was 41.58±7.47 and cognitive function was 16.85±6.31. The scores of physical activities were significant difference according to age (F=10.8, p<.001), residence (t=-0.91, p=.019) and were not significant difference according to another characteristics including gender and BMI. Physical activities were negatively correlated with pain (r=-.47, p<.001), fear of falling (r=-.25, p=.005), physical activities were positively correlated with cognitive function (r=.36, p<.001). According to the result of multiple regression analysis, pain (β =-0.42, p<.001), age (β =-0.48, p=.001) were significant influencing factors of physical activities. These variables explained 29.4% of the variances in physical activities of older adults with hip fracture surgery (F=9.24, p<.001)
Conclusions: The present study shows pain, age are the factors significant influence the older adults’ physical activities and provides data on new rehabilitation research areas which has an implication for older adults with hip fracture.

목차 (Table of Contents)

• Contents
• Abstract i
• I. Introduction
• A. Backgrounds …………………………………………………………… 1
• B. Research purposes ……………………………………...……………… 4
• C. Definition of terms …………………………...…….…………………. 5
• II. Literature Review
• A. Hip fracture of the older adults …………………………………………. 7
• B. Physical activities of older adults with hip fracture……………………. 9
• C. Factors associated with physical activities of older adults with hip
• fracture……………………………………………………………………11
• III. Methods
• A. Study design ………………………………………………………….. 15
• B. Participants……………………………………………………...……… 15
• C. Instruments..…………………………………………………………… 16
• D. Data collection ………………………………………………………... 19
• E. Data analysis ………………………………………………………….. 20
• F. Ethical consideration …..…………………………..……………………20
•  
• IV. Results
• A. General characteristics of the participants ……………….…………… 21
• B. Degree of pain, sleep quality, fear of falling, cognitive function and
• physical activities….…….……………………….………………………22
• C. Differences of physical activities according to general characteristics
• of the participants.……...………………………………………………. 23
• D. Correlations among, pain, sleep quality, fear of falling cognitive
• function and physical activities…………………………………..………24
• E. Factors influencing physical activities of older adults with hip fracture
• surgery ………………………………………….……………………… 25
• V. Discussion ………………………………………………………………… 27
• VI. Conclusion and Suggestions ……………………………………….…..….. 32
• References ………………………………………………………………..…… 33
• Appendices
• 1. Informed consent ……………………………………………………… 45
• 2. Questionnaires ………………………………………………..………… 46
• 3. Documents relevant to approval of thesis………………………………...60
• 4. Permission for use instruments …………………………………………..64
• List of Tables
• Table 1. General Characteristics of the Participants …………………………… 21
• Table 2. Degree of Pain, Sleep Quality, Fear of Falling, Cognitive Function and
• Physical Activities..………….……………………………………….… 22
• Table 3. Differences of Physical Activities according to General Characteristics
• of the Participants ..………………………………………………….…. 23
• Table 4. Correlations among Pain, Sleep Quality, Fear of Falling, Cognitive
• Function and Physical Activities..……………...………………………. 24
• Table 5. Factors Influencing Physical Activities of Older Adults with Hip
• Fracture Surgery ………………………………………………………. 26