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A home‐based tele‐rehabilitation protocol for patients with hip fracture called @ctivehip

功能独立性测度 医学 髋部骨折 康复 物理疗法 生活质量(医疗保健) 随机对照试验 日常生活活动 干预(咨询) 物理医学与康复 骨质疏松症 外科 护理部 内分泌学
作者
Mariana Ortiz‐Piña,Zeus Salas‐Fariña,Marta Mora‐Traverso,Lydia Martín‐Martín,Noelia Galiano‐Castillo,Inmaculada García‐Montes,Irene Cantarero‐Villanueva,Carolina Fernández‐Lao,Manuel Arroyo‐Morales,A.M. Mesa Ruiz,Yolanda Castellote‐Caballero,Susana Salazar‐Graván,Lise Kronborg,Miguel Martín‐Matillas,Patrocinio Ariza‐Vega
出处
期刊:Research in Nursing & Health [Wiley]
卷期号:42 (1): 29-38 被引量:37
标识
DOI:10.1002/nur.21922
摘要

Home‐based tele‐rehabilitation programs are under development and may be a future option for some patients. The objectives of this non‐randomized clinical trial are to design a home‐based multidisciplinary tele‐rehabilitation protocol for patients with hip fracture, and to compare this protocol versus the home‐based usual outpatient rehabilitation protocol. Seventy patients treated for an acute hip fracture, aged 65 years or older, with a high pre‐fracture functional level (Functional Independence Measure score >90), without severe cognitive impairment, absence of terminal disease, discharged to their own home or a relativés home postoperatively, allowed weight‐bearing, and with signed informed consent, will be allocated into a tele‐rehabilitation group ( n = 35) or a control group ( n = 35). The inclusion criterion for the intervention group will be to have a caregiver with the ability to access the Internet who is willing to perform exercises and activities with the patient at home. The intervention includes a program of physical exercise and occupational therapy (five weekly sessions during 12 weeks), and recommendations for patients and their caregivers, all delivered through a website. The patient's functional level (Functional Independence Measure), quality of life (Euro‐Qol), physical performance (Timed Up and Go), caregiver burden (Zarit Interview), and other descriptive data will be assessed at hospital discharge, 4 weeks, and 12 weeks. This project will add to the knowledge concerning the feasibility of tele‐rehabilitation as an option to promote recovery of the pre‐fracture functional level for some patients with a hip fracture. ClinicalTrials.gov Identifier: NCT02968589NCT.
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