Clinical trial NCT05900804: The Effect of Training Prepared in Line With Fracture Liaison Service Model on Frailty in Hip Surgery Patients
Official title: The Effect of Training Prepared in Line With the Fracture Liaison Service Model in Patients Undergoing Hip Surgery on Patients' Fragility Level, Care Dependence, and Fear of Movement: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Geriatric Patients
Keywords: Nursing
Frailty
Education
Fracture Liaison Services
Lead sponsor: Aydin Adnan Menderes University
Sponsor class: OTHER
First posted: 2023-06-13
Enrollment: 56
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study is a randomized controlled experimental research with pretest-posttest control group. The aim of this study is to evaluate the effect of the training prepared in line with the fracture liaison service model on the level of frailty, care dependency and fear of movement in patients undergoing hip surgery. The main questions it aims to answer are as follows:

* Does the training provided to patients undergoing hip surgery in line with the fracture liaison service model have an effect on the level of frailty of patients?
* Does the training provided to patients undergoing hip surgery in line with the fracture liaison service model have an effect on patients' care dependency?
* Does the education given to patients undergoing hip surgery in line with the fracture liaison service model have an effect on patients' fear of movement? It is very important to prevent secondary fractures that may occur in patients undergoing hip surgery. Therefore, the most appropriate prevention interventions to reduce fractures in patients depend on the risk profile and the place of education for hospitalized patients is very important. In this study, Personal Information Collection Form, Patient Follow-up Form, Edmonton Frailty Scale, Causes of Kinesiophobia Scale and Care Dependency Scale will be applied to control and intervention group patients. It is planned to provide training to the intervention group patients in line with the fracture liaison service model. This study will evaluate the effect of the training on patients' level of frailty, care dependency and fear of movement.

Detailed description: The frail patient is a more complex patient group that is difficult for healthcare professionals to monitor and treat. These patients are more prone to undesirable outcomes such as hospitalization and death. The risk of frailty increases even more in the elderly population who experience more health problems, especially in the later stages of old age. In the care of the frail elderly, the nurse, together with the healthcare team, should be able to detect the complications that may develop in the elderly at an early stage, take the necessary precautions and provide services according to the needs. With the education given in line with the risk factors that occur in frail patients, individuals will be informed about frailty, and at the same time, environmental arrangements, exercises, etc. It is thought that the immobilization of the patient and the occurrence of secondary fractures will be minimized with such activities. In order to minimize or prevent possible postoperative complications and to prevent falls and secondary fractures; this study was planned to evaluate the effect of the training prepared in line with the fracture liaison service model on the level of frailty, care dependency and fear of movement in patients undergoing hip surgery.

Eligibility criteria: Inclusion Criteria:

* 65 years of age or older
* Being diagnosed with osteoporosis
* Being conscious and able to answer questions
* Not having a problem that would prevent communication

Exclusion Criteria:

* Under 65 years of age with fractures
* Patients with Parkinson's disease
* Patients with visual and hearing impairment
* Patients undergoing hip surgery for the second time

Primary outcomes:
measure: Personal Information Collection Form
timeFrame: Baseline
measure: Patient Follow-up Form
timeFrame: 3 days after the operation
measure: Patient Follow-up Form
timeFrame: 3 weeks after the operation
measure: Patient Follow-up Form
timeFrame: 3 months after the operation
measure: Edmonton Frailty Scale
timeFrame: 3 days after the operation
measure: Edmonton Frailty Scale
timeFrame: 3 weeks after the operation
measure: Edmonton Frailty Scale
timeFrame: 3 months after the operation
measure: Causes of Kinesiophobia Scale
timeFrame: 3 days after the operation
measure: Causes of Kinesiophobia Scale
timeFrame: 3 weeks after the operation
measure: Causes of Kinesiophobia Scale
timeFrame: 3 months after the operation
measure: Care Dependency Scale
timeFrame: 3 days after the operation
measure: Care Dependency Scale
timeFrame: 3 weeks after the operation
measure: Care Dependency Scale
timeFrame: 3 months after the operation
Secondary outcomes:
Other outcomes:
Locations:
city: Efeler
country: Turkey
facility: Aydin Adnan Menderes Üniversity
state: Aydin
Study officials:
affiliation: Aydin Adnan Menderes University, Turkey
name: Halise Cinar
role: PRINCIPAL_INVESTIGATOR
affiliation: Aydin Adnan Menderes University, Turkey
name: Nurdan Gezer
role: STUDY_CHAIR
References: