Gender differences in preventive behaviours among older adults with osteoporotic hip fracture and predictors of post hip fracture physical activity, functional ability and quality of life.

摘要

The purpose of this descriptive comparative study was to examine gender differences in the preventive measures for osteoporosis between men and women prior to hip fracture and gender differences 6 weeks post hip fracture in functional independence, physical activity, and quality of life. In addition, predictors of physical ability, functional independence, and quality of life following hip surgery were examined. Sequential patients with osteoporotic hip fractures were recruited. Data were collected at two time points; postoperative day 3 (face to face) and 6 weeks post hip fracture (by telephone). One significant gender difference was found among pre hip fracture preventive measures. Men reported higher self-efficacy for exercise (t (33) = 2.25, p < .05). No significant gender differences were found in functional ability, physical activity, or quality of life post hip fracture. Predictors of physical activity post hip fracture included pre hip fracture physical activity (beta = .98, p < .001) and functional ability (beta = .52, p < .05). Functional ability post hip fracture was predicted by physical activity pre hip fracture (beta = -.84, p < .001) and independence with ambulation pre hip fracture (beta = .38, p < .05). Predictors of quality of life post hip fracture included physical activity pre hip fracture (beta = -.53, p < .04) and destination at discharge from hospital post hip fracture (beta = .55, p < .04). Given the poor outcomes associated with osteoporotic hip fractures, preventing fractures in older persons is essential. Older individuals may benefit from screening for functional decline and interventions to increase their physical activity which in turn may help minimize bone loss and subsequent hip fractures.