Abstract
Objectives
To examine the associations of prefracture psychological resilience and prefracture
general mental health with physical function among older adults with hip fracture
surgery.
Design
Single-center observational study.
Intervention
None.
Setting and participants
Patients aged ≥50 years who underwent first hip fracture surgery between January 2017
and December 2017 (N = 152).
Methods
We used data collected prospectively from the hospital's hip fracture registry. We
performed generalized estimating equations to examine the associations of prefracture
psychological resilience (10-item Connor-Davidson Resilience Scale) and prefracture
general mental health (Short Form–36 mental health subscale) with physical function
(Short Form–36 physical functioning subscale) at 4 time points—prefracture (based
on recall), and 1.5, 3, and 6 months after surgery.
Results
Prefracture psychological resilience had an association with physical function; a
1-unit increase in psychological resilience score was associated with 1.15 units [95%
confidence interval (CI) 0.71, 1.59] higher physical function score across 4 time
points. In contrast, the association between general mental health and physical function
varied over time; a 1-unit increase in general mental health score was associated
with 0.42 units (95% CI 0.18, 0.66) higher physical function score at prefracture,
0.02 units (95% CI –0.18, 0.22) lower at 1.5 months, 0.23 units (95% CI –0.03, 0.49)
higher at 3 months, and 0.39 units (95% CI 0.09, 0.68) higher at 6 months after surgery.
Conclusions and implications
Psychological resilience is associated with physical function among older adults with
hip fracture surgery, independent from general mental health. Our findings suggest
the potential for interventions targeting psychological resilience for these patients
and call for more studies on psychological factors affecting physical function recovery
after hip fracture surgery.
Keywords
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Article info
Publication history
Published online: September 12, 2019
Footnotes
This research did not receive any funding from agencies in the public, commercial, or not-for-profit sectors.
The authors declare no conflicts of interest.
Identification
Copyright
© 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
