FACTORS AFFECTING RECOVERY FROM HIP SURGERY

影响髋关节手术恢复的因素

• 批准号: 3476302
• 负责人: ANDREA M BARSEVICK
• 金额: $ 8.97万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-01 至 1993-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3476302
• 关键词: attention; coping; emotional adjustment; expectancy; fracture fixation; goal oriented behavior; health behavior; hip fractures; hip prosthesis; hip surgery; human old age (65+); longitudinal human study; posthospitalization care; preadmission counseling; self concept

The proposed investigation will address clinical and theoretical issues related to the improvement of functioning during recovery from hip surgery. The specific aims are: 1. To describe how each of two groups of elderly people (people recovering from hip replacement surgery and people who have had surgical repair of hip fractures) cope with the problems they encounter at home during the recovery phase after hip surgery. 2. To determine the effects of specific psychological processes on the coping effort and levels of functioning of elderly individuals recovering at home from hip surgery. 3. To compare the psychological processes stimulated for persons recovering from expected surgical procedures (hip replacements) with individuals recovering from unexpected surgical procedures (surgical repair of hip fractures) with regard to the effects of those processes on coping efforts and levels of functioning. 4. To determine the effects of two components of informational interventions on coping efforts and levels of functioning after hip surgery. Phase 1 of the research will be a longitudinal study of the coping efforts of the elderly recovering at home after hip surgery. Subjects will be studied while in the hospital after surgery and one, two, three, and four months after surgery. Regression analysis will be used in phase 1 to examine the predicted relationships. Interpretations of results will be limited to the description of relationships so as not to imply causal inference. In phase 2, analysis of covariance will be used to examine the unique and combined effects of two components of concrete objective information. The risk of the proposed research to human subjects is quite low. Potential benefits to them and society are substantial.

拟议的研究将解决临床和理论 与恢复期间改善功能有关的问题 从髋关节手术。 具体目标是： 1. 描述两组老年人（ 从髋关节置换手术中恢复过来的人， 髋关节骨折的手术修复）科普他们 在髋关节手术后的恢复阶段在家里遇到。 2. 来确定特定心理过程的影响 老年人的应对努力和功能水平 从髋关节手术中在家康复。 3. 为了比较人们的心理过程 从预期的外科手术（髋关节置换术）中恢复 从意外的外科手术中恢复的人 （髋关节骨折的手术修复）关于 这些进程涉及应对努力和运作水平。 4. 为了确定信息的两个组成部分的影响， 髋关节置换术后应对努力和功能水平的干预措施 手术 第一阶段的研究将是一个纵向研究的应对 老年人在髋关节手术后在家康复的努力。 受试者将在术后住院期间接受研究， 手术后一个月两个月三个月和四个月 回归分析将在第1阶段使用，以检查 预测的关系。 对结果的解释将是有限的 对关系的描述，以便不暗示因果关系 推论 在第2阶段，将使用协方差分析， 研究两个组成部分的独特和综合影响， 具体的客观信息。 拟议研究对人类受试者的风险相当低。 对他们和社会的潜在好处是巨大的。