Effects of a diabetes mellitus-specific care intervention and home environment among older adults following hip fracture surgery

Abstract

Objectives: To explore the impact of home environment on effects of a diabetes mellitus (DM)–specific care model among older adults following hip-fracture surgery. Methods: A secondary analysis using the Home Environmental Barriers Scale assessed home environment (intervention group=81, control group=79) at 1- and 3-months post-discharge. Outcomes of physical functioning were assessed at 1-, 3-, 6-, and 12-months post-discharge. Results: The intervention group had better home environmental improvements compared with the control group. Participants were characterized as having good or poor environmental improvements. Those with good improvements and received the intervention had better activities of daily living compared with matched controls. Participants with poor improvements and received the intervention had better scores for hip range of motion and quadriceps muscle strength compared with matched controls. Discussion: A DM-specific home rehabilitation for older adults following hip-fracture surgery that includes assessment of the home environment can facilitate complex postoperative functional recovery.

Keywords

• Diabetes mellitus
• Diabetes mellitus-specific care model
• Hip fracture
• Home environmental quality