Post-operative physiotherapy provided by Allied Health Assistants for Patients with Acute Hip Fracture: a feasibility randomised controlled trial

Peninsula Health0 个研究点目标入组 50 人开始时间: 2020年9月3日最近更新: 2024年5月21日

适应症

试验速览

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•Patient participants
•Eligible participants will be patients who have undergone surgery for management of hip fracture at the participating acute hospital site. Participants must meet the following eligibility criteria:
•Inpatient at acute hospital participating site
•Admission diagnosis of hip fracture (S72.0–S72.2 according to the International Classification of Diseases 10th revision (ICD-10)
•Walked independently pre-hip fracture with or without the use of a walking aid
•Willingness and ability (i.e. medically stable), as determined by initial physiotherapy assessment, to participate in post-operative physiotherapy
•Aged 18 years or older
•Able to provide written, informed consent
•Able to communicate in conversational English
•Staff participants:
•Staff participants for this project include any allied health assistant, physiotherapist or manager involved in the implementation of the allied health assistant model of care. They will include the following staff who either i) work on the orthopaedic ward at the acute hospital participating site or ii) have managerial oversight of physiotherapists working on the orthopaedic ward.

•Patient Participants:
•Exclusion criteria are:
•Patients unable to participate in physiotherapy rehabilitation (e.g. patients with a post-operative lower extremity touch or non-weight bearing status)
•Patients who were non-ambulant OR required assistance of another person to walk pre-hip fracture
•Patient not suitable for mobilisation or physiotherapy
•Impaired cognition (Short Portable Mental Status Questionnaire Score <8)
•If the patient is not appropriate for mobilisation they will not be eligible for participation in the study. However, participants are eligible for inclusion in the study if their medical stability improves on any day during their admission. Mobilisation will be contraindicated if the patient experiences any of the following complications:
•Severe post-operative pain that restricts weight bearing
•Nausea or vomiting with or without antimetic
•Vitally unstable: postural blood pressure drop, febrile, bradycardia <40bpm or abnormal heart rhythm
•Disorientated, heavily sedated or difficult to rouse.
•Staff Participants:
•Staff who are not involved in the implementation of the allied health assistant model of care will not be eligible for inclusion.

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