{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T17:25:31Z","timestamp":1781976331190,"version":"3.54.5"},"reference-count":50,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T00:00:00Z","timestamp":1607817600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of C\u00e1ceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (p = 0.447; p = 0.827) and social functioning in the intervention group (p = 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (p = 0.043), vitality (p = 0.010), and social functioning (p &lt; 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.<\/jats:p>","DOI":"10.3390\/ijerph17249327","type":"journal-article","created":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T23:39:36Z","timestamp":1607902776000},"page":"9327","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial"],"prefix":"10.3390","volume":"17","author":[{"given":"Francisco Javier","family":"Amarilla-Donoso","sequence":"first","affiliation":[{"name":"Department of Nursing, Hospital Campo Ara\u00f1uelo, Calle Tomas Yuste S\/N, Navalmoral de la Mata, 10300 C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u00fal","family":"Roncero-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s\/n, 10003 C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5861-3908","authenticated-orcid":false,"given":"Jesus","family":"Lavado-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s\/n, 10003 C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda de la Luz","family":"Canal-Mac\u00edas","sequence":"additional","affiliation":[{"name":"Metabolic Bone Diseases Research Group, Nursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avd. Universidad s\/n, 10003 C\u00e1ceres, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Pedrera-Canal","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, Hospital Cl\u00ednico San Carlos, Av. Profesor Mart\u00edn Lagos s\/n., 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Chimp\u00e9n-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Nursing and Occupational Therapy College, University of Extremadura, Avd. 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IdiPAZ."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1177\/2151458511414562","article-title":"Neck of Femur Fractures in Patient\u2019s Aged More than 85 Years\u2014Are They a Unique Subset?","volume":"2","author":"Moon","year":"2011","journal-title":"Geriatr. Orthop. Surg. Rehabil."},{"key":"ref_4","unstructured":"Emmerson, B., Varacallo, M., and Inman, D. (2020, October 05). Hip Fracture Overview. StatPearls 2020, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK557514\/#article-22890.s11."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/0019-5413.73656","article-title":"Epidemiology of hip fracture: Worldwide geographic variation","volume":"45","author":"Dhanwal","year":"2011","journal-title":"Indian J. Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1093\/ptj\/85.7.648","article-title":"Incidence of and Risk Factors for Falls Following Hip Fracture in Community-dwelling Older Adults","volume":"85","author":"Ciol","year":"2005","journal-title":"Phys. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2340","DOI":"10.1016\/j.apmr.2012.05.022","article-title":"Balance Confidence Was Associated with Mobility and Balance Performance in Older People with Fall-Related Hip Fracture: A Cross-Sectional Study","volume":"93","author":"Portegijs","year":"2012","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/s11606-016-3848-2","article-title":"Rates of Recovery to Pre-Fracture Function in Older Persons with Hip Fracture: An Observational Study","volume":"32","author":"Tang","year":"2016","journal-title":"J. Gen. Intern. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2573","DOI":"10.1007\/s00198-017-4096-y","article-title":"Excess of all-cause mortality after a fracture in type 2 diabetic patients: A population-based cohort study","volume":"28","author":"Abrahamsen","year":"2017","journal-title":"Osteoporos. Int."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.archger.2014.10.020","article-title":"Dependence for basic and instrumental activities of daily living after hip fractures","volume":"60","year":"2015","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1016\/j.injury.2016.04.018","article-title":"Quality of life after hip fracture in the elderly: A systematic literature review","volume":"47","author":"Peeters","year":"2016","journal-title":"Injury"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00198-003-1515-z","article-title":"Functional outcome and quality of life followinghip fracture in elderly women: A prospective controlled study","volume":"15","author":"Boonen","year":"2004","journal-title":"Osteoporos. Int."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Dyer, S.M., for the Fragility Fracture Network (FFN) Rehabilitation Research Special Interest Group, Crotty, M., Fairhall, N., Magaziner, J., Beaupre, L.A., Cameron, I.D., and Sherrington, C. (2016). A critical review of the long-term disability outcomes following hip fracture. BMC Geriatr., 16.","DOI":"10.1186\/s12877-016-0332-0"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1007\/s00198-004-1622-5","article-title":"Health-related quality of life after osteoporotic fractures","volume":"15","author":"Hallberg","year":"2004","journal-title":"Osteoporos. Int."},{"key":"ref_15","first-page":"124","article-title":"Fracturas de cadera y calidad de vida: La Ortogeriatr\u00eda en el ojo del hurac\u00e1n","volume":"73","author":"Dinamarca","year":"2017","journal-title":"Bol. Hosp. Vina Mar."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"143","DOI":"10.2147\/CIA.S150067","article-title":"Quality of life and psychological consequences in elderly patients after a hip fracture: A review","volume":"13","author":"Alexiou","year":"2018","journal-title":"Clin. Interv. Aging"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.medcli.2019.02.026","article-title":"Effectiveness of a multidisciplinary educational intervention in patients with hip fracture: SWEET HOME study","volume":"153","year":"2019","journal-title":"Med. Clin."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"335","DOI":"10.2147\/JMDH.S48240","article-title":"Counseling, quality of life, and acute postoperative pain in elderly patients with hip fracture","volume":"6","author":"Cinnella","year":"2013","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_19","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioural Science. Statistical Power Anaylsis for the Behavioural Science, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"(1993). Consensus development conference: Diagnosis, prophylaxis, and treatment of osteoporosis. Am. J. Med., 94, 646\u2013650.","DOI":"10.1016\/0002-9343(93)90218-E"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1016\/S0149-2918(01)80093-X","article-title":"Psychometric evaluation of the 12-item short-form health survey (SF-12) in osteoarthritis and rheumatoid arthritis clinical trials","volume":"23","author":"Gandhi","year":"2001","journal-title":"Clin. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1157\/13074369","article-title":"El Cuestionario de Salud SF-36 espa\u00f1ol: Una d\u00e9cada de experiencia y nuevos desarrollos","volume":"19","author":"Vilagut","year":"2005","journal-title":"Gac. Sanit."},{"key":"ref_23","first-page":"61","article-title":"Functional Evaluation: The Barthel Index","volume":"14","author":"Mahoney","year":"1965","journal-title":"Md. State Med. J."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/0895-4356(89)90065-6","article-title":"Improving the sensitivity of the Barthel Index for stroke rehabilitation","volume":"42","author":"Shah","year":"1989","journal-title":"J. Clin. Epidemiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: Self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1093\/ptj\/66.10.1530","article-title":"Gait assessment for neurologically impaired patients. Standards for outcome assessment","volume":"66","author":"Holden","year":"1986","journal-title":"Phys. Ther."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/0022-3956(82)90033-4","article-title":"Development and validation of a geriatric depression screening scale: A preliminaryreport","volume":"17","author":"Yesavage","year":"1983","journal-title":"J. Psychiatr. Res."},{"key":"ref_28","first-page":"7","article-title":"Depressive dissorders in a convalescence unit: Experience and validation of a Spanish versi\u00f3n of the 15-item Geriatric Depression Scale","volume":"35","author":"Miralles","year":"2000","journal-title":"Rev. Esp. Geriatr. Gerontol."},{"key":"ref_29","first-page":"137","article-title":"Results of the application of a scale of social-familiar situation in primare care","volume":"16","author":"Toyos","year":"1993","journal-title":"Trab. Soc. Salud"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J. Chronic Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12877-016-0370-7","article-title":"Effectiveness of a physical exercise intervention program in improving functional mobility in older adults after hip fracture in later stage rehabilitation: Protocol of a randomized clinical trial (REATIVE Study)","volume":"16","author":"Lima","year":"2016","journal-title":"BMC Geriatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.clnu.2011.01.011","article-title":"Effectiveness of multidisciplinary nutritional care on nutritional intake, nutritional status and quality of life in patients with hip fractures: A controlled prospective cohort study","volume":"30","author":"Hoekstra","year":"2011","journal-title":"Clin. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.jad.2010.07.026","article-title":"Treatment and prevention of depression after surgery for hip fracture in older people: Cost-effectiveness analysis","volume":"128","author":"Romeo","year":"2011","journal-title":"J. Affect. Disord."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s00402-016-2474-0","article-title":"Factors associated with the course of health-related quality of life after a hip fracture","volume":"136","author":"Moerman","year":"2016","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/s11420-006-9036-x","article-title":"Methodological Challenges of Multiple-Component Intervention: Lessons Learned from a Randomized Controlled Trial of Functional Recovery After Hip Fracture","volume":"3","author":"Allegrante","year":"2006","journal-title":"HSS J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1177\/0269215508096183","article-title":"Home rehabilitation after hip fracture.A randomized controlled study on balance confidence, physical function and everyday activities","volume":"22","author":"Frandin","year":"2008","journal-title":"Clin. Rehabil."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3109\/09638280902980910","article-title":"Long-term effects of home rehabilitation after hip fracture\u20141-year follow-up of functioning, balance confidence, and health-related quality of life in elderly people","volume":"32","author":"Kreuter","year":"2010","journal-title":"Disabil. Rehabil."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2231","DOI":"10.1016\/j.apmr.2005.06.019","article-title":"Does standardized rehabilitation and discharge planning improve functional recovery in elderly patients with hip fracture?","volume":"86","author":"Beaupre","year":"2005","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Shyu, Y.-I.L., Liang, J., Wu, C.-C., Cheng, H.-S., and Chen, M.-C. (2010). An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life. BMC Musculoskelet. Disord., 11.","DOI":"10.1186\/1471-2474-11-225"},{"key":"ref_40","first-page":"188","article-title":"Estudio prospectivo multic\u00e9ntrico de una cohorte para evaluar la calidad de vidade pacientes intervenidos de fractura subcapital de f\u00e9mur","volume":"25","author":"Zapata","year":"2014","journal-title":"Trauma Fund MAPFRE"},{"key":"ref_41","first-page":"93","article-title":"Estudio de calidad de vida de pacientes con coxartrosis","volume":"50","year":"2015","journal-title":"Rev. Espa\u00f1ola Cirug\u00eda Osteoartic."},{"key":"ref_42","first-page":"5972","article-title":"Seguimiento de la calidad de vida relacionada con la salud despu\u00e9s de una cirug\u00eda de fractura de cadera: Estudio multic\u00e9ntrico en poblaci\u00f3n mexicana","volume":"14","author":"Clark","year":"2014","journal-title":"Medwave"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1186\/s12955-018-1005-9","article-title":"Quality of life in older adults following a hip fracture: An empirical comparison of the ICECAP-O and the EQ-5D-3 L instruments","volume":"16","author":"Milte","year":"2018","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1302\/2046-3758.71.BJR-2017-0199","article-title":"Modelling and estimation of health-related quality of life after hip fracture","volume":"7","author":"Parsons","year":"2018","journal-title":"Bone Jt. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1007\/s001980200029","article-title":"Measuring Recovery after a Hip Fracture Using the SF-36 and Cummings Scales","volume":"13","author":"Peterson","year":"2002","journal-title":"Osteoporos. Int."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.3109\/09638288.2011.643333","article-title":"Prognostic factors for self-rated function and perceived health in patient living at home three months after a hip fracture","volume":"34","author":"Sylliaas","year":"2012","journal-title":"Disabil. Rehabil."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s11657-019-0607-0","article-title":"The impact of hip fracture on health-related quality of life and activities of daily living: The SPARE-HIP prospective cohort study","volume":"14","author":"Palmer","year":"2019","journal-title":"Arch. Osteoporos."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1046\/j.1365-2389.2003.51265.x","article-title":"Reducingfear of falling in seniors through education and activityprograms: A randomized trial","volume":"51","author":"Brouwer","year":"2003","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s12963-017-0127-3","article-title":"Assessment of pre-injury health-related quality of life: A systematic review","volume":"15","author":"Scholten","year":"2017","journal-title":"Popul. Health Metrics"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Polinder, S., Haagsma, J., Belt, E., Lyons, R.A., Erasmus, V., Lund, J., and van Beeck, E.F. (2010). A systematic review of studies measuring health-related quality of life of general injury populations. 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