Details

Autor(en) / Beteiligte

• Tseng, Ming‐Yueh
• Liang, Jersey
• Yang, Ching‐Tzu
• Wang, Jong‐Shyan
• Wu, Chi‐Chuan
• Cheng, Huey‐Shinn
• Chen, Ching‐Yen
• Lin, Yueh‐E.
• Shyu, Yea‐Ing L.

Titel

Trajectories of social support are associated with health outcomes and depressive symptoms among older Taiwanese adults with diabetes following hip‐fracture surgery

Ist Teil von

• International journal of geriatric psychiatry, 2022-12, Vol.37 (12), p.n/a

Ort / Verlag

Bognor Regis: Wiley Subscription Services, Inc

Erscheinungsjahr

2022

Quelle

Wiley Blackwell Single Titles

Beschreibungen/Notizen

• Objective This study examined trajectories of social support and their relationships with health outcomes over 2 years post hip‐fracture surgery for older adults with diabetes mellitus (DM). Methods This was a secondary analysis of data derived from a clinical trial, which included 158 hip fractured older adults with DM who had completed the Medical Outcomes Study Social Support Survey at 1‐, 12‐, 18‐, and 24‐months following hospital discharge. Health outcomes for self‐care, physical and nutritional status, mental health, and depression were assessed at 3‐month intervals up to 24‐months after hospital discharge. Trajectories of social support were derived with latent class analysis while hierarchical linear models were employed to assess the associations of social‐support trajectory with health outcomes. Results Four social‐support trajectories were derived for persons with DM following hip‐fracture surgery: poor and declining (n = 18, 11.4%), moderate and stable (n = 29, 18.4%), high but declining (n = 34, 21.5%), and high and stable (n = 77, 48.7%). Relative to those in the poor and declining group, participants in the high and stable trajectory group performed better in Activities of Daily Living and quadriceps muscle power, had better mental Health‐Related Quality of Life and nutritional status, and had fewer depressive symptoms. These differences persisted over the 2 years following hospital discharge. Conclusions These results suggest social support for persons with DM should be continually assessed following hip‐fracture surgery. Key points Social support was found to affect post‐fracture recovery of frail older persons. However, few of these studies explored recovery beyond 6 months following hip fracture, and almost all studies viewed social support as a variable that did not change over time. During 2 years after hip‐fracture surgery, older persons with diabetes mellitus (DM) had four social‐support trajectories: poor and declining, moderate and stable, high but declining, and high and stable. Participants in the high and stable social‐support group had better health outcomes and less depressive symptoms than those in the poor and declining group. Social support for persons with DM should be continually assessed following hip‐fracture surgery and interventions provided to those with continuously low and declining social support.