Hip Fractures, Complication of Traction Procedure, Pain, Splints
Conditions
Keywords
comfort, satisfaction
Brief summary
The aim of this prospective, randomized controlled trial is to compare the effects of preoperative skin traction and position splint on pain, comfort, complications, difficulty level of nursing interventions, satisfaction from treatment and nursing care in patients with hip fracture. The sample is comprised of 34 patients with hip fracture in each group, totally 68 patients. Skin traction and position splint were applied after block randomization. Data regarding pain, comfort, satisfaction from care, immobilization comfort, complications, time of operation and hospitalization time were collected after intervention.
Interventions
DEVICEDerotation splint
This group is the actual intervention group.
DEVICEelastic bandage
This group is the routine treatment (control) valid in the clinical practice.
Sponsors
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being inpatient who were planned the surgery due to the hip fracture (caput femur fracture, collum femur fracture, femur intertrochanteric fracture and subtrochanteric fracture) diagnosis in the Orthopedics and Traumatology Clinic * Being 50 years old or more * Patients who speak and literate in Turkish * Patients who gave informed consent to participate in the study
Exclusion criteria
* Any condition that emerges an obstacle for verbal and written interaction during data collection phase * Unable to perform written or verbal communication in Turkish * Withdrawal from the study due to medical reasons or death, at his/her will prior to preoperative data collection * Urgent non-elective surgery * Physician decision that do accept the method of immobilization assigned to the patient as appropriate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | up to 7 days | Pain was assessed by VAS score prior to intervention, 15, 30, 60 and 120 minutes after intervention and daily from the next morning of intervention till the surgery. |
| Comfort | up to 7 days | Comfort was assessed by VAS score prior to intervention, 15, 30, 60 and 120 minutes after intervention and by Immobilization Comfort Questionnaire daily from the next morning of intervention till the surgery. |
| Satisfaction from the treatment | Up to 7 days | Satisfaction from the treatment was assessed by VAS score from the next day after intervention till the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospitalization duration | participants were followed for the duration of hospital stay, an average of 2 weeks | Time spent in the hospital till discharge was assessed. |
| Complications | Up to 7 days | Complications (pressure ulcer, deep vein thrombosis, allergic skin reaction, pulmonary and urinary tract infection and constipation due to immobilization) were evaluated daily after intervention till the surgery. |
| Surgery duration | participants were followed for the duration of surgical procedure, an average of 2 hours | Time that the surgical procedure has taken was assessed. |
Countries
Turkey (Türkiye)
Outcome results
None listed