Patient frailty in rehabilitation hospital for orthopedic surgery: the role of resilience

Author/s Francesca Beacco, Luciana Sciumè, Federica Chiozzi, Paola Iannello, Anna Mottini, Alessandro Antonietti, Lorenzo Panella
Publishing Year 2015 Issue 2015/2 Language Italian
Pages 23 P. 305-327 File size 504 KB
DOI 10.3280/RIP2015-002002
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Depressive symptomatology in late life is a serious problem too often overlooked and the hospital stay may even aggravate or unmask it, thus interfering negatively with the outcome of rehabilitation treatments. On the contrary, resilience, that is, the ability to copy with adverse events such as hospitalization, is important to obtain a satisfactory functional recovery through rehabilitation. The aim of this prospective observational study is to investigate the relationship between resilience and rehabilitative intervention in patients who have undergone orthopedic surgery in post-acute. In two different moments, at admission and discharge, patients (N = 84; mean age = 74,5, SD = 8) were administered the following instruments: Resilience Scale, WHO Quality of Life, Multidimensional Prognostic Index, Functional Independence Measure. Data analysis showed that patients with high levels of both resilience and physical/psychosocial well-being at admission reach a greater functional independence at discharge. Results highlight the importance of an early identification and treatment of depressive symptoms in elderly in order to improve the condition and the collaboration within the rehabilitation process.

Keywords: Depression, resilience, quality of life, orthopedics, rehabilitation.

  1. Bellelli, G., Morghen, S., Tirelli, V., & Trabucchi, M. (2009). Motor recovery after rehabilitation and long-term clinical outcomes. Journal of the American Geriatrics Society, Jul(57), 1300-1301. DOI: 10.1111/j.1532-5415.2009.02310.x.
  2. Bergman, H., Ferrucci, L., Guralnik, J., Hogan, D.B., Hummel, S., & Karunananthan, S. (2007). Frailty: An emerging research and clinical paradigm-issues and controversies. Journal of Gerontology. Series A: Biological and Medical Sciences, 62, 731-737.
  3. Diamond, P.A. (1995). Depression, antidepressants, and accidents. British Medical Journal, 311,1570.
  4. Feinstein, A., O’Connor, P., Gray, T., & Feinstein, K. (1999). The effects of anxiety on psychiatric morbidity in patients with multiple sclerosis. Multiple Sclerosis Journal, Oct, 5, 323-326. DOI: 10.1177/135245859900500504
  5. Fried, L.P., & Nelson, J. (1999). Frailty and failure to thrive. In W.R. Hazzard et al. (Eds.), Principles of geriatric medicine and gerontology (4th ed., pp. 1387-1402). New York: McGraw-Hill.
  6. Fried, L.P., Ferrucci, L., Darer, J., Williamson, J.D., Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. Journal of Gerontology. Series A: Biological and Medical Sciences, 59, 255-263. DOI: 10.1093/gerona/59.3.M255
  7. Fried, L.P., Tangen, C.M., Watson, J., Newman, A.B., Hirsch, C., & Gottdiener, J. (2001). Frailty in older adults: evidence for a phenotype. Journal of Gerontology. Series A: Biological and Medical Sciences, 56, M146-M156. DOI: 10.1093/gerona/56.3.M146
  8. Gantner, A.B., Schubert, D.S., Wolf, S.R., & Creps, P. (2003). Screening for depression in a geriatric rehabilitation sample. International Journal of Psychiatry in Medicine, 33, 333-341. DOI: 10.2190/YMVW-7HVE-QHQN-TUTW
  9. Gill, T.M., Gahbauer, E.A., Han, L., & Allore, H.G. (2011). The relationship between intervening hospitalizations and transitions between frailty states. Journal of Gerontology. Series A: Biological and Medical Sciences, 66, 1238-1243. DOI: 10.1093/gerona/glr142
  10. Girtler, N., Casari, E.F., Brugnolo, A., Cutolo, M., Dessi, B., Guasco, S., Olmi, C., & De Carli, F. (2010). Italian validation of the Wagnild and Young Resilience Scale: a perspective to rheumatic diseases. Clinical and Experimental Rheumatology, 28(5), 669-78.
  11. Gobbens, R.J., Luijkx, K.G., Wijnen-Sponselee, M.Th., & Schols, J.M.G.A. (2010). In search of an integral conceptual definition of frailty: opinions of experts. Journal of Post-Acute and Long-Term Care Medicine, 11, 338-343. DOI: 10.1016/j.jamda.2009.09.015
  12. Grotberg, E. (1996), The International Resilience Research Project. In R. Roswith (Ed.), Psychologists/acing the challenge of a global culture with human rights and mental health. John Wiley & Sons, New York, NY.
  13. Hardy, S.E., Concato, J., & Gill, T.M. (2002). Stressful life events among community-living older persons. Journal of General Internal Medicine, 17, 832-838. DOI: 10.1046/j.1525-1497.2002.20105.x
  14. Hogan, D.B., MacKnight, C., & Bergman, H. (2003). Steering Committee Canadian Initiative on Frailty and Aging: Models, definitions, and criteria of frailty. Aging Clinical and Experimental Research, 15, S1-S29. Holmes, J., & House, A. (2000). Psychiatric illness predicts poor outcome after surgery for hip fracture: a prospective cohort study. Psychological Medicine, Jul (30), 921-929. DOI: 10.1017/S0033291799002548
  15. Jeste, D.V., & Palmer, B.W. (2013). A call for a new positive psychiatry of ageing. British Journal of Psychiatry, 202, 81-83. DOI: 10.1192/bjp.bp.112.110643
  16. Karunananthan, S., Wolfson, C., Bergman, H., Beland, F., & Hogan, D.B. (2009). A multidisciplinary systematic literature review on frailty: overview of the methodology used by the Canadian Initiative on Frailty and Aging. BMC Medical Research Methodology, 9(68). DOI: 10.1186/1471-2288-9-68
  17. Luthar, S.S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71, 543-562.
  18. Magaziner, J., Simonsick, E.M., Kashner, T.M., Hebel, J.R., & Kenzora, J.E. (1990).Predictors of functional recovery one year following hospital discharge for hip fracture: a prospective study. Journal of Gerontology, 45(3),101-107. DOI: 10.1093/geronj/45.3.M101
  19. Makary, M.A., Segev, D.L., Pronovost, P.J., Syin, D., Bandeen-Roche, K., & Patel, P. (2010). Frailty as a predictor of surgical outcomes in older patients. Journal of the American College of Surgeons, 210, 901-908. DOI: 10.1016/2010.01.028
  20. Mast, B.T., MacNeill, S.E., & Lichtenberg, P.A. (1999). Geropsychological problems in medical rehabilitation: dementia and depression among stroke and lower extremity fracture patients. Journal of Gerontology. Series A: Biological and Medical Sciences, 54, M607-612. DOI: 10.1093/gerona/54.12.M607
  21. Mehta, M., Whyte, E., Lenze, E., Hardy, S., Roumani, Y., Subashan, P., Huang, W., & Studenski, S. (2008). Depressive symptoms in late life: associations with apathy, resilience and disability vary between young-old and old-old. International Journal of Geriatric Psychiatry, 23, 238-243. DOI: 10.1002/gps.1868
  22. Morghen, S., Gentile, S., Ricci, E., Guerini, F., Bellelli, G., & Trabucchi, M. (2011). Rehabilitation of older adults with hip fracture: cognitive function and walking abilities. Journal of the American Geriatrics Society,Aug (59),1497-502. DOI: 10.1111/j.1532-5415.2011.03496.x
  23. Mossey, J.M., Knott, K., & Craik, R. (1990).The effects of persistent depressive symptoms on hip fracture recovery. Journal of Gerontology, 45, M163-168. DOI: 10.1093/geronj/45.5.M163
  24. Ousey, K., Edward, K.L., & Lui, S. (2015). Identifying and exploring physical and psychological morbidity and patient and family caregiver resilience following acute wound development and/or wound blistering post orthopaedic surgery: a systematic review. International Wound Journal, 12, 63-69. DOI: 10.1111/iwj.12054
  25. Pierini, D., & Stuifbergen, A.K. (2010). Psychological resilience and depressive symptoms in older adults diagnosed with post-polio syndrome. Rehabilitation Nursing, 35, 167-75. DOI: 10.1002/j.2048-7940.2010.tb00043.x.Pilotto,A.,Ferrucci,L.,Franceschi,M.,D’Ambrosio,L.,Scarcelli,C.,Cascavilla,L.,Paris,F.,Placentino,G.,Seripa,D.,Dallapiccola,B.,&Leandro,G.(2008).Developmentandvalidationofamultidimensionalprognosticindexforone-yearmortalityfromcomprehensivegeriatricassessmentinhospitalizedolderpatients.RejuvenationResearch,11,151-161.DOI:10.1089/rej.2007.0569
  26. Robinson, T.N. (2011). Accumulated frailty characteristics predict postoperative discharge institutionalization in the geriatric patient. Journal of the American College of Surgeons, 213, 37-42. DOI: 10.1016/j.jamcollsurg.2011.01.056
  27. Scapicchio, P.L., Gala, C., Tavola, T., & Netti, I. (2002). Il paziente geriatrico. In Manuale di Psichiatria di Consultazione (pp. 429-439). Roma: McGraw-Hill.
  28. Shen, K., & Zeng, Y. (2010).The association between resilience and survival among Chinese elderly. Demographic Research, 23, 105-116. DOI: 10.4054/DemRes.2010.23.5
  29. Southwick, S.M., & Charney, D.S. (2012). The science of resilience: implications for the prevention and treatment of depression. Science, 338, 79-82. DOI: 10.1126/science.1222942
  30. The WHOQOL Group (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine, 28, 551-558.
  31. Wagnild, G. (2003). Resilience and successful aging: Comparison among low and high income older adults. Journal of Gerontological Nursing, 29, 42-49. DOI: 10.3928/0098-9134-20031201-09
  32. Wagnild, G.M., & Young, H.M. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1, 165-178.

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