Health-related quality of life and its determinants among patients with hip fracture after surgery in Myanmar.

Background: Hip fracture has been regarded as a significant international health problem because of its negative impacts on things such as Health-Related Quality of Life (HRQOL). The determinants of HRQOL among patients with hip fracture after surgery during transition of recovery are still not clearly understood.
Objective: To study HRQOL factors and determine the predictive power of elements such as age, gender, co-morbid disease, Body Mass Index (BMI), depression or social support on HRQOL among patients with hip fracture after surgery in Myanmar.
Design: Descriptive correlational predictive study.
Setting: Yangon Orthopaedic Hospital and Mandalay Orthopaedic Hospital in Myanmar.
Results: The mean age was 60 years (range = 18-91). The level of HRQOL at the 6th week after surgery was moderate. In stepwise multiple regression analysis, gender (β = -.109, p = .044), depressive symptoms (β = -.564, p = .000) and social support (β = .287, p = .000) were the determinants of HRQOL. These three factors accounted for 59.1% of variance to explain HRQOL.
Conclusion: In order to facilitate a healthy transition, comprehensive rehabilitation, including depressive symptoms screening and enhancing social support, and the health care services with less cost and psychosocial support especially for women, are recommended.
Competing Interests: Declaration of competing interest There are no financial or commercial incentives for the authors and no conflict of interest regarding the publication of this manuscript. The authors are responsible for the content and writing of this manuscript.
(Copyright © 2020. Published by Elsevier Ltd.)