Effect of compliance to the discharge instructions among patients with internal fixation for hip fracture
Bibliographic record
Abstract
Background and objective: Internal fixation is recommended when the need is urgent for preserving the hip joint rather than replacing it. The aim of this study was to evaluate the effect of complying with an educational intervention (booklet) and the discharge instructions on the outcomes of patients with internal fixation for hip fracture.Methods: Research hypothesis: Strength, hip range of motion, walking ability, managing stairs, and total indoor and outdoor activities will be better among the educational intervention group than the control group. Quasi-experimental (study/control) design was utilized to conduct this research, the intervention included training patients on postoperative exercises, showing them videos on these exercises and providing them with a written simplified, photo illustrated Arabic booklet containing the discharge instructions. Setting: The study was conducted in the orthopedic department and orthopedic outpatient clinic. Sample: Consisted of 60 adult male (63.3%) and female (36.7%) patients who underwent internal fixation for hip fracture who were randomly included as an intervention (n = 30) or control group (n = 30). Tools: A Structured patient interview questionnaire sheet was utilized for data collection with the following three parts (biosociodemographic data, compliance behavior index and functional capability index).Results: Of the intervention group participants (83.3%) were compliant while nearly all of the control group subjects were non-compliant (96.7%) at 3 months and a highly statistically significant difference was found between compliance behavior and patient's functional capability.Conclusion: Providing structured discharge guidelines for patients who underwent internal fixation for hip fracture was effective in improving outcomes of patients than the standard hospital instructions. Recommendations: Publication of the booklet and dissemination among patients with internal fixation for hip fracture on a larger probability sample is recommended.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".