Needs and Problems of Older Adult Clients with Hip Joint Replacement attending the Orthopedic Out-patient Clinics in El-Demrdash and Al-Helal Hospitals

Abstract

Total hip replacement is a one of the most surgical procedures in the world among older adults. It has been effective in realiefing the pain and improving walking ability Aim: The study aims to assess the needs and problems of older adults clients with total hip replacement. Setting: The study was conducted at the orthopedic outpatient clinics in Al-Helal and El-demerdash hospitals. Research design: the design of the study is describtive. Sample: A Purposive sample of 80 clients older adults with THR attending orthopedic out-patient clinic, both genders, from one month to one year after surgery. Tools: An interviewing questionnaire Format to assess Socio-demographic characteristics, knowledge, activities of daily living, client problems, and environmental home safety. Results:The age of older adults with total hip replacement ranged between 60 - < 65 and 53.7% of than were females. 70% of them was not working and the monthly income was not sufficient. 27.5% of them have a history of chronic disease equal between diabetes mellitus and osteoporosis. 61.3% done surgery due to fracture or dislocation of the joint and 10.0% due to rheumatoid arthritis, malignant tumor and osteoporosis. 76.2% of sudy sample had unsatisfactory level of knowledge related to Pecautions about the sleeping. While, 78.8% had satisfactory level knowledge related to swimming.Conclusion: Inconclusion total hip replacement surgery is most common among the older adults between rang 60-65 years. It is more prelvant among females more than males. Total hip replacement surgery is mainly done due to fracure and dislocation of the hip joint. Knowledge score levels among study sample Regarding the percaution when sitting, sleeping and medication administrative after the surgery is satisfactory. There is significant differences co-relations are found between the socio-demographic characteristics (Age anf educational level) of study The score levels regarding the client needs and environ,mental home safety after the surgery of THR is satisfactory. sample and their knowledge. Recommendations: Implement inservise educational program ragardind the needs and problems of the older adult with total hip replacement. Utilize the officially spesific mass media channal shuch as Internet to present different educatioal programs regarding different health issues. Further research studies about normally changing of age procecs, preventive measures and coping measuers.