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Nursing Science Quarterly
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Environmental Barriers and Mobility in Taiwan: Is the Roy Adaptation Model Applicable?

Yea-Ing Lotus Shyu, RN; PhD

Graduate Institute of Nursing, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan

Jersey Liang, PhD

Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan

Jui-fen Rachel Lu, PhD

Center for Health Industry Management & Public Policy, Department of Health Care Management, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan

Chi-Chuan Wu, MD

Department of Orthopedics, Chang Gung Memorial Hospital, Kwei-Shan, Tao-Yuan, Taiwan

This study tested Roy’s adaptation model by exploring the relationship between environmental stimuli, specifically barriers, and the mobility, and instrumental behaviors of hip-fractured elderly persons after surgery in Taiwan. A prospective study was conducted 3 months after hospital discharge with 87 elderly persons with hip fracture who had received surgery at a medical center in northern Taiwan. After controlling for prefracture conditions, subjective environmental barriers significantly diminished the walking ability, self-care ability, and role performance of hipfractured elderly persons. The findings of this study lend to suggestions for intervening with hip-fractured elderly persons after surgery.

Key Words: adaptive modes • environmental stimuli • hip fractures • instrumental behaviors • mobility

Nursing Science Quarterly, Vol. 17, No. 2, 165-170 (2004)
DOI: 10.1177/0894318404263305
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