Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2022; 10(10): 3069-3077
Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3069
Evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fracture
Ying Fu, Li-Juan Zhu, Da-Cheng Li, Jing-Lei Yan, Hai-Ting Zhang, Yu-Hong Xuan, Chun-Ling Meng, Yan-Hong Sun
Ying Fu, Jing-Lei Yan, Hai-Ting Zhang, Chun-Ling Meng, Yan-Hong Sun, Joints Osteopathic Department, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Li-Juan Zhu, Da-Cheng Li, Traumatic Osteopathic Department, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Yu-Hong Xuan, Nursing Department, Chengde Central Hospital, Chengde 067000, Hebei Province, China
Author contributions: Fu Y and Zhu LJ contributed equally to this article and should be regarded as co-first authors; Fu Y and Zhu LJ design the experiment; Li DC drafted the work; Yan JL, Zhang HT and Xuan YH collected the data; Meng CL and Sun YH analyzed and interpreted data; Fu Y, Zhu LJ and Li DC wrote the manuscript.
Institutional review board statement: The study was approved by Chengde Central Hospital Ethics Committee.
Informed consent statement: Patients were not required to provide informed consent to participate in the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors have declared no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Hong Sun, BM BCh, Chief Nurse, Joints Osteopathic Department, Chengde Central Hospital, No. 11 Guangren Street, Shuangqiao District, Chengde 067000, Hebei Province, China. syh1858@163.com
Received: December 5, 2021
Peer-review started: December 5, 2021
First decision: December 27, 2021
Revised: January 7, 2022
Accepted: February 19, 2022
Article in press: February 19, 2022
Published online: April 6, 2022
Processing time: 114 Days and 2 Hours
Abstract
BACKGROUND

Elderly patients tend to have poor self-efficacy and poor confidence in postoperative rehabilitation for hip fractures, and are prone to negative emotions, which affect treatment compliance.

AIM

To evaluate the effects of evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fractures.

METHODS

A total of 120 patients with hip fracture surgically treated from June 2018 to June 2020 at the orthopedic department of our hospital were selected and divided into intervention and routine groups (n = 60 each) according to different nursing methods. The basic rehabilitation methods of the two groups were consistent, but patients in the intervention group received evidence-based nursing interventions at the same time. Differences between groups in the scores of motion phobia, pain fear, rehabilitation training compliance, self-efficacy, nursing satisfaction, and hip joint function were compared before and after the intervention.

RESULTS

Before the intervention, there were no statistically significant differences in motion phobia and pain fear scores between the groups (all P > 0.05). However, motion phobia scores at 1 wk after intervention initiation (P < 0.05), and pain fear scores at 1 wk and 2 wk after intervention initiation (all P < 0.05), were significantly lower in the intervention group than in the routine group. On the first day of intervention, there was no significant difference in rehabilitation treatment compliance between the groups (P > 0.05); however, at 2 wk after intervention initiation, rehabilitation compliance was significantly better in the intervention group than in the routine group (P < 0.05). Before the intervention, there were no statistically significant differences in the scores for the two self-efficacy dimensions (overcoming difficulties and rehabilitation exercise self-efficacy) and the total self-efficacy score between the groups (all P > 0.05). After 2 wk of intervention, the scores for these two dimensions of self-efficacy and the total self-efficacy score were significantly higher in the intervention group than in the routine group (all P < 0.05). At 3 and 6 mo after surgery, hip function as evaluated by the Harris hip score, was significantly better in the intervention group than in the routine group (P < 0.05). Additionally, overall nursing satisfaction was significantly higher in the intervention group than in the routine group (P < 0.05).

CONCLUSION

Evidence-based nursing intervention can alleviate fear of postoperative rehabilitation in elderly patients who underwent hip fracture surgery, and improve rehabilitation treatment compliance and patient self-efficacy, which promote hip function recovery.

Keywords: Evidence-based nursing, Gerontism, Hip fracture, Rehabilitation, Fear, Compliance, Self-efficacy

Core Tip: This study shows that evidence-based nursing intervention can alleviate the fear of postoperative rehabilitation in elderly patients who undergo hip fracture surgery, improve rehabilitation treatment compliance, and improve the self-efficacy of patients, consequently promoting the recovery of hip function in patients.