Fu Y, Zhu LJ, Li DC, Yan JL, Zhang HT, Xuan YH, Meng CL, Sun YH. Evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fracture. World J Clin Cases 2022; 10(10): 3069-3077 [PMID: 35647121 DOI: 10.12998/wjcc.v10.i10.3069]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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/
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
ARTICLE HIGHLIGHTS
Research background
Elderly patients tend to have poor self-efficacy and confidence in postoperative rehabilitation of hip fractures, which are prone to negative emotions and affect treatment compliance.
Research motivation
Provide guidance for postoperative treatment of elderly patients with hip fractures.
Research objectives
This study aimed to evaluate the effect of evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fractures.
Research methods
A total of 120 patients with hip fracture surgically treated from June 2018 to June 2020 were selected and divided into intervention and routine groups (n = 60 each) according to different nursing methods.
Research results
Before the intervention, there was no statistically significant difference in motor phobia and pain fear scores between the groups. However, the motor phobia scores one week after the intervention and the pain fear scores one and two weeks after the intervention were significantly lower in the intervention group than in the conventional group. After 2 wk of intervention, the scores of the two dimensions of self-efficacy and the total score of self-efficacy of the intervention group were significantly higher than those of the conventional group.
Research conclusions
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.
Research perspectives
Evidence-based nursing intervention can be more widely used in the postoperative treatment of elderly patients undergoing hip fracture surgery.
