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]
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World J Clin Cases. Apr 6, 2022; 10(10): 3069-3077 Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3069
Table 1 Comparisons in baseline characteristics between the two groups, n (%)
Baseline data
The intervention group (n = 60)
The routine group (n = 60)
t/χ2 value
P value
Age (yr)
71.4 ± 6.1
70.9 ± 5.2
0.483
0.630
Height (cm)
166.8 ± 4.1
165.5 ± 5.0
1.557
0.122
Weight (kg)
64.9 ± 5.8
66.3 ± 5.2
-1.392
0.167
Interval between fracture and operation (d)
3.1 ± 1.3
3.3 ± 1.1
-0.910
0.365
Gender
0.556
0.456
Male
34 (56.67)
38 (63.33)
Female
26 (43.33)
22 (36.67)
Affected side distribution
0.536
0.464
Left side
30 (50.00)
34 (56.67)
Right side
30 (50.00)
26 (43.33)
Hypertension
2.596
0.107
Yes
11 (18.33)
5 (8.33)
No
49 (81.67)
55 (91.67)
Diabetes
0.536
0.464
Yes
3 (5.00)
5 (8.33)
No
57 (95.00)
55 (91.67)
Reason of fracture
2.004
0.157
Traffic accident
14 (23.33)
8 (13.33)
Self fall injury
46 (76.67)
52 (86.67)
Table 2 Comparisons in motion phobia scores before and after intervention initiation between the two groups (mean ± SD, scores)
Groups
n
Before intervention
1 wk after intervention
2 wk after intervention
Intervention group
60
57.3 ± 6.2
43.8 ± 5.6
28.6 ± 4.0
Routine group
60
58.5 ± 5.8
46.4 ± 5.5
30.0 ± 4.8
t value
-1.095
-2.566
-1.736
P value
0.276
0.012
0.085
Table 3 Comparisons in pain fear scores before and after intervention initiation between the two groups (mean ± SD, scores)
Groups
n
Before intervention
1 wk after intervention
2 wk after intervention
Intervention group
60
127.4 ± 12.9
95.8 ± 10.2
58.1 ± 8.3
Routine group
60
125.0 ± 14.1
101.3 ± 12.4
62.7 ± 9.6
t value
0.973
-2.653
-2.808
P value
0.333
0.009
0.006
Table 4 Comparisons in rehabilitation treatment compliance between the two groups, n (%)
Groups
Complete compliance
Partial compliance
Noncompliance
1 d of intervention
the intervention group (n = 60)
22 (36.67)
32 (53.33)
6 (10.00)
the routine group (n = 60)
24 (40.00)
29 (48.33)
7 (11.67)
Z value
-0.204
P value
0.838
2 wk after intervention
the intervention group (n = 60)
47 (78.33)
13 (21.67)
0 (0.00)
the routine group (n = 60)
36 (60.00)
22 (36.67)
2 (3.33)
Z value
-2.243
P value
0.025
Table 5 Comparisons in self-efficacy scores before and after intervention initiation between the two groups (mean ± SD, scores)
Groups
n
Self-efficacy of overcoming difficulties
Self-efficacy of rehabilitation exercise
Total score of self-efficacy
Before intervention
2 wk after intervention
Before intervention
2 wk after intervention
Before intervention
2 wk after intervention
Intervention group
60
37.5 ± 8.7
49.6 ± 9.0
34.3 ± 7.2
50.3 ± 8.5
71.8 ± 6.6
99.9 ± 10.5
Routine group
60
35.8 ± 8.2
45.3 ± 8.8
36.8 ± 8.0
46.5 ± 8.1
72.6 ± 8.0
91.8 ± 8.8
t value
1.101
2.646
-1.799
2.507
-0.598
4.580
P value
0.273
0.009
0.075
0.014
0.551
0.000
Table 6 Comparisons in Harris scores before and after intervention initiation between the two groups (mean ± SD, scores)
Groups
n
3 mo after operation
6 mo after operation
Intervention group
60
64.8 ± 8.1
88.4 ± 7.4
Routine group
60
60.3 ± 7.6
84.8 ± 7.1
t value
3.138
2.719
P value
0.002
0.008
Table 7 Comparisons in the patients’ satisfaction with nursing between the two groups, n (%)
Groups
n
Satisfied
Fairly satisfied
Normal
Unsatisfied
Intervention group
60
41 (68.33)
13 (21.67)
6 (10.00)
0 (0.00)
Routine group
60
30 (50.00)
18 (30.00)
9 (15.00)
3 (5.00)
Z value
-2.166
P value
0.030
Citation: 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