Effect of Rehabilitation Nursing Based on Knowledge, Belief, and Practice on Daily Life Self-Care and Hip Joint Function in Elderly Athletes Post-Intertrochanteric Fracture

Authors

  • Yalian Chen, Wuahan Fourth Hospital; Spine Surgery Ward 2 & Bone Oncology, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Li He Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China
  • Yiling Zhao Department of Radiology, Wuhan Third Hospital, Tongren Hospital of Wuhan University, Wuhan, China
  • Yaqi Qiu Wuahan Fourth Hospital; Spine Surgery Ward 2 & Bone Oncology, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

Keywords:

Femoral Intertrochanteric Fractures; Knowledge, Trust and Practice Nursing; Self-care Ability; Hip Joint Function

Abstract

Objective: To assess the impact of a rehabilitation nursing program grounded in knowledge, belief, and behavior on the self-care capacity and hip joint function in elderly athletes following intertrochanteric fractures.

Method: A prospective study involving 120 elderly athletes with intertrochanteric fractures treated at our sports medicine center from March 2019 to March 2021 was conducted. Participants were randomly divided into a control group (n=60), which received standard nursing care, and an observation group (n=60), which underwent a specialized rehabilitation nursing program based on enhancing knowledge, belief, and behavior. Both groups were assessed on their knowledge, belief, behavior, daily life self-care ability, and hip joint function pre- and post-nursing intervention.

Results: Initially, no significant differences were found between the groups in terms of quality of life, knowledge, attitude, behavior, or hip joint function (P>0.05). Post-intervention, the observation group showed significant improvements in mental vitality, social interactions, emotional well-being, and overall mental health compared to the control group (P<0.05). Additionally, the observation group's scores in knowledge, attitudes towards recovery, and behavioral changes were significantly higher. Self-care abilities including health knowledge, self-care skills, responsibility, and self-concept were enhanced, and depressive symptoms were reduced compared to the control group (P<0.05). Harris scores of hip joint function also improved significantly in the observation group from the first to the fourth week post-nursing (P<0.05).

Conclusion: The rehabilitation nursing program based on knowledge, belief, and behavior significantly enhances self-care ability and hip joint function in elderly athletes recovering from intertrochanteric fractures. This approach proves to be a valuable component of post-fracture care in elderly athletes, suggesting its broader applicability in similar sports-related medical contexts

 

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Published

2022-08-03

Issue

Vol. 23 No. 89.1 (2023): Vol. 23, No. 89.1, abril/April 2023

Section

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