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