{"title":"Effect of extended nursing based on self-efficacy theory on the anxiety of patients with intertrochanteric fracture.","authors":"You-Mei Yao, Xue-Yun Shao, Lin-Li Sha, Lin-Lin Qian","doi":"10.5498/wjp.v15.i2.100570","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients, reduce patients' concurrent mental diseases, and improve prognosis.</p><p><strong>Aim: </strong>To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.</p><p><strong>Methods: </strong>Older patients with intertrochanteric fractures (<i>n</i> = 88) admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups - the control group (<i>n</i> = 44, routine nursing) and the observation group (<i>n</i> = 44, extended nursing) - <i>via</i> balloting and treated for 12 weeks. The mental state, pain severity, limb function, and self-nursing ability of all patients before and after nursing were analyzed.</p><p><strong>Results: </strong>After nursing, the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved. Notably, Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher, respectively, than those in the control group (<i>P</i> < 0.05). The pain severity in the observation group (2.64 ± 0.22) was lower than that in the control group (2.85 ± 0.41) (<i>P</i> < 0.05). The recovery rate of limb function was higher in the observation group than in the control group (<i>P</i> < 0.05). In addition, the self-nursing ability scores of the patients in both groups increased, with a significantly higher score in the observation group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Extended nursing based on the self-efficacy theory can significantly improve mental state, relieve pain, and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 2","pages":"100570"},"PeriodicalIF":3.9000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758052/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5498/wjp.v15.i2.100570","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients, reduce patients' concurrent mental diseases, and improve prognosis.
Aim: To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.
Methods: Older patients with intertrochanteric fractures (n = 88) admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups - the control group (n = 44, routine nursing) and the observation group (n = 44, extended nursing) - via balloting and treated for 12 weeks. The mental state, pain severity, limb function, and self-nursing ability of all patients before and after nursing were analyzed.
Results: After nursing, the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved. Notably, Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher, respectively, than those in the control group (P < 0.05). The pain severity in the observation group (2.64 ± 0.22) was lower than that in the control group (2.85 ± 0.41) (P < 0.05). The recovery rate of limb function was higher in the observation group than in the control group (P < 0.05). In addition, the self-nursing ability scores of the patients in both groups increased, with a significantly higher score in the observation group (P < 0.05).
Conclusion: Extended nursing based on the self-efficacy theory can significantly improve mental state, relieve pain, and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.
期刊介绍：
The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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