Effect of extended nursing based on self-efficacy theory on the anxiety of patients with intertrochanteric fracture

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.

Keywords: Self-efficacy theory; Extended nursing; Intertrochanteric fractures; Mental health; Clinic

Core Tip: Extended nursing founded on self-efficacy theory holds immense significance in improving the mental health of fracture patients. Especially for those with intertrochanteric fractures who have received surgical treatment, it is of paramount importance. This approach can offer personalized and targeted support and care, addressing their specific needs and concerns. By enhancing their self-efficacy, patients are more likely to actively participate in their recovery process, leading to better outcomes and an improved sense of well-being.