Zhao N, Li XC, Cao LY, Gao L. Application of quantitative rehabilitation training and the teach-back health education model in fracture patients with anxiety and depression. World J Psychiatry 2026; 16(5): 118104 [DOI: 10.5498/wjp.v16.i5.118104]
Corresponding Author of This Article
Lei Gao, Department of Rehabilitation Medicine, No. 926 Hospital, Joint Logistics Support Force of PLA, No. 147 Jianmin Road, Kaiyuan 661699, Yunnan Province, China. gaoleilg0126@163.com
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Psychology
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Randomized Controlled Trial
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May 19, 2026 (publication date) through May 5, 2026
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World Journal of Psychiatry
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2220-3206
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Zhao N, Li XC, Cao LY, Gao L. Application of quantitative rehabilitation training and the teach-back health education model in fracture patients with anxiety and depression. World J Psychiatry 2026; 16(5): 118104 [DOI: 10.5498/wjp.v16.i5.118104]
World J Psychiatry. May 19, 2026; 16(5): 118104 Published online May 19, 2026. doi: 10.5498/wjp.v16.i5.118104
Application of quantitative rehabilitation training and the teach-back health education model in fracture patients with anxiety and depression
Nan Zhao, Xue-Chao Li, Li-Ying Cao, Lei Gao
Nan Zhao, Beijing Jishuitan Hospital, Capital Medical University, Beijing102208, China
Xue-Chao Li, Rehabilitation Department I, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China
Li-Ying Cao, Department of Orthopaedic Surgery, Long Yan Second Hospital, Longyan 364000, Fujian Province, China
Lei Gao, Department of Rehabilitation Medicine, No. 926 Hospital, Joint Logistics Support Force of PLA, Kaiyuan 661699, Yunnan Province, China
Co-corresponding authors: Xue-Chao Li and Lei Gao.
Author contributions: Li XC and Gao L contribute equally to this study as co-corresponding authors; Zhao N was responsible for research design and data collection; Li XC participated in the research design, data analysis and manuscript preparation; Cao LY was responsible for data collection and funding application; Gao L was responsible for research design, review and editing, communication and coordination, ethical review, copyright and licensing, and follow-up; all authors have read and approved the final manuscript.
Institutional review board statement: The research was reviewed and approved by the Medical Ethics Committee of the No. 926 Hospital, Joint Logistics Support Force of PLA (Approval No. 2025-015).
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: No conflict of interest is associated with this work.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: No other data available.
Corresponding author: Lei Gao, Department of Rehabilitation Medicine, No. 926 Hospital, Joint Logistics Support Force of PLA, No. 147 Jianmin Road, Kaiyuan 661699, Yunnan Province, China. gaoleilg0126@163.com
Received: January 27, 2026 Revised: February 11, 2026 Accepted: March 16, 2026 Published online: May 19, 2026 Processing time: 92 Days and 0.4 Hours
Abstract
BACKGROUND
Fracture patients often have negative emotions such as anxiety and depression, which not only worsen the pain experience and weaken rehabilitation confidence, but may also lead to a decrease in functional exercise compliance, thereby delaying the overall rehabilitation process. However, traditional rehabilitation nursing models often focus on physiological function recovery and have certain limitations in systematic psychological intervention and health education.
AIM
To investigate quantitative rehabilitation training combined with the teach-back health education model in patients with anxiety and depression.
METHODS
A total of 120 fracture patients were randomly assigned to either a conventional group (n = 60, standard pharmacotherapy and routine care) or a combined group (n = 60, standard pharmacotherapy combined with quantitative rehabilitation training and the teach-back health education model). Postintervention outcomes included Visual Analog Scale (VAS), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Barthel Index score, Adult Health Self-Management Skill Rating Scale (AHSMSRS), and the Functional Exercise Compliance Scale.
RESULTS
After the intervention, the combined group showed significantly lower VAS scores (1.83 ± 0.46 vs 2.03 ± 0.55, P < 0.001), HAMA scores (10.53 ± 2.88 vs 14.87 ± 3.27, P < 0.001), and HAMD scores (9.70 ± 2.67 vs 15.77 ± 3.68, P < 0.001) than the conventional group. The Barthel Index score (93.95 ± 3.48 vs 92.53 ± 3.30, P < 0.05), AHSMSRS score (139.87 ± 8.74 vs 135.50 ± 9.72, P < 0.05), and Functional Exercise Compliance Scale score (60.55 ± 3.73 vs 53.97 ± 5.23, P < 0.001) in the combined group were significantly higher than those in the conventional group.
CONCLUSION
Quantitative rehabilitation training combined with the teach-back model alleviates pain, reduces anxiety and depression, and improves exercise compliance and self-management in fracture patients.
Core Tip: For fracture patients with anxiety and depression, the combined application of quantitative rehabilitation training and the teach-back health education model can more effectively alleviate pain and negative emotions, significantly enhance patients' self-management abilities and compliance with functional exercise, and thereby improve their activities of daily living. This integrated intervention demonstrates superior clinical efficacy and application value.
