Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. May 19, 2026; 16(5): 114590
Published online May 19, 2026. doi: 10.5498/wjp.v16.i5.114590
Published online May 19, 2026. doi: 10.5498/wjp.v16.i5.114590
Psychological stress response and intervention strategies for elderly patients with hip fractures during the prehospital emergency period
Lan Shen, Xiao-Mei Su, Meng-Si Yang, Hospital of Honghe State affiliated to Kunming Medical University, Mengzi 661199, Yunnan Province, China
Ze-Yuan Pan, Department of Psychology, Southern Central Hospital of Yunnan Province, The First People’s Hospital of Honghe State, Mengzi 661199, Yunnan Province, China
Li Long, Hao Xie, Jian-Neng Dai, Chao-Ming Chen, Department of Critical Care Medicine Center, Southern Central Hospital of Yunnan Province, The First People’s Hospital of Honghe State, Mengzi 661199, Yunnan Province, China
Co-first authors: Lan Shen and Xiao-Mei Su.
Co-corresponding authors: Jian-Neng Dai and Chao-Ming Chen.
Author contributions: Shen L and Su XM designed the research study, collected and analyzed the data and they are contributed equally to this manuscript and are co-first authors; Shen L, Su XM, Pan ZY, Long L, Xie H, Yang MS, Dai JN and Chen CM performed the research; Pan ZY and Long L has been involved in drafting the manuscript and all authors have been involved in revising it critically for important intellectual content; Dai JN and Chen CM contributed equally to this manuscript and are co-corresponding authors. All authors give final approval of the version to be published. All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity are addressed.
Supported by Department of Science and Technology of Yunnan Province-Joint Special Fund for Applied Basic Research of Kunming Medical University, No. 202301AY070001-040; the Chinese Association of Gerontology and Geriatrics, No. CAGG2025093, No. CAGG2025132, and No. CAGG2025ZX041; Scientific Research Project of Qingdao University Medical Group, No. YLJT20222013; Eighth Philosophy and Social Science Planning Project of Honghe Prefecture, No. 2025SH-14; and National Health Commission Hospital Management Institute Clinical Nutrition High-Quality Development Research Project, No. 2025-1-Y-06.
Institutional review board statement: The study was reviewed and approved for publication by Institutional Review Board of Southern Central Hospital of Yunnan Province, The First People’s Hospital of Honghe State, No. (2025)yundiannanlunshendi(76)hao.
Clinical trial registration statement: This study was not registered with ClinicalTrials.gov.
Informed consent statement: The informed written consent was waived by the Institutional Review Board.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: There is no additional data available.
Corresponding author: Jian-Neng Dai, Department of Emergency Medicine, Southern Central Hospital of Yunnan Province, The First People’s Hospital of Honghe State, No. 1 Xiyuan Road, Mengzi 661199, Yunnan Province, China. emergency120ky@163.com
Received: October 28, 2025
Revised: December 1, 2025
Accepted: February 2, 2026
Published online: May 19, 2026
Processing time: 183 Days and 0.4 Hours
Revised: December 1, 2025
Accepted: February 2, 2026
Published online: May 19, 2026
Processing time: 183 Days and 0.4 Hours
Core Tip
Core Tip: This study investigated psychological stress responses in 80 elderly hip fracture patients during prehospital emergency care. Patients were randomized to receive either routine care (control group) or routine care plus standardized psychological interventions (observation group). Results demonstrated that the observation group had significantly shorter key emergency time points, lower post-intervention Hamilton Anxiety and Depression Scale scores, and improved physiological indicators (blood pressure, heart rate) compared to the control group (P < 0.05). The observation group also exhibited better compliance and a lower incidence of complications. The study concludes that standardized psychological intervention effectively reduces psychological stress and improves outcomes, warranting clinical implementation.