Application of quantitative rehabilitation training and the teach-back health education model in fracture patients with anxiety and depression

Table 1 Comparison of general data between the 2 groups

Class	Conventional group (n = 60)	Combined group (n = 60)	Test statistics	P value
Age (year)	47.15 ± 7.37	46.80 ± 8.38	0.243	0.808
BMI (kg/m2)	21.84 ± 2.47	21.88 ± 2.47	-0.104	0.918
Gender			0.304	0.581
Male	32 (53.3)	35 (58.3)
Female	28 (46.7)	25 (41.7)
Education level			0.496	0.780
Lower secondary and below	21 (35.0)	18 (30.0)
Upper secondary	32 (53.3)	33 (55.0)
Tertiary education	7 (11.7)	9 (15.0)
Etiology			1.516	0.469
Traumatic injury	44 (73.3)	38 (63.3)
Osteoporosis	10 (16.7)	15 (25.0)
Other causes	6 (10.0)	7 (11.7)
Fracture classification			3.556	0.169
Type A	39 (65.0)	37 (61.7)
Type B	12 (20.0)	19 (31.7)
Type C	9 (15.0)	4 (6.6)
Surgical modality			2.466	0.291
Open reduction and internal fixation	13 (21.7)	11 (18.3)
Minimally invasive approach	16 (26.7)	10 (16.7)
Non-operative modality	31 (51.7)	39 (65.0)
Complications			-	1.000
No	56 (93.3)	57 (95.0)
Yes	4 (6.7)	3 (5.0)

Data were presented as n (%) or mean ± SD.

Table 2 Comparison of pain levels between the 2 groups, mean ± SD

Items	Before intervention	After intervention	t value	P value
Conventional group	5.77 ± 1.53	2.03 ± 0.55	17.254	< 0.001
Combined group	6.00 ± 1.80	1.83 ± 0.46	17.693	< 0.001
t value	-0.766	2.163	-	-
P value	0.445	0.033	-	-

Table 3 Comparison of anxiety and depression mood between the 2 groups, mean ± SD

Items	HAMA		HAMD
	Before intervention	After intervention	Before intervention	After intervention
Conventional group	22.35 ± 6.32	14.87 ± 3.27	20.30 ± 5.54	15.77 ± 3.68
Combined group	22.52 ± 5.95	10.53 ± 2.88	20.57 ± 5.95	9.70 ± 2.67
t value	-0.149	7.700	-0.254	10.337
P value	0.882	< 0.001	0.800	< 0.001

HAMA: Hamilton Anxiety Scale; HAMD: Hamilton Depression Scale.

Table 4 Comparison of Barthel index score between the 2 groups, mean ± SD

Items	Before intervention	After intervention	t value	P value
Conventional group	48.55 ± 4.26	92.53 ± 3.30	-77.884	< 0.001
Combined group	48.07 ± 5.18	93.95 ± 3.48	-54.059	< 0.001
t value	0.558	-2.287	-	-
P value	0.578	0.024	-	-

Table 5 Comparison of Adult Health Self-Management Skill Rating Scale score and Functional Exercise Compliance Scale between the 2 groups, mean ± SD

Items	AHSMSRS		Functional Exercise Compliance Scale
	Before intervention	After intervention	Before intervention	After intervention
Conventional group	92.72 ± 10.35	135.50 ± 9.72	48.25 ± 4.31	53.97 ± 5.23
Combined group	92.00 ± 11.72	139.87 ± 8.74	47.87 ± 4.94	60.55 ± 3.73
t value	0.355	-2.588	0.453	-7.938
P value	0.723	0.011	0.651	< 0.001

AHSMSRS: Adult Health Self-Management Skill Rating Scale.