Evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fracture

Table 1 Comparisons in baseline characteristics between the two groups, n (%)

Baseline data	The intervention group (n = 60)	The routine group (n = 60)	t/χ2 value	P value
Age (yr)	71.4 ± 6.1	70.9 ± 5.2	0.483	0.630
Height (cm)	166.8 ± 4.1	165.5 ± 5.0	1.557	0.122
Weight (kg)	64.9 ± 5.8	66.3 ± 5.2	-1.392	0.167
Interval between fracture and operation (d)	3.1 ± 1.3	3.3 ± 1.1	-0.910	0.365
Gender			0.556	0.456
Male	34 (56.67)	38 (63.33)
Female	26 (43.33)	22 (36.67)
Affected side distribution			0.536	0.464
Left side	30 (50.00)	34 (56.67)
Right side	30 (50.00)	26 (43.33)
Hypertension			2.596	0.107
Yes	11 (18.33)	5 (8.33)
No	49 (81.67)	55 (91.67)
Diabetes			0.536	0.464
Yes	3 (5.00)	5 (8.33)
No	57 (95.00)	55 (91.67)
Reason of fracture			2.004	0.157
Traffic accident	14 (23.33)	8 (13.33)
Self fall injury	46 (76.67)	52 (86.67)

Table 2 Comparisons in motion phobia scores before and after intervention initiation between the two groups (mean ± SD, scores)

Groups	n	Before intervention	1 wk after intervention	2 wk after intervention
Intervention group	60	57.3 ± 6.2	43.8 ± 5.6	28.6 ± 4.0
Routine group	60	58.5 ± 5.8	46.4 ± 5.5	30.0 ± 4.8
t value		-1.095	-2.566	-1.736
P value		0.276	0.012	0.085

Table 3 Comparisons in pain fear scores before and after intervention initiation between the two groups (mean ± SD, scores)

Groups	n	Before intervention	1 wk after intervention	2 wk after intervention
Intervention group	60	127.4 ± 12.9	95.8 ± 10.2	58.1 ± 8.3
Routine group	60	125.0 ± 14.1	101.3 ± 12.4	62.7 ± 9.6
t value		0.973	-2.653	-2.808
P value		0.333	0.009	0.006

Table 4 Comparisons in rehabilitation treatment compliance between the two groups, n (%)

Groups	Complete compliance	Partial compliance	Noncompliance
1 d of intervention
the intervention group (n = 60)	22 (36.67)	32 (53.33)	6 (10.00)
the routine group (n = 60)	24 (40.00)	29 (48.33)	7 (11.67)
Z value	-0.204
P value	0.838
2 wk after intervention
the intervention group (n = 60)	47 (78.33)	13 (21.67)	0 (0.00)
the routine group (n = 60)	36 (60.00)	22 (36.67)	2 (3.33)
Z value	-2.243
P value	0.025

Table 5 Comparisons in self-efficacy scores before and after intervention initiation between the two groups (mean ± SD, scores)

Groups	n	Self-efficacy of overcoming difficulties		Self-efficacy of rehabilitation exercise		Total score of self-efficacy
		Before intervention	2 wk after intervention	Before intervention	2 wk after intervention	Before intervention	2 wk after intervention
Intervention group	60	37.5 ± 8.7	49.6 ± 9.0	34.3 ± 7.2	50.3 ± 8.5	71.8 ± 6.6	99.9 ± 10.5
Routine group	60	35.8 ± 8.2	45.3 ± 8.8	36.8 ± 8.0	46.5 ± 8.1	72.6 ± 8.0	91.8 ± 8.8
t value		1.101	2.646	-1.799	2.507	-0.598	4.580
P value		0.273	0.009	0.075	0.014	0.551	0.000

Table 6 Comparisons in Harris scores before and after intervention initiation between the two groups (mean ± SD, scores)

Groups	n	3 mo after operation	6 mo after operation
Intervention group	60	64.8 ± 8.1	88.4 ± 7.4
Routine group	60	60.3 ± 7.6	84.8 ± 7.1
t value		3.138	2.719
P value		0.002	0.008

Table 7 Comparisons in the patients’ satisfaction with nursing between the two groups, n (%)

Groups	n	Satisfied	Fairly satisfied	Normal	Unsatisfied
Intervention group	60	41 (68.33)	13 (21.67)	6 (10.00)	0 (0.00)
Routine group	60	30 (50.00)	18 (30.00)	9 (15.00)	3 (5.00)
Z value		-2.166
P value		0.030