Hope Theory-Based Nursing Intervention After Hip Fracture Surgery

Официальное название

Effect of a Snyder Hope Theory-Based Nursing Intervention on Psychological Status, Pain, and Functional Recovery in Elderly Patients After Hip Fracture Surgery: A Randomized Controlled Trial

Обзор

This is a randomized controlled trial to evaluate the effectiveness of a Snyder Hope Theory-based nursing intervention on elderly patients following hip fracture surgery. The study aims to improve the patient's psychological well-being, reduce pain, and enhance their functional recovery. Participants will be randomly assigned to either the intervention group or the control group. The intervention involves individualized counseling, goal setting, and rehabilitation training based on the Snyder Hope Theory. The trial will assess changes in hope levels, anxiety, pain, hip joint function, and quality of life before and after the intervention.

Подробное описание

This clinical trial aims to explore the impact of a Snyder Hope Theory-based nursing intervention on elderly patients who have undergone hip fracture surgery. As hip fractures are common among the elderly and often result in prolonged recovery periods, pain, and anxiety, effective interventions are needed to improve recovery outcomes.

In this study, elderly patients over the age of 60, who have undergone hip fracture surgery, will be recruited. They will be randomly assigned to either the intervention group or the control group. The intervention group will receive a specialized nursing care plan incorporating elements of the Snyder Hope Theory, including personalized psychological counseling, rehabilitation goal-setting, and group-based support. The control group will receive standard postoperative care.

The primary outcomes include the improvement in hope levels (measured by the Herth Hope Index), reduction in pain (measured by the Visual Analog Scale), and enhanced physical function (measured by the Harris Hip Score). Secondary outcomes include anxiety reduction and quality of life improvement (measured by the WHOQOL-BREF).

The trial will be conducted over a 2-week period, with assessments before and after the intervention. Data will be analyzed to determine the effectiveness of the intervention in improving psychological, functional, and physical outcomes for elderly patients recovering from hip surgery.

Вмешательства

• Поведенческое Snyder Hope Theory-based Nursing Intervention
  The Snyder Hope Theory-based nursing intervention involves a structured program aimed at improving the psychological well-being and recovery of elderly patients post-hip fracture surgery. The intervention includes psychological counseling, rehabilitation goal-setting, peer support, and motivation enhancement. The nursing intervention is designed to increase hope levels, reduce pain, alleviate anxiety, and improve hip joint function, ultimately enhancing the overall recovery process for the parti
• Поведенческое Standard Postoperative Care
  Participants in the control group will receive standard postoperative care, including routine pain management, rehabilitation exercises, and general guidance on recovery after hip fracture surgery, without the addition of the Snyder Hope Theory-based intervention.

Первичные конечные точки

• Hope Levels (Herth Hope Index) [Срок оценки: Pre-intervention and post-intervention (2 weeks)]

Вторичные конечные точки (4)

• Pain Level (VAS) [Срок оценки: Pre-intervention and post-intervention (2 weeks)]
• Anxiety (STAI) [Срок оценки: Pre-intervention and post-intervention (2 weeks)]
• Hip Joint Function (Harris Hip Score) [Срок оценки: Pre-intervention and post-intervention (2 weeks)]
• Quality of Life (WHOQOL-BREF) [Срок оценки: Pre-intervention and post-intervention (2 weeks)]

Критерии участия

Критерии включения

• Age ≥ 60 years.
• Patients with hip fracture requiring surgical intervention.
• Patients who have undergone hip fracture surgery within the past 2 weeks.
• Patients who are able to communicate and provide informed consent.
• Patients and/or their family members who are willing to participate in the study.

Критерии исключения

• Patients with other lower limb fractures or history of lower limb thrombosis.
• Patients with multiple fractures.
• Patients with severe damage to major organs (heart, lungs, brain) or malignant tumors.
• Patients who have undergone hip replacement surgery in the past.
• Patients with infectious diseases or immune system disorders.
• Patients with chronic diseases or neurological disorders.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Китай · 1 центр

• Taizhou No. 3 People's Hospital — Taizhou

Идентификаторы

NCT: NCT07400770 · TZSRY-HIP-HOPE-2024

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗