Effect of decision aid intervention on fear of falling in elderly patients after total hip arthroplasty
10.3760/cma.j.cn211501-20220616-01898
- VernacularTitle:决策辅助干预对全髋关节置换术后老年患者跌倒恐惧的效果研究
- Author:
Shenjie GUO
1
;
Xinxin CUI
;
Xiangyun YIN
;
Hongkai LIAN
;
Yaqin ZHANG
Author Information
1. 郑州大学附属郑州中心医院骨科一病区，郑州 450000
- Keywords:
Nursing care;
Arthroplasty, replacement hip;
Accidental falls;
Fear of falling;
Decision aids;
Hip function
- From:
Chinese Journal of Practical Nursing
2023;39(4):241-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the intervention effect of decision aid on the fear of falling in elderly patients after total hip arthroplasty.Methods:This study was a quasi experimental research. From June 2021 to November 2021, 84 patients after total hip arthroplasty who were admitted to the Department of Orthopedics of Zhengzhou Central Hospital Affiliated to Zhengzhou University were selected as the research objects. According to the order of admission, they were divided into the control group (42 cases, 2 cases fell off ) and the observation group (42 cases). The control group was given routine nursing care and guidance for fear of falling, while the observation group was given a decision-making aid intervention program on the basis of the control group. The time to first getting out of bed, the scores of Modified Falls Efficacy Scale (MFES), Generalized Anxiety Disorder (GAD-7) and Harris Hip Score (HHS) were compared between two groups.Results:The time to get out of bed for the first time in the observation group was (42.71 ± 6.41) h, lower than that in the control group (49.95 ± 5.73) h, and the difference was statistically significant ( t=5.38, P<0.05). Twelve weeks after discharge, the GAD-7 score in the observation group was (4.64 ± 1.43), which was lower than that of the control group (6.85 ± 1.83), and the difference was statistically significant ( t=6.10, P<0.05). The score of the MFES in the observation group was [8.50(8.00,10.00)], which was higher than that in the control group [7.50(7.00,8.00)], and the difference was statistically significant ( Z=-6.26, P<0.05). The hip joint function score of the observation group was (81.74 ± 4.24), which was higher than that of the control group (74.30 ± 4.51), and the difference was statistically significant ( t=7.69, P<0.05). Conclusions:Decision support can advance the time of downward movement of elderly patients after total hip arthroplasty, reduce their anxiety and fear of falling, and improve hip function.
