Application of a temporal self-regulation theory-based exercise rehabilitation program in elderly patients with hip fractures
10.3760/cma.j.cn115682-20241010-05540
- VernacularTitle:基于时限性自我调节理论的运动康复方案在老年髋部骨折患者中的应用
- Author:
Rongjia PAN
1
;
Sijie GUI
;
Yulian HE
;
Ting WANG
;
Chunhua BAI
;
Siyu LI
;
Guqing ZENG
Author Information
1. 南京大学医学院附属鼓楼医院康复医学科，南京 210008
- Publication Type:Journal Article
- Keywords:
Elderly;
Hip fracture;
Exercise rehabilitation;
Temporal Self-regulation Theory;
Exercise adherence;
Activities of daily living;
Joint function
- From:
Chinese Journal of Modern Nursing
2025;31(26):3572-3579
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop an exercise rehabilitation program based on the Temporal Self-regulation Theory and evaluate its effectiveness in elderly patients with hip fractures.Methods:A total of 84 elderly patients with hip fractures admitted to the Department of Trauma Orthopedics at the First Affiliated Hospital of University of South China from May to August 2024 were enrolled using convenience sampling. Participants were randomly assigned to an experimental group ( n=42) and a control group ( n=42) using a random number table. The control group received routine exercise rehabilitation, while the experimental group received an exercise rehabilitation program constructed based on the Temporal Self-regulation Theory. The program included components such as establishing a unified concept of "exercise-rehabilitation", enhancing time-limited efficacy, achieving behavioral advantages, and improving self-regulation of active movement. Both groups received interventions for 12 weeks. Functional exercise adherence, activities of daily living, and hip joint function were assessed using the Orthopedic Exercise Adherence Scale, Modified Barthel Index, and Harris Hip Score at four time points: before intervention, on the day of discharge, and at 4 and 12 weeks postoperatively. Results:During the study, two patients from each group dropped out. Results of the generalized estimating equations showed group effects, time effects, and interaction effects in adherence scores with statistically significant differences ( P<0.01). On the day of discharge, and at 4 and 12 weeks postoperatively, the adherence scores in the experimental group were significantly higher than those in the control group, and the differences were statistically significant ( P<0.05). Repeated measures ANOVA indicated that group effects, time effects, and interaction effects were also statistically significant in scores for daily living ability and hip joint function ( P<0.05). The experimental group scored higher than the control group at each time point with statistically significant differences ( P<0.05) . Conclusions:The exercise rehabilitation program based on the Temporal Self-regulation Theory is scientifically sound and practical. It can effectively improve functional exercise adherence, enhance daily living ability, and promote postoperative recovery of hip joint function in elderly patients with hip fractures.
