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
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Institute of Orthopaedic Surgery, Taizhou No.3 People's Hospital
- 入组人数
- 112
- 试验地点
- 1
- 主要终点
- Hope Levels (Herth Hope Index)
概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
盲法说明
This is an open-label study, meaning there is no masking for the participants, care providers, investigators, or outcomes assessors.
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Snyder Hope Theory-based Nursing Intervention
Participants in the intervention arm will receive a Snyder Hope Theory-based nursing intervention, which includes psychological counseling, goal-setting, rehabilitation training, and peer support to improve hope levels, reduce pain, and enhance functional recovery after hip fracture surgery.
干预措施: Snyder Hope Theory-based Nursing Intervention (Behavioral)
Standard Postoperative Care
Participants in the control arm 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.
干预措施: Standard Postoperative Care (Behavioral)
结局指标
主要结局
Hope Levels (Herth Hope Index)
时间窗: Pre-intervention and post-intervention (2 weeks)
The primary outcome measure is the change in the patients' hope levels, which will be assessed using the Herth Hope Index. This scale is designed to measure the psychological and emotional dimensions of hope, focusing on the patients' expectations and their outlook on recovery and life. The Herth Hope Index will be administered before and after the intervention to assess changes in hope levels.
次要结局
- Pain Level (VAS)(Pre-intervention and post-intervention (2 weeks))
- Anxiety (STAI)(Pre-intervention and post-intervention (2 weeks))
- Hip Joint Function (Harris Hip Score)(Pre-intervention and post-intervention (2 weeks))
- Quality of Life (WHOQOL-BREF)(Pre-intervention and post-intervention (2 weeks))