Hope Theory-Based Nursing Intervention After Hip Fracture Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorInstitute of Orthopaedic Surgery, Taizhou No.3 People's Hospital

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Snyder Hope Theory-based Nursing Intervention

    Behavioral

    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 participants.

  • Standard Postoperative Care

    Behavioral

    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.

Treatment groups

112 Participants
are divided into 2 treatment groups
Group A: Snyder Hope Theory-based Nursing InterventionExperimental treatment 1 intervention
Group B: Standard Postoperative CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Hope Levels (Herth Hope Index)

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.

Time frame
Pre-intervention and post-intervention (2 weeks)

Secondary outcomes

1

Pain Level (VAS)

Pain levels will be assessed using the Visual Analog Scale (VAS), which measures the intensity of pain experienced by the patient on a scale from 0 (no pain) to 10 (worst possible pain). This measure will be used to evaluate the reduction of pain after the intervention.

Time frame
Pre-intervention and post-intervention (2 weeks)
2

Anxiety (STAI)

Anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI), a questionnaire that measures both state anxiety (temporary anxiety in a specific situation) and trait anxiety (general anxiety tendency). The tool will assess changes in anxiety after the intervention.

Time frame
Pre-intervention and post-intervention (2 weeks)
3

Hip Joint Function (Harris Hip Score)

Hip joint function will be assessed using the Harris Hip Score, which evaluates pain, function, and range of motion in the hip joint. This score helps in measuring functional recovery after hip fracture surgery.

Time frame
Pre-intervention and post-intervention (2 weeks)
4

Quality of Life (WHOQOL-BREF)

Quality of life will be measured using the WHOQOL-BREF, a brief version of the World Health Organization Quality of Life assessment. This tool evaluates physical health, psychological health, social relationships, and environment. It will assess improvements in the participants' overall quality of life post-intervention.

Time frame
Pre-intervention and post-intervention (2 weeks)

Other outcomes

Sponsors and contacts

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