Department of Nursing, National Taichung University of Science and Technology, Taiwan.
Department of Nursing, Taichung Hospital, Ministry of Health and Welfare, Taiwan.
Clin Nurs Res. 2021 Jul;30(6):911-920. doi: 10.1177/10547738211001486. Epub 2021 Mar 18.
Hip fractures decrease older adults' physical activity and quality of life (QoL). However, no current self-efficacy care programs are managed by clinical nurses, and thus no studies have measured their effects on self-care self-efficacy (SCSE). Hence, this quasi-experimental study determined the effectiveness of a self-efficacy care program (SECP) in 104 older adults receiving hip-fracture surgery who were divided into intervention and control groups. The Strategies Used by People to Promote Health and Short Form-36 were administered pre-surgery and at 1 and 3-month intervals post-surgery. The SCSE and QoL of the SECP group were significantly better than the control group at 1- and 3-month follow-ups post-surgery. Both groups' QoL decreased at one-month post-surgery but increased by 3-months post-surgery. The SECP group had higher psychological QoL than the control group post-surgery. This intervention increased the SCSE and QoL of older adults with hip fractures and improved post-operative care.
髋部骨折会降低老年人的身体活动能力和生活质量（QoL）。然而，目前没有由临床护士管理的自我效能护理方案，因此没有研究测量它们对自我护理自我效能（SCSE）的影响。因此，这项准实验研究确定了自我效能护理方案（SECP）在 104 名接受髋部骨折手术的老年人中的有效性，这些老年人被分为干预组和对照组。在手术前和手术后 1 个月和 3 个月的时间间隔内，使用健康促进策略和健康简表-36 进行了评估。在手术后 1 个月和 3 个月的随访中，SECP 组的 SCSE 和生活质量明显优于对照组。两组的生活质量在手术后 1 个月时均有所下降，但在手术后 3 个月时有所增加。手术后，SECP 组的心理生活质量高于对照组。这种干预措施提高了髋部骨折老年人的 SCSE 和生活质量，并改善了术后护理。
