Department of Orthopedics, Xishan People's Hospital of Wuxi City, Wuxi, China.
Department of Rehabilitation Medicine, Xishan People's Hospital of Wuxi City, Wuxi, China.
Ann Palliat Med. 2021 Oct;10(10):10789-10796. doi: 10.21037/apm-21-2556.
Hip fracture (HF) is a major health problem for older patients. Postoperative urinary retention (POUR) is a common complication in HF patients. It extends the length of the hospital stay and affects the recovery of mobility. This study aims to explore the relationship between self-efficacy, resilience, and quality of life in older patients with HF after HF combined with POUR and to improve the rehabilitation plan for HF patients.
A retrospective case-control study was conducted to assess 221 older patients with HF who underwent surgery for the first time at the Department of Orthopedics, Xishan People's Hospital from June 2018 to June 2021. Of these, 111 patients were in the POUR group (Group A), and the remaining 110 patients were in the non-POUR group (Group B). Three months after the operation, a questionnaire was administered to assess the relationship between POUR and self-efficacy, resilience, and quality of life.
Self-efficacy scores of Group A (23.52±3.18) were lower than those of Group B (27.23±2.40), and the difference was statistically significant (P<0.05). Except for self-improvement, subscores and total scores of all resilience measures in Group A were lower than those of Group B, and these differences were statistically significant (P<0.05). The scores of all quality of life measures of Group A were lower than those of Group B, and the differences were statistically significant except for role-emotional (RE) (P<0.05). The correlation analysis between self-efficacy and resilience in older patients with HF after the operation showed that self-efficacy was positively correlated with the total resilience score and the toughness optimism dimensions (P<0.01). Correlation analysis between self-efficacy and quality of life showed that self-efficacy was positively correlated with role-physical (RP), bodily pain (BP), general health (GH), vitality (VT), and social functioning (SF) (P<0.01). Correlation analysis between resilience and quality of life showed that total resilience scores, toughness, and optimism were positively correlated with physical functioning (PF), RP, BP, GH, VT, and SF (P<0.05).
The combination of POUR after HF significantly reduces self-efficacy, resilience, and quality of life in older adults.
髋部骨折（HF）是老年患者的主要健康问题。术后尿潴留（POUR）是 HF 患者的常见并发症。它延长了住院时间，影响了活动能力的恢复。本研究旨在探讨 HF 合并 POUR 后老年患者自我效能感、韧性和生活质量之间的关系，并为 HF 患者的康复计划提供参考。
采用回顾性病例对照研究，对 2018 年 6 月至 2021 年 6 月在我院骨科首次接受手术治疗的 221 例老年 HF 患者进行评估，其中 111 例患者发生 POUR（A 组），其余 110 例患者未发生 POUR（B 组）。术后 3 个月，采用问卷调查评估 POUR 与自我效能感、韧性和生活质量的关系。
A 组（23.52±3.18）自我效能感评分低于 B 组（27.23±2.40），差异有统计学意义（P<0.05）。除自我完善外，A 组各韧性测量的子分数和总分均低于 B 组，差异有统计学意义（P<0.05）。A 组所有生活质量测量的评分均低于 B 组，除角色情感（RE）外，差异均有统计学意义（P<0.05）。HF 患者术后自我效能感与韧性的相关性分析显示，自我效能感与韧性总分及坚韧乐观维度呈正相关（P<0.01）。自我效能感与生活质量的相关性分析显示，自我效能感与角色生理（RP）、躯体疼痛（BP）、一般健康（GH）、活力（VT）和社会功能（SF）呈正相关（P<0.01）。韧性与生活质量的相关性分析显示，韧性总分、坚韧和乐观与生理功能（PF）、RP、BP、GH、VT 和 SF 呈正相关（P<0.05）。
HF 合并 POUR 后，老年人的自我效能感、韧性和生活质量明显下降。
