Self-Efficacy Care Program for Older Adults Receiving Hip-Fracture Surgery

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 eff...

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Bibliographic Details
Published in:Clinical nursing research 2021-07, Vol.30 (6), p.911-920
Main Authors: Su, Shu-Fen, Lin, Shu-Ni, Chen, Chia-Sui
Format: Article
Language:English
Subjects:
Clinical nursing
Fractures
Health promotion
Hip joint
Intervention
Nurses
Nursing
Older people
Physical activity
Postoperative care
Quality of life
Quasi-experimental methods
Self care
Self-efficacy
Surgery
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Summary: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.
ISSN:1054-7738
1552-3799
DOI:10.1177/10547738211001486