Application of Rehabilitation Nursing Guided by LEARNS in Postoperative Recovery of Elderly Patients with Hip Fractures
Objective To study the application effect of rehabilitation nursing guided by listening-build-intent-improve-feedback teaching-reinforcement(LEARNS)in postoperative recovery of elderly patients with hip fractures.Methods A total of 196 elderly patients with hip fracture admitted to the Third People's Hospital of Linyi City from June 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 98 cases in each group.The control group received routine nursing,and the observation group received rehabilitation nursing guided by LEARNING mode on the basis of the control group,both groups were followed up to 3 months after surgery.Rehabilitation compliance,rehabilitation self-efficacy,hip function and daily living ability were compared between the two groups.Results The rehabilitation compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the coping self-efficacy score and task self-efficacy score of the Rehabilitation Self-Efficacy Scale in the observation group were(48.93±6.78)points and(48.14±4.52)points,which was higher than(42.21±5.82)points and(40.65±5.37)points in the control group,and the differences between the groups were statistical significance(P<0.05);the Harris Hip function Score and Barthel Index score in the observation group were(80.31±5.67)points and(82.59±5.82)points,which were higher than(72.29±6.68)points and(74.20±5.44)points in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation nursing guided by the LEARNS model can improve postoperative compliance and self-efficacy of elderly patients with hip fractures,promote hip joint function recovery,and enhance daily living abilities.
Hip fractureElderly patientsLEARNS modeRehabilitation complianceSelf efficacyHip joint function
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