Application value of health empowerment theory in nursing elderly patients with brittle fracture

ObjectiveTo explore the clinical curative effects of the nursing intervention based on health empowerment theory in elderly patients with brittle fracture.

MethodsOne hundred and four patients with brittle fracture were divided into the observation group and control group according to the random number table method(52 cases each group).The control group were nursed with routine orthopedic nursing care, while the observation group was nursed with the mothod based on the health empowerment theory.The levels of health empowerment and self-efficacy in the observation group were evaluated.The postoperative lower limb venous thrombosis, joint stiffness, incision infection and fracture healing rates at 3, 6 and 9 months after discharge were assessed in two groups.

ResultsThe total score of health empowerment in the observation group was (3.01±0.87)points.The highest score of each dimension was the total mean score of the support dimension(3.17±0.66)points, while the lowest score was the reconstruction of the self-dimension(2.92±0.45)points.The total score of self-efficacy was (53.23±11.67)points, the exercise dimension was (19.78±8.12)points, and the calcium intake dimension was (33.45±5.72)points.After 3 and 6 months of nursing intervention, the total score of health empowerment and each dimension score in the observation group increased compared with those before intervention(P < 0.05 to P < 0.01), and the total score of self-efficacy, exercise dimension and feed calcium dimension were higher than those before intervention(P < 0.05 to P < 0.01).The total score of self-efficacy and exercise dimension in the observation group after 6 months of intervention were significantly higher than those after 3 months of intervention(P < 0.01).There was no statistical significance in the incidence of lower limb venous thrombosis, joint stiffness and incision infection between two groups(P>0.05).The fracture healing rate in observation group was significantly higher than that in control group after 3 and 6 months of discharge(P < 0.05).

ConclusionsThe nursing intervention based on health empowerment theory can enhance the self-efficacy and health empowerment levels of elderly patients with brittle fracture, which is beneficial to the early healing of postoperative fracture.