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

Area of Science:

• Gerontology
• Nursing Science
• Rehabilitation Medicine

Background:

• Hip fractures significantly impair physical activity and quality of life (QoL) in older adults.
• Existing self-efficacy programs lack clinical nurse management, leaving a gap in measuring effects on self-care self-efficacy (SCSE).

Purpose of the Study:

• To determine the effectiveness of a self-efficacy care program (SECP) managed by clinical nurses.
• To assess the impact of SECP on self-care self-efficacy (SCSE) and QoL in older adults post-hip fracture surgery.

Main Methods:

• A quasi-experimental design was used with 104 older adults undergoing hip fracture surgery.
• Participants were divided into an intervention (SECP) and a control group.
• 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.

Main Results:

• The SECP group demonstrated significantly higher SCSE and QoL compared to the control group at 1 and 3-month follow-ups.
• Both groups experienced an initial decrease in QoL at 1 month, followed by an increase at 3 months post-surgery.
• The SECP group reported higher psychological QoL post-surgery.

Conclusions:

• The SECP is effective in increasing SCSE and QoL in older adults with hip fractures.
• This nursing-led intervention improves post-operative care and recovery outcomes for hip fracture patients.
• Clinical nurse-managed self-efficacy programs can positively impact geriatric surgical recovery.