Function of a Psychological Nursing Intervention on Depression, Anxiety, and Quality of Life in Older Adult Patients With Osteoporotic Fracture

Huang, Liying; Zhang, Caiting; Xu, Jiahui; Wang, Wei; Yu, Miao; Jiang, Fan; Liu, Yan; Dong, Fanghui

doi:10.1111/wvn.12518

Cited by 16 publications

(5 citation statements)

References 31 publications

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“…Fracture is the most serious consequence of osteoporosis, which significantly reduces the patient’s quality of life. [ 15 , 16 ] Therefore, raising the community’s awareness of osteoporosis as well as changing attitudes and practices relating to the condition is critical to ensuring the effectiveness of osteoporosis preventive and management programs in primary care centers.…”

Section: Discussionmentioning

confidence: 99%

Cross-sectional community-based study in Saudi Arabian population with inclusion of behavioral studies of osteoporosis patients

Abdelwahab

Ahmed

Madkhali

et al. 2023

Journal of Family Medicine and Primary Care

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A BSTRACT Purpose: Osteoporosis is especially prevalent in the older population and in women. Fractures lead to many health complications, placing an enormous burden on the health system. Improved knowledge will encourage healthy practices that prevent osteoporosis and help community members avoid unhealthy lifestyles and habits. The goal of this study was to evaluate the knowledge, attitudes, and practices relating to osteoporosis among male and female students of the Jazan community. Methods: The Jazan region has 13 governorates and a population of more than 1.5 million. For this study, 440 participants were selected from seven different governorates, and the osteoporosis knowledge assessment tool (OKAT) was used together with five background variables and some questions on attitude and practice. A Chi-squared test was implemented to identify any significant relationships between the background variables and the knowledge and practice scores. A P value of less than 0.05 was considered significant. Results: Of the 440 participants, 53% were men and 47% women. Thirty-three percent of them held government jobs, 73% had completed university, and 50% had a monthly income of less than 5,000 riyals. Regarding the risk factors for osteoporosis, 62 (14%) smoked, 37 (8.4%) used steroids, 184 (41.8%) had a family history of osteoporosis, and 393 (89.3%) had not attended an education campaign on osteoporosis. The highest number of correct answers in the OKAT was to the question “osteoporosis increases the risk of fractures” (423, 96.1%), and the lowest number of correct answers was to the question “osteoporosis is more common in men” (60, 13.6%). Regarding protective behaviors against osteoporosis, namely physical activity, daily intake of dairy products, attending an education campaign, and background characteristics, attending an education campaign was statistically significant, with a P value of 0.003, but marital status, education level, body mass index (BMI), and occupation were not statistically significant. For the risk factors, sex was statistically significant, along with the daily soft drink intake and smoking but not with the use of steroids. Other background characteristics, such as education level and BMI, were not statistically significant as osteoporosis risk factors. Conclusions: The participants’ level of knowledge was high, and the risk factors for osteoporosis were still present together with a low level of achievement for protective measures. It is highly recommended that education campaigns be implemented to increase knowledge and encourage improved attitudes and practices.

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Section: Discussionmentioning

confidence: 99%

Cross-sectional community-based study in Saudi Arabian population with inclusion of behavioral studies of osteoporosis patients

Abdelwahab

Ahmed

Madkhali

et al. 2023

Journal of Family Medicine and Primary Care

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“…This might be an important direction for future research, because there is a growing amount of evidence suggesting a relation between psychological factors and clinical outcome after trauma. 1 , 14 , 19 For instance, patients with higher anxiety levels might benefit more from physiotherapy to overcome their kinesiophobia and regain mobility. 8 In line with this is a review that studied the role of therapeutic alliance in musculoskeletal physiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Postoperative Physiotherapy Compared to Postoperative Instructions by Treating Specialist Only in Patients With an Ankle Fracture: A Systematic Review

Van Vehmendahl,

Nelen,

El Hankouri

et al. 2023

Foot & Ankle Orthopaedics

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Background: In current literature, the benefit of postoperative physiotherapy versus postoperative instructions by treating specialist only remains unclear. The aim of this review is to systematically assess existing literature regarding the functional outcome of postoperative physiotherapy compared to postoperative instructions by treating specialist only in the rehabilitation of patients with an ankle fracture. The secondary aim is to determine if there is a difference in ankle range of motion, strength, pain, complications, quality of life, and patient’s satisfaction between these 2 rehabilitation methods. Methods: For this review, the PubMed/MEDLINE, PEDro, Embase, Cochrane, and CINAHL databases were searched for studies that compared postoperative rehabilitation groups. Results: The electronic data search detected 20 579 articles. After exclusion, 5 studies with a total of 552 patients were included. Overall, no significant benefit in functional outcome of postoperative physiotherapy was seen compared to the instructions-only group. One study even found a significant benefit in favor of the instructions-only group. An exemption for beneficial effect of the use of physiotherapy could be made for younger patients, as 2 studies described younger age as a factor for better outcomes (functional outcome and ankle range of motion) in the postoperative physiotherapy group. Patients’ satisfaction, described by one study, was found to be significantly higher in the physiotherapy group ( P = .047). All other secondary aims showed no significant difference. Conclusion: Because of the limited number of studies and the heterogeneity among studies, a valid conclusion about the general effect of physiotherapy cannot be formed. However, we identified limited evidence suggesting a possible benefit of physiotherapy in younger patients with an ankle fracture in functional outcome and ankle range of motion.

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“…We think that in the implementation of PST, through the evaluation of the psychological status of elderly patients with fracture, we can understand the psychological mood of patients after fracture, analyze the causes of the formation of negative psychology, conduct psychological counseling for patients, increase the communication between nurses and patients, and gain the trust of patients, which play an important role in accelerating the rehabilitation of fractures. Medical staff encourage patients to set up a healthy state of mind, explain the harm of negative psychology to them, encourage patients to take the initiative to express, patiently answer their doubts, eliminate patients' misconceptions about diseases, alleviate patients' concerns, make patients have a correct view on diseases, and relieve psychological pressure, thus encouraging patients to develop the habit of self-regulating emotions ( 22 ). PST can improve patients' ability to deal with pain, reduce their psychological burden, and enhance confidence in recovery, thereby strengthening the psychological and physiological adaptation mechanism, enhancing patients' tolerance to stimulation and adaptive response, and further reducing pain ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of Psychological Support Therapy on Psychological State, Pain, and Quality of Life of Elderly Patients With Femoral Neck Fracture

Wang

Shen

2022

Front. Surg.

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PurposeTo explore the intervention effect of psychological support therapy (PST) on elderly patients with femoral neck fracture.MethodsA total of 82 elderly patients with femoral neck fractures admitted to our hospital from July 2020 to June 2021 were selected. Patients were randomly divided into conventional group (n = 41) and intervention group (n = 41). The conventional group received routine nursing care. The intervention group was given PST on the basis of the conventional group. The joint function, psychological state, pain, quality of life, and nursing satisfaction of both groups were observed.ResultsCompared with before intervention, the Harris hip joint score and the General Quality-of-Life Inventory-74 scores of both groups increased after the intervention, and the increase was more obvious in the intervention group (p < 0.05). Compared with before intervention, the self-rating anxiety scale, the self-rating depression scale scores, and the visual analog scales score in both groups decreased after the intervention, and the decrease was more obvious in the intervention group (p < 0.05). The total satisfaction of the intervention group (92.68%) was higher than that of the conventional group (75.61%) (p < 0.05).ConclusionPsychological support therapy has a certain intervention effect on elderly patients with femoral neck fracture, which can improve psychological state, reduce pain, improve quality of life, and improve nursing satisfaction.

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Function of a Psychological Nursing Intervention on Depression, Anxiety, and Quality of Life in Older Adult Patients With Osteoporotic Fracture

Cited by 16 publications

References 31 publications

Cross-sectional community-based study in Saudi Arabian population with inclusion of behavioral studies of osteoporosis patients

Cross-sectional community-based study in Saudi Arabian population with inclusion of behavioral studies of osteoporosis patients

Effectiveness of Postoperative Physiotherapy Compared to Postoperative Instructions by Treating Specialist Only in Patients With an Ankle Fracture: A Systematic Review

Effect of Psychological Support Therapy on Psychological State, Pain, and Quality of Life of Elderly Patients With Femoral Neck Fracture

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