Effect of Hospital-Community-Family Continuity Nursing Intervention Based on the Theory of Timing on Fear of Movement and Hip Joint Function in Elderly Patients After Total Hip Arthroplasty

doi:10.12104/j.issn.1674-4748.2025.03.017

Abstract：Objective: To explore the effect of hospital-community-family continuity nursing intervention based on the theory of timing on the level of fear of movement and hip joint function in elderly patients after total hip arthroplasty. Methods: A total of 130 patients who underwent total hip arthroplasty at the hospital from April to September 2022 were selected as the study subjects. According to the random number table method, the patients were divided into an intervention group and a control group, with 65 cases in each group. The control group received routine care, while the intervention group received a continuity nursing intervention plan based on the theory of timing in addition to routine care. The pain level, fear of movement level, and hip joint function scores of the two groups were compared at the time of discharge, 1, 3, and 6 months postoperatively. Results: At the time of discharge, 1, 3, and 6 months postoperatively, the pain scores of the intervention group were (3.11±0.56), (1.46±0.69), (0.63±0.55), and (0.37±0.49) points, respectively, which were lower than those of the control group (3.49±0.75), (2.34±0.67), (1.75±0.66), and (1.18±0.58) points, with statistically significant differences (all P < 0.05). The fear of movement scores of the intervention group were (32.78±3.12), (26.66±2.72), (18.89±2.67), and (13.31±1.94) points, respectively, which were lower than those of the control group (34.43±3.09), (30.63±2.85), (25.88±1.54), and (19.63±1.78) points, with statistically significant differences (all P < 0.05). The hip joint function scores of the intervention group were (23.97±1.39), (51.52±3.74), (77.46±3.35), and (92.37±2.17) points, respectively, which were higher than those of the control group (23.58±1.72), (45.55±1.96), (68.68±3.35), and (85.72±2.61) points, with statistically significant differences at 1, 3, and 6 months postoperatively (all P < 0.05). Conclusion: The hospital-community-family continuity nursing intervention based on the theory of timing can reduce the level of pain and fear of movement in elderly patients after total hip arthroplasty and improve their hip joint function.