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NCT Number: NCT07400770

Hope Theory-Based Nursing Intervention After Hip Fracture Surgery

This is a randomized controlled trial to evaluate the effectiveness of a Snyder Hope Theory-based nursing intervention on elderly patients following hip fracture surgery. The study aims to improve the patient's psychological well-being, reduce pain, and enhance their functional recovery. Participants will be randomly assigned to either the intervention group or the control group. The intervention involves individualized counseling, goal setting, and rehabilitation training based on the Snyder Hope Theory. The trial will assess changes in hope levels, anxiety, pain, hip joint function, and quality of life before and after the intervention.

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Key information

Conditions

Hip Fracture Agnosia Anxiety Disorders Elderly Patients Femoral Fractures Fractures, Bone Hip Fractures Hip Injuries Leg Injuries Mental Disorders Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Nursing Interventions Pathological Conditions, Signs and Symptoms Perceptual Disorders Postoperative Recovery Signs and Symptoms Snyder Hope Theory Wounds and Injuries

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Taizhou No. 3 People's Hospital

Taizhou, Jiangsu, 225300, China

Location status: Recruiting

Location contact

Xianglong Zhou, Ph.D.

CONTACT

[email protected]

+86-13366665070

About this study

This clinical trial aims to explore the impact of a Snyder Hope Theory-based nursing intervention on elderly patients who have undergone hip fracture surgery. As hip fractures are common among the elderly and often result in prolonged recovery periods, pain, and anxiety, effective interventions are needed to improve recovery outcomes.

In this study, elderly patients over the age of 60, who have undergone hip fracture surgery, will be recruited. They will be randomly assigned to either the intervention group or the control group. The intervention group will receive a specialized nursing care plan incorporating elements of the Snyder Hope Theory, including personalized psychological counseling, rehabilitation goal-setting, and group-based support. The control group will receive standard postoperative care.

The primary outcomes include the improvement in hope levels (measured by the Herth Hope Index), reduction in pain (measured by the Visual Analog Scale), and enhanced physical function (measured by the Harris Hip Score). Secondary outcomes include anxiety reduction and quality of life improvement (measured by the WHOQOL-BREF).

The trial will be conducted over a 2-week period, with assessments before and after the intervention. Data will be analyzed to determine the effectiveness of the intervention in improving psychological, functional, and physical outcomes for elderly patients recovering from hip surgery.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥ 60 years.
  • Patients with hip fracture requiring surgical intervention.
  • Patients who have undergone hip fracture surgery within the past 2 weeks.
  • Patients who are able to communicate and provide informed consent.
  • Patients and/or their family members who are willing to participate in the study.

Exclusion criteria

  • Patients with other lower limb fractures or history of lower limb thrombosis.
  • Patients with multiple fractures.
  • Patients with severe damage to major organs (heart, lungs, brain) or malignant tumors.
  • Patients who have undergone hip replacement surgery in the past.
  • Patients with infectious diseases or immune system disorders.
  • Patients with chronic diseases or neurological disorders.

Treatment and study plan

Snyder Hope Theory-based Nursing Intervention

Behavioral

The Snyder Hope Theory-based nursing intervention involves a structured program aimed at improving the psychological well-being and recovery of elderly patients post-hip fracture surgery. The intervention includes psychological counseling, rehabilitation goal-setting, peer support, and motivation enhancement. The nursing intervention is designed to increase hope levels, reduce pain, alleviate anxiety, and improve hip joint function, ultimately enhancing the overall recovery process for the participants.

Standard Postoperative Care

Behavioral

Participants in the control group will receive standard postoperative care, including routine pain management, rehabilitation exercises, and general guidance on recovery after hip fracture surgery, without the addition of the Snyder Hope Theory-based intervention.

Primary outcomes

  1. Hope Levels (Herth Hope Index)

    Time frame: Pre-intervention and post-intervention (2 weeks)

    The primary outcome measure is the change in the patients' hope levels, which will be assessed using the Herth Hope Index. This scale is designed to measure the psychological and emotional dimensions of hope, focusing on the patients' expectations and their outlook on recovery and life. The Herth Hope Index will be administered before and after the intervention to assess changes in hope levels.

Secondary outcomes

  1. Pain Level (VAS)

    Time frame: Pre-intervention and post-intervention (2 weeks)

    Pain levels will be assessed using the Visual Analog Scale (VAS), which measures the intensity of pain experienced by the patient on a scale from 0 (no pain) to 10 (worst possible pain). This measure will be used to evaluate the reduction of pain after the intervention.

  2. Anxiety (STAI)

    Time frame: Pre-intervention and post-intervention (2 weeks)

    Anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI), a questionnaire that measures both state anxiety (temporary anxiety in a specific situation) and trait anxiety (general anxiety tendency). The tool will assess changes in anxiety after the intervention.

  3. Hip Joint Function (Harris Hip Score)

    Time frame: Pre-intervention and post-intervention (2 weeks)

    Hip joint function will be assessed using the Harris Hip Score, which evaluates pain, function, and range of motion in the hip joint. This score helps in measuring functional recovery after hip fracture surgery.

  4. Quality of Life (WHOQOL-BREF)

    Time frame: Pre-intervention and post-intervention (2 weeks)

    Quality of life will be measured using the WHOQOL-BREF, a brief version of the World Health Organization Quality of Life assessment. This tool evaluates physical health, psychological health, social relationships, and environment. It will assess improvements in the participants' overall quality of life post-intervention.

Study contacts

Contact information is provided by the study sponsor or research team.

Xianglong Zhou

CONTACT

[email protected]

+86-13625177228

Sponsors and collaborators

Lead sponsor

Institute of Orthopaedic Surgery, Taizhou No.3 People's Hospital

Other Gov

Registry information

Official study title

Effect of a Snyder Hope Theory-Based Nursing Intervention on Psychological Status, Pain, and Functional Recovery in Elderly Patients After Hip Fracture Surgery: A Randomized Controlled Trial

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Feb 10, 2026
Registry last updated
Feb 10, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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