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Background <p>Total hip arthroplasty (THA) is a common surgical treatment for advanced hip disorders, particularly in older adults. However, postoperative recovery in this population is often complicated by comorbidities, prolonged immobilization, and reduced self-efficacy. This study aimed to evaluate the effectiveness of self-care–based nursing procedures, grounded in Dorothea Orem’s Self-Care Theory, in improving postoperative recovery, reducing complications, and promoting early mobilization among older patients undergoing THA.</p> Methods <p>This retrospective study included 130 older adults who underwent THA between September 2020 and September 2022. Patients were divided into a self-care group (<i>n</i> = 66) and a control group (<i>n</i> = 64). The self-care group received routine nursing plus structured self-care education, while the control group received standard care alone. Primary outcomes included postoperative pain, hip function (Harris Hip Score), activities of daily living (Barthel Index), and incidence of complications. Secondary outcomes included hospital stay duration and time to first ambulation.</p> Results <p>The self-care group had significantly fewer postoperative complications (<i>p</i> = 0.003), lower pain scores (<i>p</i> &lt; 0.01), shorter hospitalization (<i>p</i> &lt; 0.001), and earlier first ambulation (<i>p</i> &lt; 0.001) than the control group. Both hip function and activities of daily living improved in all patients, but the self-care group showed significantly greater gains (<i>p</i> &lt; 0.01 and <i>p</i> &lt; 0.05, respectively) at discharge and at three-month follow-up.</p> Conclusion <p>Self-care–based nursing procedures effectively enhance postoperative recovery in older adults after THA. They reduce complications, alleviate pain, shorten hospital stay, and facilitate early mobilization. These findings underscore the value of incorporating structured self-care strategies into standard orthopedic nursing practice to improve functional outcomes and overall recovery.</p> Clinical trial number <p>not applicable.</p>

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The effects of add-on self-care on older patients with total hip arthroplasty: a retrospective study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月28日

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  • Chunmei Wu,
  • Biyu Wu,
  • Zhenming Kang,
  • Yijin Hong

摘要

Background

Total hip arthroplasty (THA) is a common surgical treatment for advanced hip disorders, particularly in older adults. However, postoperative recovery in this population is often complicated by comorbidities, prolonged immobilization, and reduced self-efficacy. This study aimed to evaluate the effectiveness of self-care–based nursing procedures, grounded in Dorothea Orem’s Self-Care Theory, in improving postoperative recovery, reducing complications, and promoting early mobilization among older patients undergoing THA.

Methods

This retrospective study included 130 older adults who underwent THA between September 2020 and September 2022. Patients were divided into a self-care group (n = 66) and a control group (n = 64). The self-care group received routine nursing plus structured self-care education, while the control group received standard care alone. Primary outcomes included postoperative pain, hip function (Harris Hip Score), activities of daily living (Barthel Index), and incidence of complications. Secondary outcomes included hospital stay duration and time to first ambulation.

Results

The self-care group had significantly fewer postoperative complications (p = 0.003), lower pain scores (p < 0.01), shorter hospitalization (p < 0.001), and earlier first ambulation (p < 0.001) than the control group. Both hip function and activities of daily living improved in all patients, but the self-care group showed significantly greater gains (p < 0.01 and p < 0.05, respectively) at discharge and at three-month follow-up.

Conclusion

Self-care–based nursing procedures effectively enhance postoperative recovery in older adults after THA. They reduce complications, alleviate pain, shorten hospital stay, and facilitate early mobilization. These findings underscore the value of incorporating structured self-care strategies into standard orthopedic nursing practice to improve functional outcomes and overall recovery.

Clinical trial number

not applicable.