ArticleBMC geriatrics2026
The effects of add-on self-care on older patients with total hip arthroplasty: a retrospective study.
Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundTotal 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.
methodsThis 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.
resultsThe 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.
conclusionSelf-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.
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