Effects of empowerment-based comprehensive nursing on postoperative functional recovery, quality of life, and complications in older adults with hip fracture within an ERAS framework: a randomized controlled trial
Hip fracture in older adults
Participants were randomly allocated in a 1:1 ratio to either the control group or the intervention group using a computer-generated random sequence table. Simple randomisation was applied, and group allocation was determined according to the generated random sequence. The control group will receive standard ERAS-based nursing care. The intervention group will receive the same standard care plus an empowerment-based nursing program designed to enhance self-efficacy, encourage active participation in rehabilitation, and improve continuity of care after discharge. The intervention includes: 1. Individualized and quantifiable functional goal-setting 2. Daily goal review during hospitalization 3. Pain–activity linkage strategy to guide mobilization 4. Structured education on prevention and early recognition of postoperative complications 5. Discharge checklist and family role assignment plan 6. Standardized home exercise prescription 7. Structured follow-up and self-monitoring during the 6-month post-discharge period Participants will be followed for up to 90 days after surgery.
1. Age ≥65 years 2. Radiologically confirmed hip fracture 3. Scheduled to undergo surgical treatment 4. Ability to communicate effectively or availability of a regular caregiver 5. Willingness and feasibility to complete at least 6 months of follow-up
1. Bedridden status prior to injury or baseline functional status not assessable using the Harris Hip Score 2. Severe psychiatric or neurological disorders interfering with cooperation 3. Advanced malignant disease 4. Severe hepatic or renal dysfunction 5. Planned transfer to another institution 6. Participation in other clinical studies that could interfere with this trial