Effects of Enhanced Recovery After Surgery-Based Nursing on Kinesiophobia and Anxiety-Depression in Elderly Patients After Hip Arthroplasty: A Retrospective Cohort Study

Abstract

Background: Elderly patients undergoing hip arthroplasty frequently experience postoperative pain, limited mobility, and negative psychological states, which adversely affect rehabilitation outcomes. This study aimed to investigate the effect of Enhanced Recovery After Surgery (ERAS) on kinesiophobia, anxiety, and depression in elderly patients after hip arthroplasty.

Methods: A single-centre retrospective cohort study of 132 elderly patients who underwent hip arthroplasty was conducted. Relevant data were extracted from the hospital medical record system. Based on the documented nursing approach, patients were classified into a control group that received routine nursing and a study group that received ERAS-based nursing. Kinesiophobia, anxiety, depression, hope level, hip function, health-promoting lifestyle, pain intensity, and quality of life were assessed using Tampa Scale for Kinesiophobia (TSK), Hamilton Anxiety Scale (HAMA), 17-item Hamilton Depression Scale (HAMD17), Herth Hope Index (HHI), Harris Hip Score (HHS), Health-Promoting Lifestyle Profile II (HPLP-II), and Visual Analogue Scale (VAS), as recorded in the medical records before and after nursing intervention.

Results: There were no significant differencesin baseline characteristics or pre-nursing care scores between the two groups (p > 0.05). After nursing care, both groups showed significant improvements in all outcomes (p < 0.05). Specifically, the study group demonstrated significantly lower TSK, HAMA, HAMD-17, and VAS scores and higher HHI, HHS, and HPLP-II scores compared with the control group (p < 0.05).

Conclusions: The findings of this study suggest that ERAS-based nursing may alleviate negative emotions, reduce pain, promote functional recovery, and improve quality of life in elderly patients after hip arthroplasty.