Abstract

Background: This study aimed to assess the effectiveness of a responsibility system integrated holistic care model during the perioperative period in elderly patients with hip fractures.

Methods: We retrospectively analyzed the clinical data of 104 patients with hip fractures who underwent surgical treatment at our hospital between July 2019 and January 2021. Based on different nursing protocols, patients were categorized into a control group (CG, n = 50, received routine care) and a research group (RG, n = 54, received a responsibility system integrated holistic care model). Perioperative indicators, hip joint function, functional  independence, balance, quality of life, treatment compliance, and nursing quality were compared between the two groups.

Results: The RG demonstrated significantly shorter periods for admission to surgery, fracture healing time, return to normal walking, and postoperative hospital stay than the CG (p < 0.05); The RG had higher post-intervention Harris Hip scores, Functional Independence Measure scores, Berg Balance Scale score, Short Form 36 score, and ServQual scale score than the CG (p < 0.05). The overall treatment compliance rate was higher in the RG (96.30%) than in the CG (80.00%), and the complication rate was lower in RG (9.26%) than in the CG (26.00%) (p < 0.05).

Conclusion: Application of a responsibility-based integrated nursing model in the perioperative period of elderly  patients with hip fractures showed significant nursing effects. It can enhance treatment compliance, shorten fracture healing time, improve hip joint function and balance ability, enhance functional independence, improve the quality of life, and reduce complications.