A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory

QU Huiwu; ZHEN Qiyun; SU Zhou; CUI Lili; DAI Tingting; DOU Hongmei

doi:10.16766/j.cnki.issn.1674-4152.004038

Volume 23 Issue 6

Jun. 2025

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QU Huiwu, ZHEN Qiyun, SU Zhou, CUI Lili, DAI Tingting, DOU Hongmei. A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory[J]. Chinese Journal of General Practice, 2025, 23(6): 942-945. doi: 10.16766/j.cnki.issn.1674-4152.004038

Citation:

QU Huiwu, ZHEN Qiyun, SU Zhou, CUI Lili, DAI Tingting, DOU Hongmei. A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory[J]. Chinese Journal of General Practice, 2025, 23(6): 942-945. doi: 10.16766/j.cnki.issn.1674-4152.004038

Citation:

QU Huiwu, ZHEN Qiyun, SU Zhou, CUI Lili, DAI Tingting, DOU Hongmei. A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory[J]. Chinese Journal of General Practice, 2025, 23(6): 942-945. doi: 10.16766/j.cnki.issn.1674-4152.004038

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A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory

doi: 10.16766/j.cnki.issn.1674-4152.004038

QU Huiwu^{1, 2}
, ZHEN Qiyun^{1
,
,}
, SU Zhou¹
, CUI Lili¹
, DAI Tingting¹
, DOU Hongmei²

1.
Department of Orthopaedics, People′s Hospital Affiliated to Jiangsu University, Zhenjiang, Jiangsu 212000, China

Funds:

LGY2020064

Received Date: 2024-09-18
Available Online: 2025-09-04

Abstract

Abstract

Objective The occurrence of joint motor limitation, vascular complications such as deep vein thrombosis of the lower extremities, anxiety, depression and other negative emotions in elderly total hiparthroplasty (THA) patients are all closely related to their rehabilitation exercise. Therefore, it is very important to do a good job in managing the rehabilitation exercise nursing management of elderly THA patients. This study conducted interviews from the perspective of cognitive behavioral theory. By exploring the differentiated real experiences of elder THA patients in the process of rehabilitation exercise, it provided a reference for the clinical construction of individualized and full-cycle rehabilitation exercise programs. Methods Purposive sampling was used to select elderly THA patients treated at the People's Hospital Affiliated to Jiangsu University from March to April 2023 as research subjects. Semi-structured interviews were conducted with the patients, and 18 patients were eventually interviewed. Directed content analysis was used to analyze the data and refine the themes. Results Three themes could be deduced for the full cycle rehabilitation exercise needs of elderly THA patients, (1) bias of cognitive level before surgery (self-cognitive health needs; family and emotional support needs; preparation and use needs of surgery-related items; confidence and belief needs of rehabilitation exercise). (2) Different needs in the initial rehabilitation exercise after surgery (different needs in acquiring knowledge about disease rehabilitation; self-care needs in life; exercise needs). (3) Different needs in home rehabilitation exercise after discharge (networked continuous care needs; external environment support needs). Conclusion Elderly THA patients have different problems and needs at in different stages of rehabilitation exercise. Healthcare professionals should take the cognitive-behavioral theory as a guide, provide personalized guidance, pay attention to their physical and mental feelings, and build a tripartite "healthcare professionals-peers-family" rehabilitation exercise support system for elderly THA patients, so as to adapt to the rehabilitation cognition and needs at different stages of the disease, and improve patients' compliance of patients with rehabilitation exercise.
- Total hip arthroplasty,
- Rehabilitation exercise,
- Cognitive behavioral therapy,
- Elderly,
- Qualitative study

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References(21)

References

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A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory

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A qualitative study on the rehabilitation exercise needs of elderly hip arthroplasty patients throughout the entire care continuum from the perspective of cognitive behavioral theory

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