Empowerment-based comprehensive nursing to improve recovery after hip fracture surgery in older adults
| ISRCTN | ISRCTN11094208 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN11094208 |
| Sponsor | Jinzhou Medical University |
| Funder | Jinzhou Medical University |
- Submission date
- 05/03/2026
- Registration date
- 13/03/2026
- Last edited
- 11/03/2026
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Injury, Occupational Diseases, Poisoning
Plain English summary of protocol
Background and study aims
Hip fracture is common in older adults and often leads to loss of independence, poor quality of life, and medical complications after surgery. Although enhanced recovery after surgery (ERAS) programs improve perioperative care, many older patients still experience delayed recovery and complications after discharge. This study aims to evaluate whether an empowerment-based comprehensive nursing program can improve recovery outcomes in older patients undergoing hip fracture surgery.
Who can participate?
Patients aged 65 years and above, diagnosed with hip fracture through radiological examination, planning to undergo surgical treatment, able to communicate or having a fixed caregiver, and who can be followed up for 3 months.
What does the study involve?
Participants are randomly assigned to one of two groups. The control group receives standard ERAS-based nursing care. The intervention group receives the same standard care plus an empowerment-based comprehensive nursing program (EBCN), including individualized goal setting, daily review of recovery goals, structured education on complication prevention, a discharge checklist, home exercise guidance, and follow-up support after discharge. Patients are assessed for hip function, quality of life, self-efficacy, rehabilitation progress, and complications during hospitalization and up to 90 days after surgery.
What are the possible benefits and risks of participating?
Participants may benefit from improved rehabilitation support and postoperative recovery. Risks are minimal because all treatments are based on standard clinical care, and the intervention mainly involves nursing guidance and education.
Where is the study run from?
Jinzhou Medical University (China)
When is the study starting and how long is it expected to run for?
April 2024 to July 2025
Who is funding the study?
Jinzhou Medical University (China)
Who is the main contact?
Mr Jinxia Wang, 1174439915@qq.com
Contact information
Public, Principal investigator, Scientific
Junhe Jinchen Residence, Kundulun District
Baotou
014010
China
 ORCID ID |
0009-0000-6006-1663 |
|---|---|
| Phone | +86 (0)15661516949 |
| 1174439915@qq.com |
Study information
| Primary study design | Interventional | |
|---|---|---|
| Allocation | Randomized controlled trial | |
| Masking | Blinded (masking used) | |
| Control | Active | |
| Assignment | Parallel | |
| Purpose | Treatment | |
| Scientific title | 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 | |
| Study acronym | EBCN-HIP | |
| Study objectives | To evaluate whether empowerment-based comprehensive nursing (EBCN), delivered within a standardized Enhanced Recovery After Surgery (ERAS) framework, improves postoperative functional recovery at 90 days in older adults undergoing hip fracture surgery. | |
| Ethics approval(s) |
Approved 10/04/2024, Ethics Committee, Jinzhou Medical University (Junhe Jinchen Residence, Kundulun District, Baotou, 014010, China; +86 (0)4163675056; kjcA@jzmu.edu.cn), ref: JZNULL2025472 | |
| Health condition(s) or problem(s) studied | Hip fracture in older adults | |
| Intervention | 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. | |
| Intervention type | Behavioural | |
| Primary outcome measure(s) |
| |
| Key secondary outcome measure(s) |
| |
| Completion date | 30/07/2025 |
Eligibility
| Participant type(s) | |
|---|---|
| Age group | Senior |
| Lower age limit | 65 Years |
| Upper age limit | 120 Years |
| Sex | All |
| Target sample size at registration | 150 |
| Total final enrolment | 130 |
| Key inclusion criteria | 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 |
| Key exclusion criteria | 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 |
| Date of first enrolment | 20/04/2024 |
| Date of final enrolment | 20/04/2025 |
Locations
Countries of recruitment
- China
Study participating centres
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not expected to be made available |
| IPD sharing plan |
Editorial Notes
05/03/2026: Study's existence confirmed by the Ethics Committee, Jinzhou Medical University.
