{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:17:47Z","timestamp":1787026667150,"version":"build-2736575974"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Objective<\/jats:title>\n The study aimed to unveil the impact of evidence-based nursing (EBN) based on Watson\u2019s theory on rehabilitation compliance in elderly patients with intertrochanteric femur fractures.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A prospective randomized controlled trial design was adopted. Eighty elderly patients with intertrochanteric femur fractures were randomly divided into a control group (received routine intervention), and an observation group (received EBN intervention based on Watson\u2019s theory), with 40 cases in each group. Pain levels were assessed using the Visual Analog Scale (VAS) at 3 days, 7 days, and 1 month post-surgery. Postoperative outcomes, including weight-bearing walking time, fracture healing time, and hospital stay, were compared. Quality of life was evaluated using the WHOQOL-BREF. Rehabilitation adherence was assessed based on training content, duration, intensity, initiative, and completion. Patient satisfaction with care was measured using a custom satisfaction survey. Harris Hip Score (HHS) was adopted to assess joint function recovery. Complications were recorded for both groups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The observation group had significantly lower VAS scores (\n P<\/jats:italic>\n &lt; 0.01), shorter weight-bearing walking time, fracture healing time, and hospital stay (\n P<\/jats:italic>\n &lt; 0.01). The observation group showed higher WHOQOL-BREF scores, better rehabilitation adherence, higher satisfaction, and higher HHS (\n P<\/jats:italic>\n &lt; 0.01). Besides, the observation group had fewer complications (\n P<\/jats:italic>\n &lt; 0.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n EBN based on Watson\u2019s theory in elderly patients with intertrochanteric femur fractures can reduce postoperative pain and complications, improve hip joint function, enhance quality of life, and result in better postoperative recovery, with overall significant effectiveness.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1714184","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:46:54Z","timestamp":1779770814000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of evidence-based nursing intervention based on Watson\u2019s theory on rehabilitation compliance in elderly patients after intertrochanteric femur fracture surgery"],"prefix":"10.3389","volume":"13","author":[{"given":"Kun","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaqiong","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical University, Xuzhou","place":["Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1186\/s12891-020-03593-8","article-title":"Revision surgery due to failed internal fixation of intertrochanteric femoral fracture: current state-of-the-art.","volume":"21","author":"Liu","year":"2020","journal-title":"BMC Musculoskelet Disord."},{"key":"B2","article-title":"Intertrochanteric femur fracture.","volume-title":"Statpearls.","author":"Attum","year":"2025"},{"key":"B3","first-page":"836","article-title":"Efficacy and related factors of artificial femoral head replacement for femoral intertrochanteric fracture and nonunion: a systematic review and meta-analysis.","volume":"29","author":"Liu","year":"2023","journal-title":"Altern Ther Health Med."},{"key":"B4","first-page":"36","article-title":"Barbed proximal femoral nailing system for isolated intertrochanteric femur fractures: operative outcomes.","volume":"32","author":"Hoyt","year":"2023","journal-title":"J Surg Orthop Adv."},{"key":"B5","first-page":"139","article-title":"Analysis of EBN interventions in the perioperative period of minimally invasive surgery for intrahepatic and extrahepatic bile duct stones.","volume":"28","author":"Yang","year":"2022","journal-title":"Altern Ther Health Med."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e19183","DOI":"10.1097\/MD.0000000000019183","article-title":"Effect of evidence-based nursing intervention on upper limb function in postoperative radiotherapy patients with breast cancer.","volume":"99","author":"Wang","year":"2020","journal-title":"Medicine."},{"key":"B7","doi-asserted-by":"publisher","first-page":"e02","DOI":"10.17533\/udea.iee.v41n3e02","article-title":"Transpersonal caritas relationship: a new concept from the unitary caring science framework of Jean Watson.","volume":"41","author":"Delgado-Galeano","year":"2023","journal-title":"Invest Educ Enferm."},{"key":"B8","volume-title":"Nursing: The philosophy and science of caring","author":"Watson","year":"1979"},{"key":"B9","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1186\/s12913-023-09725-9","article-title":"Impact of Watson\u2019s human caring-based health promotion program on caregivers of individuals with schizophrenia.","volume":"23","author":"Bagheri","year":"2023","journal-title":"BMC Health Serv Res."},{"key":"B10","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/HNP.0000000000000435","article-title":"Bridging healing and therapy: a mixed-methods study on support group intervention based on Watson\u2019s theory of human caring.","volume":"35","author":"Gonen Senturk","year":"2021","journal-title":"Holist Nurs Pract."},{"key":"B11","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1097\/HNP.0000000000000525","article-title":"Exploring alternate visions of caring in a world of social distancing.","volume":"36","author":"Long","year":"2022","journal-title":"Holist Nurs Pract."},{"key":"B12","doi-asserted-by":"publisher","first-page":"2719","DOI":"10.1007\/s11136-023-03411-3","article-title":"Use of the visual analogue scale for health state valuation: a scoping review.","volume":"32","author":"Astrom","year":"2023","journal-title":"Q Life Res."},{"key":"B13","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1023\/B:QURE.0000018486.91360.00","article-title":"The World Health Organization\u2019s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A Report from the WHOQOL Group.","volume":"13","author":"Skevington","year":"2004","journal-title":"Q Life Res."},{"key":"B14","doi-asserted-by":"publisher","first-page":"19939","DOI":"10.1038\/s41598-022-24177-7","article-title":"An innovative scoring system for predicting an excellent Harris hip score after proximal femoral nail anti-rotation in elderly patients with intertrochanteric fracture.","volume":"12","author":"Phruetthiphat","year":"2022","journal-title":"Sci Rep."},{"key":"B15","doi-asserted-by":"publisher","first-page":"97","DOI":"10.32725\/jab.2020.013","article-title":"Automatic multi-class intertrochanteric femur fracture detection from CT images based on AO\/OTA classification using faster R-CNN-BO method.","volume":"18","author":"Yoon","year":"2020","journal-title":"J Appl Biomed."},{"key":"B16","first-page":"7944","article-title":"Effect of evidence-based nursing intervention on diet and pain after subtotal gastrectomy.","volume":"13","author":"Geng","year":"2021","journal-title":"Am J Transl Res."},{"key":"B17","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1177\/0898010116675462","article-title":"Guided imagery for pain management in postoperative orthopedic patients: an integrative literature review.","volume":"35","author":"Carpenter","year":"2017","journal-title":"J Holistic Nurs."},{"key":"B18","first-page":"9479","article-title":"Application effects of evidence-based nursing in pain nursing of advanced lung cancer.","volume":"13","author":"Shen","year":"2021","journal-title":"Am J Transl Res."},{"key":"B19","doi-asserted-by":"publisher","first-page":"497","DOI":"10.4103\/ijnmr.ijnmr_266_23","article-title":"The effects of nursing care based on Watson\u2019s theory on self-care ability in patients with congestive heart failure.","volume":"30","author":"Babaei","year":"2025","journal-title":"Iran J Nurs Midwifery Res."},{"key":"B20","first-page":"178","article-title":"Application of nursing intervention based on Watson theory in elderly patients with intertrochanteric fractures of femur.","volume":"21","author":"Wen","year":"2024","journal-title":"China Med Herald."},{"key":"B21","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1177\/10784535241291050","article-title":"Improving patient experience and team engagement with environmental services: application of Watson\u2019s theory of human caring.","volume":"30","author":"Montana-Rhodes","year":"2024","journal-title":"Creat Nurs."},{"key":"B22","first-page":"396","article-title":"Evidence-based nursing intervention can improve the treatment compliance, quality of life and self-efficacy of patients with lung cancer undergoing radiotherapy and chemotherapy.","volume":"14","author":"Zhang","year":"2022","journal-title":"Am J Transl Res."},{"key":"B23","first-page":"14","article-title":"Effect of using the active cycle of breathing technique combined with Watson\u2019s theory of human caring in rapid patient rehabilitation following lung cancer surgery.","volume":"29","author":"Ji","year":"2023","journal-title":"Altern Ther Health Med."},{"key":"B24","doi-asserted-by":"publisher","first-page":"517","DOI":"10.3233\/BMR-220161","article-title":"Observation of the clinical effectiveness of evidence-based nursing for patients with a vertebral osteoporotic fracture.","volume":"36","author":"Li","year":"2023","journal-title":"J Back Musculoskelet Rehab."},{"key":"B25","doi-asserted-by":"publisher","first-page":"3069","DOI":"10.12998\/wjcc.v10.i10.3069","article-title":"Evidence-based intervention on postoperative fear, compliance, and self-efficacy in elderly patients with hip fracture.","volume":"10","author":"Fu","year":"2022","journal-title":"World J Clin Cases."},{"key":"B26","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3760\/cma.j.cn115682-20210623-02739","article-title":"Effect of nursing based on Watson humanistic care theory in elderly patients with severe fractures.","volume":"28","author":"Chen","year":"2022","journal-title":"Chin J Modern Nurs."},{"key":"B27","doi-asserted-by":"publisher","first-page":"2651","DOI":"10.2147\/CIA.S562419","article-title":"An evidence-based exercise program for total hip arthroplasty rehabilitation in geriatric patients with femoral neck fractures: a Delphi study.","volume":"20","author":"Gao","year":"2025","journal-title":"Clin Intervent Aging."},{"key":"B28","doi-asserted-by":"publisher","first-page":"795","DOI":"10.3109\/17453677508989266","article-title":"Trochanteric femoral fractures treated with McLaughlin osteosynthesis.","volume":"46","author":"Jensen","year":"1975","journal-title":"Acta Orthopaed Scand."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1714184\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T04:47:03Z","timestamp":1779770823000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1714184\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,26]]},"references-count":28,"alternative-id":["10.3389\/fmed.2026.1714184"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1714184","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,26]]},"article-number":"1714184"}}