J Educ Res Nurs. 2021; 18(4): 415-422 | DOI: 10.5152/jern.2021.05925

Care Requirements of Patients Undergoing Surgery Intervention due to the Femur Fracture according to Functional Health Patterns Model

Hesna Gürler
Division of Surgical Diseases Nursing, Department of Nursing, Sivas Cumhuriyet University School of Health Sciences, Sivas, Turkey

INTRODUCTION: This study was carried out as a descriptive in order to determine biopsychosocial and spiritual care requirements of patients who underwent surgery for femoral fracture using Functional Health Patterns and to establish anxiety and depression levels.
METHODS: The study was conducted in the orthopedics clinic in Sivas Cumhuriyet University Health Services Application and ResearchHospital with 52 patients. In the data analyses, frequencies, percentages, and the Chi-Square Test were used.
RESULTS: It was determined that all patients had impaired physical movement, 98.1% had self-care deficit, 94.1% had constipation, 86.5% had imbalanced nutrition less than body requirements, 84.6% experienced pain with a severity 5.29 ± 2.12, 82.7% had sleep deprivation, 59.6%had ineffective role performance, and 55.8% had disturbed body image. It was established that 46.2% of the patients experienced anxiety and 34.6% experienced depression. It was determined that the rates of anxiety were higher in individuals with constipation and diarrhea and inability to cope with stress; the rate of depression was higher in individuals with pain and the rates of both anxiety and depression were higher in individuals with impaired body image.
DISCUSSION AND CONCLUSION: The study found that nearly half of the participants experienced anxiety, individuals with constipation and diarrhea, and inability to cope with stress were risky groups for anxiety, individuals with pain were risky groups for depression, and individuals with impaired body image were risky groups for anxiety and depression. Orthopedic and traumatology nurses’ holistic assessment of the care requirements of patients with femoral fractures using models such as Functional Health Patterns, planning appropriate care interventions for these requirements, identifying risky groups in terms of anxiety and depression and taking initiatives to reduce possible risks will contribute to prevent complication, decrease mortality, morbidity, length of hospital stay, care costs and to increase care quality.

Keywords: Anxiety, Care requirements, Depression, Femur fracture, Functional Health Patterns, Nursing

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