Improving Pain and Sleep Quality in Elderly Hip Fracture Patients with Collaborative Nursing and Intensive Sleep Care

Abstract

Objective:To analyse the effect of a collaborative nursing model combined with multidimensional intensive sleep care on
pain and sleep quality in elderly patients with hip fractures.
Method: The study was conducted at the Nanjing First Hospital, Nanjing Medical University, China, from January 2023 to
January 2024, and comprised elderly patients with hip fractures who were randomised into experimental group A receiving
collaborative nursing combined with multidimensional intensive sleep care, and control group B receiving routine nursing
combined with collaborative nursing. Sleep quality, pain intensity, serum factor levels, negative emotions, quality of life,
and complication rates were compared between the groups. Data was analysed using SPSS 23.
Results: Of the 90 patients, 45(50%) were in group A; 27(60%) males and 18(40%) females with mean age 68.53±3.29 years
(range: 60-81 years). In group B, there were 45(50%) patients; 26(57.8%) males and 19(42.2%) females with mean age
69.68±3.04 years (range: 61-80 years). (p>0.05). At baseline, there were no significant differences with respect to pain
intensity and sleep quality between the groups (p>0.05). Following the intervention, group A demonstrated significantly
lower scores than group B (p<0.05). Prostaglandin E2 and tumour necrosis factor-alpha levels showed a more pronounced
change in group A than in group B (p<0.05). Depression and anxiety decreased in both the groups, but the drop in group
A was more significant than group B (p<0.05). Group A had higher quality of life scores and lower complication rates
compared to group B (p<0.05).
Conclusion: The collaborative nursing model combined with multidimensional intensive sleep care effectively alleviated
pain, and improved negative emotions, quality of life, and sleep quality in elderly patients with hip fractures.
Keywords: Collaborative nursing, Multidimensional intensive care, Hip fracture, Pain, Sleep quality.