Effect of HBM Rehabilitation Exercises on Depression, Anxiety and Health Belief in Elderly Patients with Osteoporotic Fracture.

Abstract

Guided by the health belief model (HBM), this study provided elderly patients with osteoporotic fracture with health education concerning osteoporosis (OP) prevention, carried out rehabilitation exercises based on HBM, and evaluated the intervention effect of HBM rehabilitation exercises, to offer a scientific basis for improving the prognosis of elderly patients with OP fracture. A total of 162 elderly patients with OP fracture treated in three third-grade general hospitals of Jiangsu Province from January 2016 to September 2016 participated in this study. According to the minimization random allocation method, the patients were divided into two groups: the conventional rehabilitation group and the HBM rehabilitation group, with 81 patients in each group. After three months of intervention, the two groups were compared in terms of anxiety, depression, OP knowledge, and OP health belief. After 3 months of intervention, the anxiety and depression scores decreased in both groups. Both anxiety and depression scores of the HBM rehabilitation group were higher than those of the conventional rehabilitation group, with statistically significant differences (P<0.001). The increases in the OP knowledge score and OP health belief score of the HBM rehabilitation group were higher than those of the conventional rehabilitation group, with statistically significant differences (P<0.001). HBM-based rehabilitation exercises alleviate negative emotions in elderly patients with osteoporotic fracture and improve their OP knowledge and health belief scores.