Abstract

Objective: To explore the impact of plan-do-check-act (PDCA) cycle intervention on negative emotion and rehabilitation effects in older adults after hip replacement. Methods: Between January 2019 and 2021, 100 elderly adults who underwent hip replacements were randomly divided into control ([Formula: see text]) and study groups ([Formula: see text]), respectively. The control group received routine nursing, whilst the study group underwent PDCA cycle interventions. Anxiety [self-rating anxiety scale [SAS]), depression (self-rating depression scale (SDS), hip function score (Harris score), daily living activities (ADL score), and adverse complication incidence before and after intervention were compared. Results: No significant difference ([Formula: see text]) in SDS and SAS scores occurred between groups before intervention, but were lower in both groups after intervention Moreover, study group scores were lower than control group ([Formula: see text]). Before intervention, there was no significant difference ([Formula: see text]) in Harris and ADL scores between groups. Scores of both groups increased following intervention, with the study group scoring higher than the control group ([Formula: see text]). Lower limb venous thrombosis, phobia, delirium, and other adverse complications were lower in the study group than in the control group ([Formula: see text]). Conclusion: PDCA is safe and effectively alleviates negative emotions, promotes limb function recovery, and improves the quality of life.

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