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To explore the causal relationship of postoperative fall fear, anxiety, and depression in elderly patients with hip fracture, and to provide reference basis for preventing fall fear and formulating individualized and phased intervention measures in elderly patients with hip fracture.
A total of 367 elderly patients with hip fracture hospitalized in the Department of Orthopedics of a tertiary hospital in Zhengzhou from January to July 2023 were selected by cluster sampling. The patients were investigated with the use of Falls Efficacy Scale-International (FES-I), the Generalized Anxiety Disorder 7 (GAD-7), and the Patient Health Questionnaire 9 (PHQ- 9) at the first time of getting out of bed after operation (T0), 3 months after operation (T1), and 6 months after operation (T2). Mplus 8.3 was used for cross-lagged analysis to explore the causal relationship and action direction among fall fear, anxiety, and depression.
(1) Postoperative fall fear, anxiety, and depression in elderly patients with hip fracture decreased. Fall fear was positively correlated with anxiety and depression, and anxiety and depression were also positively correlated. (2) T0 fall fear positively predicted T1 anxiety, and T1 fall fear significantly predicted T2 anxiety (β1=0.113, P<0.01; β2=0.278, P<0.01). (3) T0 fall fear significantly positively predicted T1 depression, and T1 fall fear significantly predicted T2 depression (β3=-0.133, P<0.05; β4=-0.124, P<0.05). (4) T0 anxiety significantly positively predicted T1 depression, and T1 anxiety significantly positively predicted T2 depression (β5=-0.119, P<0.05; β6=-0.136, P<0.05).
There is a causal relationship between postoperative fall fear, anxiety, and depression in elderly patients with hip fracture. Prevention of depression can start with their fall fear by actively helping elderly patients with hip fracture reduce fall fear, which is beneficial to their physical and mental health after operation.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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