Objective To explore the effect of a specialized nurse-led therapeutic communication model on medication adherence of patients with fragility fractures after discharge from the hospital. Methods: In this study, 114 fragility fracture patients admitted to the orthopedic ward of a tertiary hospital in Guangdong Province from December 2022 to July 2023 were selected as the study subjects. The control group received routine inpatient health education. For the intervention group, specialized nurses implemented a structured therapeutic communication model during hospitalization. This included: 1. Establishing trust with patients through relational communication. 2. Conducting a comprehensive health assessment using evaluative communication. 3. Providing personalized health education based on the assessment results (therapeutic communication). 4. Feeding back the assessment results to physicians to assist in formulating personalized treatment plans. Additionally, specialized nurses conducted telephone follow-ups at 1 and 3 months post-discharge. Each follow-up involved: Re-establishing trust with patients (relational communication), assessing bone health maintenance and medication adherence (evaluative communication). Providing tailored health guidance to address identified issues (therapeutic communication). Results: The intervention group, which received the specialized nurse-led therapeutic communication model, showed significantly greater improvement in medication adherence at 1 and 3 months post-discharge compared to the control group. Medication adherence improved progressively over time in the intervention group. Conclusion: The specialized nurse-led therapeutic communication model significantly enhances medication adherence in fragility fracture patients post-discharge, outperforming traditional health education and communication approaches.
| Published in | American Journal of Nursing Science (Volume 14, Issue 2) |
| DOI | 10.11648/j.ajns.20251402.11 |
| Page(s) | 22-29 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Therapeutic Communication, Fragility Fracture, Compliance
| [1] | Weily Wang. Therapeutic communication system [M]. Beijing: People's Health Publishing House, 2013. |
| [2] | Moykari MJ, Sinaga MR, Sakke' V, Patrisia I, Sinaga CRA. Nurses' knowledge and therapeutic communication in hospital. Rev Bras Enferm. 2023 Nov 27; 76(5): e20220617. |
| [3] | Kudubes AA, Ayar D, Zengin H. Therapeutic communication skills level among students undertaking the pediatric nursing course and the associated influencing factors. J Pediatr Nurs. 2023 Nov-Dec; 73: 34-43. |
| [4] | Shen XQ, Zhang W, Wang JJ. Conceptual analysis of orthopedic specialty nurse liaison in fracture liaison services [J]. Journal of Nurse Advancement, 2024, 39(11): 1127-1131+1137. |
| [5] | Zeng J, Gao Y, Hou C, Liu T. The impact of doctor-patient communication on medication adherence and blood pressure control in patients with hypertension: a systematic review. PeerJ. 2024 Nov 28; 12: e18527. |
| [6] | Elmore CE, Elliott M, Schmutz KE, etal. Assessing Patient Readiness for Hospital Discharge, Discharge Communication, and Transitional Care Management. J Am Board Fam Med. 2024 Jul-Aug; 37(4): 706-736. |
| [7] | Zhang, S. Y., Bai, L. Q., Tan, H. Z., et al. Application of Morisky Medication Adherence Scale in Patients with Pulmonary Tuberculosis [J]. Chinese Journal of Antituberculosis, 2010, 32(09): 527-530. |
| [8] | Xue W, Heffernan C. Therapeutic communication within the nurse-patient relationship: A concept analysis. Int J Nurs Pract. 2021, 27(6): e12938. |
| [9] | Chen, Z. Analysis of the Impact of Therapeutic Communication on Medication Adherence in Patients with Chronic Heart Failure. Clinical Medicine Literature Electronic Journal, 2020, 7(30), 60. |
| [10] | Zheng, M. Q., Li, Z. M., Yu, R. W., et al. Impact of Picture-Text Communication Education Combined with Therapeutic Communication on Symptom Relief Time and Treatment Adherence in Children with Allergic Rhinitis. Chronic Diseases Journal, 2024, 25(01), 129-132. |
| [11] | Lee HJ, Park BM, Shin MJ, Kim DY. Therapeutic Communication Experiences of Nurses Caring for Patients with Hematology. Healthcare (Basel). 2022 Nov 30; 10(12): 2403. |
| [12] | Song M, Song YM. The Effect of Shared Decision-Making by Mental Health Nurses on Medication Adherence in Patients with Alcohol Use Disorders: Provider-Patient Communication Pathway Model. J Health Commun. 2023 Nov 2; 28(11): 777-788. |
| [13] | Zhao, Y., & Peng, G. L. Observation on the Implementation Effect of Specialist Nurse-Led Fracture Liaison Service in Elderly Patients with Hip Fractures. Chinese Nursing Management, 2020, 20(12), 1893-1897. |
APA Style
Li, Y., Chen, W., Hong, Y., Hong, J., Chen, H. (2025). Impact of an Orthopedic Nurse Specialist-Led Therapeutic Communication Model on Medication Adherence in Patients with Fragility Fractures: Emphasizing the Role of Nurse-Led Interventions. American Journal of Nursing Science, 14(2), 22-29. https://doi.org/10.11648/j.ajns.20251402.11
ACS Style
Li, Y.; Chen, W.; Hong, Y.; Hong, J.; Chen, H. Impact of an Orthopedic Nurse Specialist-Led Therapeutic Communication Model on Medication Adherence in Patients with Fragility Fractures: Emphasizing the Role of Nurse-Led Interventions. Am. J. Nurs. Sci. 2025, 14(2), 22-29. doi: 10.11648/j.ajns.20251402.11
AMA Style
Li Y, Chen W, Hong Y, Hong J, Chen H. Impact of an Orthopedic Nurse Specialist-Led Therapeutic Communication Model on Medication Adherence in Patients with Fragility Fractures: Emphasizing the Role of Nurse-Led Interventions. Am J Nurs Sci. 2025;14(2):22-29. doi: 10.11648/j.ajns.20251402.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajns.20251402.11,
author = {Yanfei Li and Wenyan Chen and Yinxia Hong and Jie Hong and Huixuan Chen},
title = {Impact of an Orthopedic Nurse Specialist-Led Therapeutic Communication Model on Medication Adherence in Patients with Fragility Fractures: Emphasizing the Role of Nurse-Led Interventions
},
journal = {American Journal of Nursing Science},
volume = {14},
number = {2},
pages = {22-29},
doi = {10.11648/j.ajns.20251402.11},
url = {https://doi.org/10.11648/j.ajns.20251402.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20251402.11},
abstract = {Objective To explore the effect of a specialized nurse-led therapeutic communication model on medication adherence of patients with fragility fractures after discharge from the hospital. Methods: In this study, 114 fragility fracture patients admitted to the orthopedic ward of a tertiary hospital in Guangdong Province from December 2022 to July 2023 were selected as the study subjects. The control group received routine inpatient health education. For the intervention group, specialized nurses implemented a structured therapeutic communication model during hospitalization. This included: 1. Establishing trust with patients through relational communication. 2. Conducting a comprehensive health assessment using evaluative communication. 3. Providing personalized health education based on the assessment results (therapeutic communication). 4. Feeding back the assessment results to physicians to assist in formulating personalized treatment plans. Additionally, specialized nurses conducted telephone follow-ups at 1 and 3 months post-discharge. Each follow-up involved: Re-establishing trust with patients (relational communication), assessing bone health maintenance and medication adherence (evaluative communication). Providing tailored health guidance to address identified issues (therapeutic communication). Results: The intervention group, which received the specialized nurse-led therapeutic communication model, showed significantly greater improvement in medication adherence at 1 and 3 months post-discharge compared to the control group. Medication adherence improved progressively over time in the intervention group. Conclusion: The specialized nurse-led therapeutic communication model significantly enhances medication adherence in fragility fracture patients post-discharge, outperforming traditional health education and communication approaches.
},
year = {2025}
}
TY - JOUR T1 - Impact of an Orthopedic Nurse Specialist-Led Therapeutic Communication Model on Medication Adherence in Patients with Fragility Fractures: Emphasizing the Role of Nurse-Led Interventions AU - Yanfei Li AU - Wenyan Chen AU - Yinxia Hong AU - Jie Hong AU - Huixuan Chen Y1 - 2025/03/13 PY - 2025 N1 - https://doi.org/10.11648/j.ajns.20251402.11 DO - 10.11648/j.ajns.20251402.11 T2 - American Journal of Nursing Science JF - American Journal of Nursing Science JO - American Journal of Nursing Science SP - 22 EP - 29 PB - Science Publishing Group SN - 2328-5753 UR - https://doi.org/10.11648/j.ajns.20251402.11 AB - Objective To explore the effect of a specialized nurse-led therapeutic communication model on medication adherence of patients with fragility fractures after discharge from the hospital. Methods: In this study, 114 fragility fracture patients admitted to the orthopedic ward of a tertiary hospital in Guangdong Province from December 2022 to July 2023 were selected as the study subjects. The control group received routine inpatient health education. For the intervention group, specialized nurses implemented a structured therapeutic communication model during hospitalization. This included: 1. Establishing trust with patients through relational communication. 2. Conducting a comprehensive health assessment using evaluative communication. 3. Providing personalized health education based on the assessment results (therapeutic communication). 4. Feeding back the assessment results to physicians to assist in formulating personalized treatment plans. Additionally, specialized nurses conducted telephone follow-ups at 1 and 3 months post-discharge. Each follow-up involved: Re-establishing trust with patients (relational communication), assessing bone health maintenance and medication adherence (evaluative communication). Providing tailored health guidance to address identified issues (therapeutic communication). Results: The intervention group, which received the specialized nurse-led therapeutic communication model, showed significantly greater improvement in medication adherence at 1 and 3 months post-discharge compared to the control group. Medication adherence improved progressively over time in the intervention group. Conclusion: The specialized nurse-led therapeutic communication model significantly enhances medication adherence in fragility fracture patients post-discharge, outperforming traditional health education and communication approaches. VL - 14 IS - 2 ER -
Department of Spinal and Trauma, The First Affiliated Hospital of Jinan University, Guangzhou, China
Department of Spinal and Trauma, The First Affiliated Hospital of Jinan University, Guangzhou, China
Department of Spinal and Trauma, The First Affiliated Hospital of Jinan University, Guangzhou, China
Center for Orthopedics and Sports Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China
Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Information