骨折联络服务在老年髋部脆性骨折患者中的应用  

The intervention effects of fracture liaison service in elderly patients with hip fragility fractures

作　　者：刘春香[1] 成传芳 赵晨[1] 翟洁婷 刘春兰 段功香[1] LIU Chunxiang;CHENG Chuanfang;ZHAO Chen;ZHAI Jieting;LIU Chunlan;DUAN Gongxiang

机构地区：[1]南华大学护理学院,湖南省衡阳市421001 [2]南华大学附属第二医院创伤骨科

出　　处：《中华护理杂志》2019年第9期1343-1348,共6页Chinese Journal of Nursing

基　　金：2018年南华大学研究生科学基金项目(2018KYY298)

摘　　要：目的探讨骨折联络服务在老年髋部脆性骨折患者中的应用效果。方法选取2018年3月—7月某三级甲等医院老年髋部脆性骨折患者106例,根据患者入院顺序依次编号,采用奇偶数字抓阄法,编号为奇数者纳入试验组(n=53),编号为偶数者纳入对照组(n=53)。试验组在常规护理基础上实施骨折联络服务,对照组实施常规护理。使用老年人衰弱评估量表比较两组衰弱程度、骨质疏松确诊情况和二次骨折发生情况。结果干预3个月后,试验组患者老年人衰弱评估量表的生理及心理衰弱维度得分低于对照组;干预6个月后,试验组生理、心理、认知维度得分及总分低于对照组,差异均有统计学意义(P<0.05)。重复测量方差分析结果显示,两组生理、认知维度得分及总分的组间效应、时间效应以及两者交互作用均有统计学意义(P<0.05)。干预3个月及6个月后,试验组骨质疏松确诊率均高于对照组,差异有统计学意义(P<0.05)。不同干预时期,两组二次骨折发生情况比较,差异无统计学意义(P>0.05)。结论骨折联络服务可降低老年髋部脆性骨折患者的衰弱程度,提高患者的骨质疏松确诊率。Objective To explore the intervention effects of fracture liaison service in elderly patients with hip fragility fractures.Methods Totally 106 patients with hip fragility fractures were selected in a tertiary hospital from March to July 2018. The patients were numbered according to the admission order. The odd-numbered digital grasping method was used to determine that patients with the odd numbers were included in the experimental group(n=53),and those with even numbers were included in the control group(n=53). The experimental group was given fracture liaison service on the basis of routine nursing and the control group was given routine nursing. The degree of frailty(Elderly Frailty Assessment Scale),osteoporosis diagnosis rate and secondary fracture incidence were compared between two groups.Results After 3 months of intervention,the scores of physiological and psychological frailty dimensions in the experimental group were lower than those in the control group. After 6 months of intervention,the scores of physiological,psychological,cognitive dimensions and frailty total score in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05). Repeated measurement analysis of variance results showed that the inter-group effect,time effect and interaction between the two groups of physiological,cognitive dimension score and frailty total score were statistically significant(P<0.05). After 3 months and 6 months of intervention,the diagnosis rate of osteoporosis in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05). There was no significant difference in the incidence of secondary fracture between two groups during different intervention periods(P>0.05).Conclusion Fracture liaison service can reduce the degree of frailty in elderly patients with hip fragility fractures,and improve the patients’ osteoporosis diagnosis rate.

关 键 词：髋骨折 老年人 护理评估 健康教育 护理实践模式 矫形外科护理 

分 类 号：R473.6[医药卫生—护理学]