老年骨质疏松性髋部骨折患者术后互联网+技术联络服务模式的应用研究  

Research on the application of Internet + technical liaison service model in elderly osteoporotic hip fractures patients after surgery

作　　者：蒋莹卿[1] 王洁[2] 童亚慧 朱红霞[1] 程敏[1] 冯晓兰[1] 高卉[1] 张霞芬 Jiang Yingqing;Wang Jie;Tong Yahui;Zhu Hongxia;Cheng Min;Feng Xiaolan;Gao Hui;Zhang Xiafen(Orthopedics Department,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Orthopedics Department,Dushu Lake Hospital,Soochow University,Suzhou 215125,China)

机构地区：[1]苏州大学附属第一医院骨科,苏州215006 [2]苏州大学附属独墅湖医院骨科,苏州215125

出　　处：《中国实用护理杂志》2022年第22期1684-1689,共6页Chinese Journal of Practical Nursing

基　　金：苏州市级科技计划项目(SYSD2020100)。

摘　　要：目的:探讨互联网+技术联络服务模式对老年骨质疏松性髋部骨折患者术后延续护理的效果。方法:选取苏州大学附属第一医院骨科2018年7月至2019年12月收治的老年骨质疏松性髋部骨折患者92例,采用随机数字表法分为干预组和对照组各46例,出院后对照组给予常规院外随访,干预组由骨科专科护士基于互联网+技术居家骨科护理平台为主导实施延续管理。所有患者随访至术后6个月,比较2组患者术后1、3、6个月的髋关节功能(Harris)评分、疼痛数字评分量表(NRS)、Barthel指数、生命质量评分(SF-36)的差异。结果:干预组患者术后1、3、6个月的Harris评分分别为(49.74±4.28)、(76.59±4.33)、(90.78±2.61)分,对照组患者分别为(46.17±3.85)、(74.26±4.24)、(88.65±2.17)分,2组比较差异有统计学意义(t=-4.20、-2.60、-4.26,均P<0.05);干预组患者术后1、3、6个月的NRS评分分别为(1.33±0.47)、(0.83±0.38)、(0.76±0.43)分,对照组患者分别为(1.61±0.54)、(0.96±0.42)、(0.84±0.38)分,2组NRS评分比较仅在术后1个月时差异有统计学意义(t=2.68,P<0.01);干预组患者术后1、3、6个月的Barthel指数评分分别为(61.74±8.90)、(93.80±5.29)、(98.26±2.83)分,对照组患者分别为(60.33±5.81)、(91.09±7.52)、(97.83±3.10)分,2组Barthel指数评分比较仅术后3个月时差异有统计学意义(t=-2.00,P<0.05);干预组患者术后1、3、6个月生命质量评分分别为(93.73±3.89)、(100.26±3.77)、(107.50±3.56)分,对照组患者分别为(92.67±3.42)、(97.71±2.67)、(103.68±2.83)分,2组在术后3、6个月比较差异有统计学意义(t=-3.74、-5.71,均P<0.05)。结论:骨科专科护士主导实施的院内多学科团队合作+基于互联网+技术居家骨科护理平台实施的延续管理,能够改善老年骨质疏松性髋部骨折患者术后的髋关节功能,缓解疼痛,提高生命质量。Objective To explore the effect of Internet+technical liaison service mode on the postoperative continuing nursing of elderly patients with osteoporotic hip fractures.Methods A total of 92 elderly patients with osteoporotic hip fractures who were admitted into in Orthopaedics Department of the First Affiliated Hospital of Soochow University from July 2018 to December 2019 were selected,and randomly divided into intervention group and control group by random number table method,with 46 cases in each group.The control group was given routine follow-up outside hospital,while the intervention group was given the continuing nursing led by the orthopedic specialist nurses based on the Internet+Technology home orthopedic care platform.All patients were followed up to 6 months after operation,and the differences of Harris Hip Score(Harris),Numeric Rating Scales(NRS),Barthel Index,Short Form 36-item Health Survey(SF-36)between the two groups were compared.Results The Harris scores were 49.74±4.28,76.59±4.33 and 90.78±2.61 in the intervention group,and 46.17±3.85,74.26±4.24 and 88.65±2.17 in the control group in 1,3 and 6 months after operation,respectively.The differences were statistically significant(t=-4.20,-2.60,-4.26,all P<0.05).The NRS scores in the intervention group were 1.33±0.47,0.83±0.38 and 0.76±0.43 in 1,3 and 6 months after operation respectively,while the NRS scores in the control group were 1.61±0.54,0.96±0.42 and 0.84±0.38,respectively.The difference in pain scores between the two groups was statistically significant only at 1 month after operation(t=2.68,P<0.05).The Barthel Index in the intervention group were 61.74±8.90,93.80±5.29 and 98.26±2.83 in 1,3 and 6 months after operation respectively,while those of the control group were 60.33±5.81,91.09±7.52 and 97.83±3.10,respectively.The difference in Barthel Index between the two groups was statistically significant only in 3 months after operation(t=-2.00,P<0.05).The scores of SF-36 in the intervention group were 93.73±3.89,100.26±3.77

关 键 词：骨质疏松性骨折 髋骨折 老年人 互联网+技术 联络服务模式 

分 类 号：R473.6[医药卫生—护理学]