多模式骨折联系服务在绝经后骨质疏松性股骨颈骨折患者中的应用效果  

Application effect of multimodal fracture liaison service in postmenopausal patients with osteoporotic femoral neck fractures

作　　者：王祎玮 庞芳芳 WANG Yi-wei;PANG Fang-fang

机构地区：[1]平顶山市第一人民医院骨科五病区,河南平顶山467000

出　　处：《中国疗养医学》2024年第6期24-28,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的 观察多模式骨折联系服务在绝经后骨质疏松性股骨颈骨折患者中的应用效果。方法 选取2020年10月至2022年8月平顶山市第一人民医院绝经后骨质疏松性股骨颈骨折患者98例,随机数字表分为两组,每组49例。对照组采取骨科常规护理,于此基础上观察组采取多模式骨折联系服务,观察两组干预前后自我效能、健康信念、健康行为、功能恢复情况[髋关节功能(Harris)、巴氏量表(MBI)]及再骨折发生率。结果 干预后观察组自我效能高于对照组(P<0.05);干预后观察组健康信念评分高于对照组(P<0.05);干预后观察组规律运动、经常日照、饮用牛奶行为比例高于对照组,饮料、浓茶行为比例低于对照组(P<0.05);干预后,观察组Harris、MBI评分高于对照组(P<0.05);观察组再骨折发生率为0(0/48)与对照组4.35%(2/46)相比,差异无统计学意义(P>0.05)。结论 多模式骨折联系服务应用于绝经后骨质疏松性股骨颈骨折患者,有助于增强患者健康信念和自我效能,协助其履行健康行为,促进肢体功能早期康复,但对于降低再骨折风险还需延长观察随访时间进一步验证。Objective To observe the application effect of multimodal fracture liaison service(FLS)in postmenopausal patients with osteoporotic femoral neck fractures.Methods A total of 98 postmenopausal patients with osteoporotic femoral neck fractures admitted in the First People's Hospital of Pingdingshan from October 2020 to August 2022 were selected.They were randomly divided into the control group and observation group,with 49 cases in each group.Patients in both groups were given orthopedic routine nursing,and those in the observation group were additionally given multimodal FLS.Self-efficacy,health belief,health behavior,functional recovery assessed by the Harris Hip Score(HHS)and the modified Barthel Index(MBI),and the incidence of refractures were observed in both groups before and after intervention.Results After intervention,the self-efficacy of observation group was significantly higher than that of control group(P<0.05).After intervention,the health belief of observation group was significantly higher than that of control group(P<0.05).After intervention,the proportions of patients with regular exercise,regular sunshine and drinking milk in the observation group were significantly higher than those of the control group,and the proportions of patients drinking beverage and strong tea were significantly lower than those of the control group(P<0.05).After intervention,the HHS and MBI in the observation group were significantly higher than those of the control group(P<0.05).The difference was not statistically significant in the incidence of refractures between the observation group and the control group(0[0/48]VS 4.35%[2/46],P>0.05).Conclusion The application of multimodal FLS in postmenopausal patients with osteoporotic femoral neck fractures can help enhance their health beliefs and self-efficacy,assist them to perform healthy behaviors,and promote early recovery of limb function.However,a further verification is needed to extend the observation and follow-up time to reduce the risk of refractures.

关 键 词：骨质疏松 股骨颈骨折 绝经 骨折联系服务 健康行为 再骨折 

分 类 号：R473.6[医药卫生—护理学]