老年跌倒骨折后住院患者住院状况与护理需求的相关性研究  

Study on the Correlation Between Hospitalization Status and Nursing Needs in the Elderly after Falls and Fractures

作　　者：杨玫 YANG Mei(Department of international medicine,People's hospital of inner Mongolia autonomous region,Hohhot,Inner Mongolia O10017)

机构地区：[1]内蒙古自治区人民医院国际医疗部,内蒙古呼和浩特010017

出　　处：《中国伤残医学》2024年第8期138-141,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨与分析老年跌倒骨折后住院患者住院状况与护理需求的相关性.方法:采取便利整群抽样的方法,选择2022年1月—2023年1月在本院进行诊治的76例老年跌倒骨折后住院患者为研究对象,调查与记录所有患者的一般资料、护理服务需求、住院状况并进行相关性与多因素分析.结果:76例患者中对护理服务需求各维度评分分别为:情感支持(17.24±1.79)分、尊重沟通(17.62±1.43)分、信息(16.84±1.42)分、优质护理照顾(17.09±1.58)分,总分为(70.82±1.78)分.76例患者最短住院时间4 d,最长14 d,平均住院时间(8.29±0.14)d,住院时间≧8 d 38例;住院期间发生并发症9例,发生率为11.8%,其中褥疮1例、静脉血栓2例、感染2例、尿潴留4例.不同受教育水平、年龄、子女状况、医保状况、住院时间、住院期间并发症患者的护理服务需求总分对比,差异有统计学意义(P<0.05).Spearman分析显示护理服务需求总分与住院时间、并发症等存在相关性(P<0.05).多元逐步回归分析显示受教育水平、年龄、子女状况、医保状况、住院时间、住院期间并发症为影响患者护理服务需求总分的重要因素(P<0.05).结论:老年跌倒骨折患者对于护理的需求程度处于较高水平,与患者的住院状况存在相关性,受教育水平、年龄、子女状况、医保状况、住院时间、住院期间并发症为影响患者护理服务需求总分的重要因素.Objective:To explore and analyze the correlation between hospitalization status and nursing needs of elderly patients with fractures caused by falls.Methods:Using the convenient cluster sampling method,76 elderly inpatients after fall fractures who were diagnosed and treated in our hospital from January 2022 to January 2023 were selected as the research objects.The general data,nursing service needs and hospitalization status of all patients were investigated and recorded,and the correlation and multivariate analysis were conducted.Results:Among the 76 patients,the scores of each dimension of nursing service demand were:emotional support(17.24±1.79)points,respect and communication(17.62±1.43)points,information(16.84±1.42)points,quality nursing care(17.09±1.58)points,and the total score was(70.82±1.78)points.The shortest hospital stay of 76 patients was 4 days,the longest was 14 days,the average hospital stay was(8.29±0.14)d,and 38 patients had hospital stay≥8 d.Complications occurred in 9 cases(11.8%)during hospitalization,including 1 case of bedsore,2 cases of venous thrombosis,2 cases of infection,and 4 cases of urinary retention.There were statistically significant differences in the total scores of nursing service needs of patients with different education levels,ages,children's status,medical insurance status,length of hospital stay,and complications during hospitalization(P<0.05).Spearman analysis showed that the total score of nursing service demand was correlated with the length of hospital stay and complications(P<0.05).Multiple stepwise regression analysis showed that education level,age,children's status,medical insurance status,length of hospital stay and complications during hospitalization were important factors affecting the total score of nursing service demand of patients(P<0.05).Conclusion:The nursing needs of elderly patients with fractures caused by falls are at a high level,which is correlated with the hospitalization status of patients.The education level,age,children's status,medica

关 键 词：跌倒骨折 老年人 护理服务需求 住院状况 相关性 影响因素 受教育水平 

分 类 号：R473.6[医药卫生—护理学]