老年骨折患者自我感受负担影响因素及支持性照护方案应用效果分析  

Analysis of influence on self-perceived burden and effect of supportive care model in elderly patients with fracture

作　　者：贾云洋 霍妍 梁小芹 毛梓瑾 杨明辉 Jia Yunyang;Huo Yan;Liang Xiaoqin;Mao Zijin;Yang Minghui(Department of Trauma Orthopedics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]首都医科大学附属北京积水潭医院创伤骨科,100035

出　　处：《骨科临床与研究杂志》2024年第6期332-337,共6页Journal Of Clinical Orthopedics And Research

基　　金：北京市医院管理中心“扬帆”计划临床技术创新项目(ZLRK202310);首都卫生发展专项项目(首发2022-1-2071)。

摘　　要：目的探究老年骨折患者症临床特征自我感受负担及支持性照护模型的应用效果。方法选取2022年1月至2023年1月期间在首都医科大学附属北京积水潭医院创伤骨科病区接受诊治的242例老年骨折患者为研究对象。收集患者的一般资料,包括性别、年龄、文化程度、婚姻状况、人均月收入、医疗付费方式、职业、骨折原因、骨折部位、骨折程度、主要照顾者以及主要照顾者的疾病情况。通过进行分析自我感受负担情况,分为无自我负担组和自我负担组,比较两组不同临床特征的差异;影响老年骨折患者自我负担的危险因素与老年骨折患者自我感受负担评分、生活质量进行Logistic回归分析;通过支持性照护模型护理方案对患者进行干预。结果文化程度、医疗付费方式、主要照顾者和主要照顾者健康状况是老年骨折患者产生自我感受负担的危险因素(P<0.05);相较于干预前,干预后老年骨折患者焦虑自评量表(SAS)、抑郁自评量表(SDS)心理评分和自我感受负担评分明显降低,生活质量评分明显升高(均P<0.05)。结论老年骨折患者发生自我感受负担的危险因素包括文化程度、医疗付费方式、主要照顾者和主要照顾者健康状况。对存在自我感受负担患者应用支持性照顾模型干预,可显著改善患者的不良心理评分和自我感受负担评分,提升患者生活质量。Objective To explore factor analysis of self-perceived burden and supportive care model in elderly patients with fracture.Methods In this study,242 elderly fracture patients who received consultation in Trauma orthopedics in Department of Trauma Orthopedics,Beijing Jishuitan Hospital,Capital Medical University from January 2022 to January 2023 were selected as study subjects.The general information and self-perceived burden scale scores of all the study subjects were collected.The patientswith self-perceived burden were intervened with supportive care model nursing program.The self-feeling burden was analyzed,and patients were divided into no self-burden group and self-burden group,and compared the differences of different clinical characteristics between the two groups.Logistic regression analysis of the risk factors affecting the self-burden of elderly patients with fracture compared with self-feeling burden scores,and the patients with self-perceived burden were intervened through the supportive care model nursing program.According to the self-burden situation,Results Logistic regression model was established,and the results showed that education level,medical payment method,main caregiver and health status of main caregiver were the risk factors for self-perceived burden in elderly patients with fracture(P<0.05).Compared with before intervention,the psychological scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and self-perceived burden score of elderly fracture patients significantly decreased after intervention,and the score of quality of life was significantly increased(all P<0.05).Conclusion The risk factors of self�perceived burden in elderly patients with fracture include education level,medical payment method,primary caregiver and health status of primary caregiver.The application of supportive care model intervention in patients with self-perceived burden can significantly improve the adverse psychological scores and self�perceived burden scores of patients,and improve the

关 键 词：老年人 症状群特点 自我感受负担 支持性照护模型 因素分析 统计学 

分 类 号：R47[医药卫生—护理学]