基于奥马哈理念的延续护理对老年髋部骨折出院后恢复及生活质量的影响  

Effect of the extended care based on the Omaha system on the discharge recovery and quality of life in elderly patients with hip fractures

作　　者：王艺文 WANG Yiwen(The First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院,河北省张家口市075000

出　　处：《河北医药》2025年第3期521-524,共4页Hebei Medical Journal

摘　　要：目的探究基于奥马哈理念建立延续护理对老年髋部骨折出院后恢复及生活质量的影响。方法选取2023年1至12月收治的老年髋部骨折患者58例为研究对象,使用随机数字表法将所有患者分为对照组和研究组,每组29例。对照组给予常规出院指导,研究组使用奥马哈理念建立延续护理方案。比较2组患者出院时及出院后3个月营养状态、自我效能、髋关节功能、生活质量及不良事件发生率。结果出院时2组营养状态指标、GSES评分、康复训练依从性、Harris髋关节功能评分、Barthel指数、生活质量无显著差异(P>0.05),出院后1个月,研究组血清总蛋白(TP)、血红蛋白(Hb)水平、GSES评分、康复训练依从性高于对照组,TF水平低于对照组(P<0.05),出院后3个月,研究组Harris髋关节功能评分、Barthel指数、生活质量评分高于对照组(P<0.05);研究组不良事件发生率低于对照组(P<0.05)。结论基于奥马哈理念建立延续护理有助于改善老年髋部骨折患者营养状态,提高患者自我效能及髋关节功能,减少患者不良事件,提高患者生活质量。Objective To explore the effects of the extended care based on the Omaha system on the discharge recovery and quality of life in elderly patients with hip fracture.Methods A total of 58 elderly patients with hip fractures admitted to our hospital from January 2023 to December 2023 were selected as the study objects.They were randomly divided into the control group and study group by random number table method,with 29 cases in each group.Patients in the control group were given routine discharge guidance,and those in the study group were given the extended care based on the Omaha system.Nutritional status,self-efficacy,hip function,quality of life and incidence of adverse events at discharge and 3 months after discharge were compared between the two groups.Results At discharge,there were no significant differences in nutritional status index,the General Self-Efficacy Scale(GSES)score,rehabilitation training compliance,the Harris Hip Score(HHS),Barthel index(BI)and quality of life between the two groups(P>0.05).One month after discharge,serum total protein(TP),hemoglobin(Hb),GSES score and rehabilitation training compliance in the study group were significantly higher than those of the control group,while the transferrin(TF)level was significantly lower(P<0.05).The HHS,BI and quality of life score of study group were significantly higher than those of control group at 3 months after discharge(P<0.05).The incidence of adverse events in the study group was significantly lower than that of the control group(P<0.05).Conclusion Extended care based on the Omaha system helps improve the nutritional status of hip fractures in the elderly,improve self-efficacy,hip function and quality of life,and reduce adverse events.

关 键 词：奥马哈理念 延续护理 老年患者 髋部骨折 生活质量 

分 类 号：R473.6[医药卫生—护理学]