ESPCS宣教模式联合功能递进式康复护理在老年骨质疏松性胸腰椎骨折患者中的应用  

Application of ESPCS Education Model and Progressive Functional Rehabilitation Nursing in Elderly Patients with Osteoporotic Thoracolumbar Fractures

作　　者：张聪聪[1] 兰元梅 冯悦颖 陈天超 ZHANG Cong-cong;LAN Yuan-mei;FENG Yue-ying;CHEN Tian-chao(Beijing Peking Union Medical College Hospital,Beijing,100730,China;The Nursing Department of Peking Union Medical College Hospital,Beijing,100730,China)

机构地区：[1]北京协和医院国际医疗部,北京100730 [2]北京协和医院护理部,北京100730

出　　处：《中华养生保健》2025年第6期112-115,共4页CHINESE HEALTH CARE

基　　金：清华大学-北京协和医院合作专项(2019ZLH206)。

摘　　要：目的探讨老年骨质疏松性胸腰椎骨折(OTLF)患者应用讲解-模拟-练习-沟通-支持(ESPCS)宣教模式联合功能递进式康复护理的效果。方法选取2022年10月—2023年10月北京协和医院收治的老年OTLF患者82例为研究对象,以干预方法不同分成干预组(n=41)与对照组(n=41),对照组采用常规护理,干预组采用ESPCS宣教模式联合功能递进式康复护理,比较两组骨质疏松知识认知水平、疼痛程度、腰椎功能、日常生活能力、健康行为。结果干预后,两组骨质疏松知识认知评分均高于干预前,且干预组高于对照组,差异具有统计学意义(P<0.05);干预后,两组视觉模拟评分法(VAS)、Oswestry功能障碍指数量表(ODI)评分均低于干预前,且干预组低于对照组,差异具有统计学意义(P<0.05);干预后,两组日常生活活动量表(ADL)评分高于干预前,且干预组高于对照组,差异具有统计学意义(P<0.05);干预后,两组健康行为评分高于干预前,且干预组高于对照组,差异具有统计学意义(P<0.05)。结论ESPCS宣教模式联合功能递进式康复护理应用于老年OTLF患者,能够改善患者腰椎功能及其健康行为,提高骨质疏松知识认知水平、日常生活能力,缓解疼痛程度。Objective To explore the effect of using the ESPCS education model and progressive functional rehabilitation nursing in elderly patients with OTLF.Methods A total of 82 elderly OTLF patients from October 2022 to October 2023 who were admitted in Beijing Peking Union Medical College Hospital were selected,and divided into the intervention group(n=41,ESPCS education and progressive functional rehabilitation care)and the control group(n=41,routine nursing care)by diff erent intervention methods.The knowledge and cognitive level of osteoporosis,pain level,lumbar spine function,daily living ability,and health behavior in both groups were compared.Results After intervention,the cognitive scores of osteoporosis knowledge in both groups were increased,and in comparision of the control group,the intervention group was higher(P<0.05).After intervention,VAS and ODI scores in both groups were decreased,and in comparision of the control group,the intervention group was lower(P<0.05).After intervention,the ADL scores in both groups were increased,and in comparision of the control group,the intervention group was higher(P<0.05).After intervention,the health behavior scores in both groups were increased,and in comparision of the control group,the intervention group was higher(P<0.05).Conclusion The application of ESPCS education model and progressive functional rehabilitation nursing in elderly OTLF patients can improve lumbar spine function,healthy behavior,enhance knowledge and cognitive level of osteoporosis,daily living ability,and alleviate pain level.

关 键 词：老年骨质疏松性胸腰椎骨折 ESPCS宣教模式 功能递进式康复护理 

分 类 号：R248.2[医药卫生—中医临床基础]