康复干预在增加骨质疏松性骨折患者二级预防知识和减少跌倒发生率中的作用

Rehabilitation Intervention in Osteoporotic Patients Increased two Grade Prevention Knowledge and Reduce the Incidence of Falls in the Role of Fracture

目的:探讨康复干预对提高骨质疏松性骨折患者二级预防知识掌握情况以及降低跌倒发生率的效果。方法:选择本院于2015年5月-2016年5月收治的骨质疏松性骨折患者110例进行分析研究,采用随机数字表方法将其分为试验组与对照组,每组各55例。两组手术治疗后,给予对照组常规护理,给予试验组常规护理联合康复干预,比较两组患者对二级预防知识的掌握情况以及跌倒发生率。结果:试验组患者对二级预防知识的掌握情况明显好于对照组(P<0.05),尤其在跌倒预防对策方面差异更为显著;随访12个月,试验组和对照组发生跌倒分别为3例(5.45%)和12例(21.82%),两组比较差异有统计学意义(P<0.05);试验组与对照组跌倒危险性评分分别为(3.15±1.13)分和(4.98±1.09)分(P<0.05)。结论:对骨质疏松骨折患者采取康复干预可有显著提高其对二级预防知识的掌握,明显降低跌倒的发生率,适合进行推广使用。

Objective： To explore the rehabilitation intervention to improve osteoporosis knowledge and two grade prevention and reduce the incidence of falls with the effect of fracture.Method： 110 patients with osteoporotie fractures in our hospital from May 2015 to May 2016 were selected, according the random number table method they were divided into experimental group and control group, 55 cases in each group.The two groups after surgical treatment, the control group received routine nursing care, the experimental group received routine nursing intervention combined with rehabilitation, the grasp of situation with two grade prevention knowledge and the incidence of falls of two groups were compared.Result： The patients in the experimental group of two grade prevention knowledge was significantly better than the control group （ P〈0.05 ）, especially in fall prevention measures more significant difference.After 12 months follow-up, the incidence of falls in the experimental groupand the control group were resectively 3 cases （ 5.45% ） and 12 cases （ 21.82% ）, the differences were statistically significant （ P〈0.05 ） .The fall risk scores of the experimental group and the control group were respectively （ 3.15 ± 1.13 ） and （ 4.98 ± 1.09 ） points （ P〈0.05 ） .Conclusion： The rehabilitation intervention for the osteoporotic fracture patients can significantly improve their knowledge of the two prevention, and significantly reduce the incidence of falls, which is suitable for promotion.