老年脆性骨折患者健康赋权现况及影响因素分析

Health empowerment of elderly fragility fracture patients and its influencing factors

目的探讨老年脆性骨折患者健康赋权现况,并分析其影响因素。方法随机抽取衡阳市4所三甲医院,用研究者自行设计的一般情况调查表、老年人衰弱评估量表、骨质疏松症自我效能量表(OSES)、老年慢性疾病患者健康赋权量表对2017年10月—2018年2月在骨科住院的176例老年脆性骨折患者进行调查。使用多元线性回归分析探讨患者健康赋权的影响因素。结果老年脆性骨折患者健康赋权得分为(89.00±14.31)分,以责任信念维度(3.74±0.88)分最高。患者的健康赋权与衰弱呈负相关(r=-0.576,P<0.01),与自我效能呈正相关(r=0.496,P<0.01)。多元线性回归分析显示,年龄、文化程度、医疗付费方式、衰弱及自我效能是影响患者健康赋权的主要因素(P<0.05)。结论护理人员应重视老年患者的健康赋权能力,并给予个性化的护理,加强老年脆性骨折患者的健康赋权能力。

Objective To explore the current situation of health empowerment of elderly fragility fracture patients and to analyze its influencing factors.MethodsWe selected four ClassⅢGrade A hospitals randomly in Hengyang.From October 2017 to February 2018,a total of 176 elderly fragility fracture inpatients were investigated with the self-designed general information questionnaire,Elderly Frailty Assessment Scale,Osteoporosis Self-Efficacy Scale(OSES),Health Empowerment Scale for Elderly Patients with Chronic Disease.Multiple linear regression analysis was used to explore the influencing factors of health empowerment of patients.ResultsThe score of health empowerment of elderly fragility fracture patients was(89.00±14.31)and responsibility belief dimension was with the highest score(3.74±0.88).Patients'health empowerment had a negative correlation with the frailty(r=-0.576,P<0.01)and had a positive correlation with the self-efficacy(r=0.496,P<0.01).Multiple linear regression analysis showed that the main influencing factors of health empowerment of patients included ages,education levels,medical payment methods,frailty and self-efficacy(P<0.05).ConclusionsNurses should pay attention to patients'health empowerment ability and provide the individualized nursing to strengthen the health empowerment ability of elderly fragility fracture patients.