家庭参与式护理模式在老年髋部脆性骨折患者延续护理中的应用

Application of family integrated care model in continuing care of elderly patients with brittle fracture of hip

目的探讨家庭参与式护理模式在老年髋部脆性骨折患者延续护理中的应用效果。方法选取2018年1月至12月江苏省泰兴市人民医院骨科老年髋部脆性骨折患者98例为研究对象,采用随机数字表法将其分为观察组和对照组,每组各49例。对照组实施常规延续护理服务,观察组在常规延续护理基础上实施家庭参与式护理服务。比较两组接受不同护理模式后自我效能水平、骨质疏松知识水平、Harris髋关节功能评分及二次骨折发生情况。结果整体分析发现:两组骨质疏松症自我效能评分及骨质疏松知识评分组间比较、时间点比较及交互作用差异均有统计学意义(P <0.05)。进一步两两比较,两组干预6个月与本组干预前及干预3个月比较,差异均有统计学意义(P <0.05),干预3、6个月两组同期各时间点自我效能水平、骨质疏松知识评分比较,差异有统计学意义(P <0.05)。干预3、6个月,两组Harris评分及二次骨折发生情况组内比较,差异有统计学意义(P <0.05)。干预3、6个月两组Harris评分及二次骨折发生情况比较,差异有统计学意义(P <0.05),观察组Harris评分均高于对照组(P <0.05),两组二次骨折发生情况比较,差异无统计学意义(P> 0.05)。结论家庭参与式护理模式可提高老年髋部脆性骨折患者自我效能水平,丰富骨质疏松知识,促进关节功能恢复,有利于患者康复。

Objective To explore the application effect of family integrated care mode in the continuing care of elderly patients with brittle fracture of hip.Methods A total of 98 elderly patients with brittle fracture of hip were selected from the Department of Orthopaedics of Taixing People’s Hospital of Jiangsu Province from January to December 2018.The group was divided into observation group and control group by random number table method,with 49 cases in each group.The control group received routine continuing care services,and the observation group was given family integrated care on the basis of routine continuing care.Self-efficacy,osteoporosis knowledge,Harris hip function score and secondary fracture were compared between the two groups after receiving different nursing modes.Results Overall analysis showed that there were significant differences in osteoporosis self-efficacy score and osteoporosis knowledge score between groups,time point comparison and interaction between the two groups(P < 0.05).Further pair comparison showed that the difference between the observation group and this group before and three months after intervention was statistically significant(P < 0.05),after three and six months of intervention,there were statistically significant differ-ences in self-efficacy level and knowledge score of osteoporosis between the two groups at each time point(P <0.05).There were statistically significant differences between the control group and this group before and three months after intervention(P < 0.05).After three and six months of intervention,there were statistically significant differences in Harris score and secondary fractureoccurrence between the two groups(P < 0.05).Harris score of observation group was higher than that of control group at different time points(P < 0.05),and there was no statistical significance in the occurrence of secondary fractures between the two groups(P > 0.05).Conclusion The family participation nursing model can improve the self-efficacy level of elderly patients with brittle fracture of hip,enrich the knowledge of osteoporosis,promote the recovery of joint function,and is beneficial to the rehabilitation of patients.