协同护理模式在绝经后骨质疏松患者中的应用效果

Application effect of collaborative nursing mode in postmenopausal patients with osteoporosis

目的探讨协同护理模式在绝经后骨质疏松患者中的应用效果。方法选择48例绝经后骨质疏松症患者为研究对象,根据掷硬币法随机分为对照组和观察组,各24例。对照组实施常规护理,观察组实施协同护理模式。比较护理前后两组骨代谢情况、自护能力以及生活质量水平。结果护理前,两组患者骨代谢指标比较,差异无统计学意义(P>0.05);护理后,两组患者骨保护素水平均高于护理前,且观察组高于对照组;两组患者骨碱性磷酸酶、Ⅰ型胶原C端肽水平均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理前,两组自我护理能力测定量表(ESCA)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分比较,差异无统计学意义(P>0.05);护理后,两组ESCA、WHOQOL-BREF评分均高于护理前,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论绝经后骨质疏松症患者实施协同护理模式,可改善患者骨代谢水平,提高患者的生活质量和自我照护能力,值得临床推广与应用。

Objective To explore the application effect of collaborative nursing mode in postmenopausal patients with osteoporosis. Methods A total of 48 postmenopausal patients with osteoporosis were randomly divided into control group and observation group by coin toss, with 24 patients in each group. The control group received routine nursing and the observation group received collaborative nursing. Bone metabolism, self-care ability and quality of life were compared between the two groups before and after nursing. Results Before nursing, there was no statistical significance in bone metabolism indexes between two groups(P>0.05). After nursing, osteophosphtin levels in two groups were higher than before, and observation group was higher than control group. The levels of bone alkaline phosphatase and C-terminal peptide of type Ⅰ collagen in two groups were lower than before care,and observation group was lower than control group, the differences were statistically significant(P<0.05). Before nursing, there was no significant difference in the Exercise of Aelf-care Agency Scale(ESCA) and World Health Organization Quality of Life-BREF(WHOQOL-BREF) scores between the two groups(P>0.05). After nursing, ESCA and WHOQOL-BREF scores in two groups were higher than before nursing, and observation group were higher than control group, the differences were statistically significant(P<0.05).Conclusion The implementation of collaborative nursing mode in postmenopausal patients with osteoporosis can improve the level of bone metabolism, improve the quality of life and self-care ability of patients, and is worthy of clinical promotion and application.