基于疾病风险等级评估的中医护理管理对骨质疏松骨折患者的影响

Effect of traditional Chinese medicine nursing management based on disease risk level assessment on the patients with osteoporosis and fractures

目的 探讨疾病风险等级结合中医护理管理模式对骨质疏松骨折患者的骨折率、生活质量的影响。方法 选取2022年1月—10月郴州市社区老年人骨质疏松骨折患者80例作为研究对象,按照组间资料均衡可比的原则将其分对照组和观察组,每组40例。对照组接受常规管理,观察组在对照组的基础上接受疾病风险等级结合中医护理管理模式干预。比较两组患者骨折率、骨密度指标、骨代谢指标、生活质量。结果 干预后骨折发生率观察组低于对照组,差异有统计学意义(P<0.05);骨密度指标干预前两组间比较无统计学意义(P>0.05),干预后观察组Wand三角区、腰椎骨L1-4、股骨颈骨密度比对照组高,差异有统计学意义(P<0.05);骨代谢指标干预前组间数据比较差异无统计学意义(P>0.05),干预后观察组PIINP、BALP低于对照组,组间比较差异有统计学意义(P<0.05);ECOS-16评分干预前组间差异比较无统计学意义(P>0.05),干预后观察组ECOS-16评分更高,差异有统计学意义(P<0.05);干预后观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 疾病风险等级结合中医护理管理模式对骨质疏松骨折患者进行干预,能更好地改善患者机体骨密度和骨代谢状况,降低骨折发生概率,确保患者生活质量更为良好,也对医患双方和谐关系发展有积极意义。

Objective To explore the impact of disease risk level combined with traditional Chinese medicine health management mode on the fracture rate and quality of life of osteoporotic fracture patients.Methods A total of 80 elderly patients with osteoporosis and fracture in the community of Chenzhou city from January to October 2022 were selected as the research subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable data between groups,with 40 cases in each group.The control group received routine management,while the observation group received intervention based on disease risk level combined with traditional Chinese medicine health management mode on the basis of the control group.Compare the fracture rate,bone density indicators,bone metabolism indicators,and quality of life between the two groups of patients.Results After intervention,the incidence of fracture in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant diff erence in bone density indicators between the two groups(P>0.05).After intervention,the Wand triangle,lumbar spine bone L1-4,and femoral neck bone density in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant diff erence in bone metabolism indicators between the two groups(P>0.05).After intervention,the PIINP and BALP in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in ECOS-16 score between the two groups(P>0.05).After intervention,the ECOS-16 score in the observation group was higher than that in the control group, and the diff erence was statistically significant(P<0.05). After intervention, the incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion The combination of disease risk level and traditional Chinese medicine health management model can better improve the body bone density and bone metabolism status of patients with osteoporosis and fracture, reduce the probability of fracture occurrence, ensure better quality of life for patients, and have positive signifi cance for the development of harmonious relationship between doctors and patients.