老年股骨脆性骨折患者基于骨折联络服务模式的出院计划干预研究

Intervention study of a discharge plan for elderly patients with femoral fragility fractures based on the fracture liaison service model

目的探讨基于骨折联络服务模式的出院计划对老年股骨脆性骨折患者的干预效果。方法将120例老年股骨脆性骨折患者按病区分为对照组和观察组各60例,对照组按常规临床护理路径实施围手术期护理和出院随访,观察组住院期间按常规临床护理路径实施围手术期护理,同时实施基于骨折联络服务模式的出院计划干预方案。结果对照组53例、观察组50例完成研究,出院后3个月和6个月,观察组功能锻炼依从性和Morisky服药依从性评分显著优于对照组,出院后9个月观察组居家跌倒发生率及新发脆性骨折再入院率显著低于对照组(均P<0.05)。结论基于骨折联络服务模式对老年股骨脆性骨折患者实施出院计划干预,有助于增强老年患者功能锻炼依从性和遵医行为,降低新发脆性骨折风险和居家跌倒发生率,从而提高患者远期生活质量。

Objective To investigate the effect of a discharge planning intervention based on the Fracture Liaison Services(FLS)model on elderly patients with femoral fragility fractures.Methods A total of 120 elderly patients with femoral fragility fractures were divided into the control group and the observation group according to the wards,with 60 cases in each group.The control group received perioperative nursing and discharge follow-up according to the routine clinical nursing pathway,while the observation group received perioperative nursing during hospitalization according to the routine clinical nursing pathway and implemented a discharge planning intervention program based on the FLS model.Results A total of 53 cases in the control group and 50 cases in the observation group completed the study.At 3 and 6 months after discharge,the functional exercise compliance and Morisky medication compliance scores in the observation group were significantly better than those in the control group,and the incidence of home falls and readmission rate of new fragility fractures in the observation group were significantly lower than those in the control group 9 months after discharge(all P<0.05).Conclusion The discharge planning intervention,based on the FLS model,can help enhance functional exercise compliance and medical compliance behavior among elderly patients with femoral fragility fractures.This intervention also reduces the risk of new fragility fractures and falls at home,ultimately improving the long-term quality of life for these patients.