老年股骨颈骨折患者术后生活质量的影响因素分析

Analysis of influencing factors of postoperative quality of life in elderly patients with femoral neck fracture

目的分析老年股骨颈骨折患者术后生活质量的影响因素。方法回顾性选取2021年1月至2022年12月九江市第一人民医院收治的155例股骨颈骨折患者作为研究对象,并对影响患者术后生活质量的因素进行分析。结果两组年龄、家庭平均月收入、体重指数、Harris评分比较,差异有统计学意义(P<0.05)。多因素分析显示,年龄≥70岁(β=-3.914,OR=2.278,95%CI:1.006~5.155),家庭平均月收入<2500元(β=0.823,OR=2.719,95%CI:1.143~6.464),BMI≥24 kg/m^(2)(β=1.526,OR=4.598,95%CI:1.729~12.229),Harris评分<70分(β=1.927,OR=6.866,95%CI:2.586~18.235),自我效能感低(β=1.653,OR=5.225,95%CI:2.152~12.682)是老年股骨颈骨折患者术后生活质量的危险因素。结论老年股骨颈骨折患者术后生活质量受其年龄、家庭平均月收入、BMI、Harris评分、自我效能感影响,临床可以此进行针对性干预。

Objective To analyze the influencing factors of postoperative quality of life in elderly patients with displaced femoral neck fractures.Methods A total of 155 patients with femoral neck fractures treated in Jiujiang No 1 people's Hospital between January 2021 to December 2022 were retrospectively selected for the study,and factors affecting the patients'postoperative quality of life were analyzed.Results There were statistically significant differences in age,average monthly honsehold income,body mass index(BMI)and Harris score between the two groups.On multivariate analysis,age≥70 years(β=-3.914,OR=2.278,95%CI:1.006-5.155),and average monthly household income<2500 yuan(β=0.823,OR=2.719,95%CI:1.143-6.464),BMI≥24 kg/m^(2)(β=1.526,OR=4.598,95%CI:1.729-12.229),Harris score<70 point(β=1.927,OR=6.866,95%CI:2.586-18.235),and low self-efficacy(β=1.653,OR=5.225,95%CI:2.152-12.682)were risk factors for postoperative QOL in elderly patients with a displaced femoral neck fracture.Conclusion Elderly patients with femoral neck fractures experience poor postoperative quality of life influenced by their age,average monthly household income,BMI,Harris score,and self-efficacy,which can be targeted clinically.