个性化居家护理方案在老年骨质疏松症患者中的应用
|
摘要
目的:探讨个性化居家护理方案在老年骨质疏松症患者中的应用方法与效果。方法:将190例行椎体后凸成形术(KP)治疗的老年骨质疏松性椎体压缩骨折(OVCF)患者随机分为观察组与对照组各95例,对照组仅采取常规术后随访干预,观察组在此基础上实施个性化居家护理方案。比较干预前及干预1个月后,两组疾病认知水平、跌倒风险、自我效能感、自护能力、生活质量变化情况。结果:干预1个月后,两组骨质疏松知识测试(OKT)、骨质疏松症自我效能量表(OSES)、自我护理能力量表(ESCA)各项评分及总分均较干预前提升,且观察组高于同期对照组(P<0.05);两组跌倒风险评估量表(FRAQ)、中国人骨质疏松生活质量简表(COQOL)各项评分及总分均较干预前下降,且观察组低于同期对照组(P<0.05)。结论:个性化居家护理可有效提高老年OVCF患者术后生活质量,促进患者预后康复。
Objective: To explore the application and effect of individualized home care program in elderly patients with osteoporosis.Methods: A total of 160 cases of senile osteoporotic vertebral compression fractures( OVCF) treated by kyphoplasty( KP) were randomly divided into observation group and control group,80 cases in each group. The control group only adopted routine postoperative follow-up intervention,and the observation group implemented personalized home care program on this basis. The changes of disease cognition,fall risk,self-efficacy,self-care ability and quality of life were compared between the two groups before and after intervention for one month. Results: After 1 month of intervention,the scores of the Osteoporosis Knowledge Test( OKT),Osteoporosis Self-Efficacy Energy Scale( OSES),Self-care Capacity Scale( ESCA) and total scores were higher than those before the intervention,and the observation group was higher than the control group( P < 0. 05); the scores of the fall risk assessment scale( FRAQ) and the Chinese osteoporosis quality of life profile( COQOL) and the total scores of the two groups were lower than those before the intervention,and the observation group was lower than the control group( P < 0. 05). Conclusion: Personalized home care can effectively improve the quality of life of elderly patients with OVCF and promote their prognosis.
Objective: To explore the application and effect of individualized home care program in elderly patients with osteoporosis.Methods: A total of 160 cases of senile osteoporotic vertebral compression fractures( OVCF) treated by kyphoplasty( KP) were randomly divided into observation group and control group,80 cases in each group. The control group only adopted routine postoperative follow-up intervention,and the observation group implemented personalized home care program on this basis. The changes of disease cognition,fall risk,self-efficacy,self-care ability and quality of life were compared between the two groups before and after intervention for one month. Results: After 1 month of intervention,the scores of the Osteoporosis Knowledge Test( OKT),Osteoporosis Self-Efficacy Energy Scale( OSES),Self-care Capacity Scale( ESCA) and total scores were higher than those before the intervention,and the observation group was higher than the control group( P < 0. 05); the scores of the fall risk assessment scale( FRAQ) and the Chinese osteoporosis quality of life profile( COQOL) and the total scores of the two groups were lower than those before the intervention,and the observation group was lower than the control group( P < 0. 05). Conclusion: Personalized home care can effectively improve the quality of life of elderly patients with OVCF and promote their prognosis.
引文
[1]胡秀民.椎体后凸成形术治疗老年骨质疏松性椎体压缩性骨折63例临床护理[J].齐鲁护理杂志,2018,24(4):65-68.
[2]孙霞.老年骨质疏松发生再次骨折的危险因素评估及护理干预[J].实用临床医药杂志,2016,20(2):80-82.
[3]印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志,2015,21(6):643-648.
[4]甘萍,迟中海,李培杰,等.新形式健康教育对老年骨质疏松病人生活质量影响[J].齐鲁医学杂志,2017,32(1):78-81.
[5]荣晓旭,姜宇,梁晓莉,等.保护动机理论在老年骨质疏松性脊柱骨折患者中的应用[J].中华现代护理杂志,2017,23(23):2953-2956.
[6]林巧旋,尤映彬.以患者为中心的系统化健康教育在围绝经期及绝经后骨质疏松症患者中的运用[J].临床与病理杂志,2017,37(5):1013-1018.
[7]柏燕,丁文鸽.基于量化评估策略下的保护性动机干预对老年骨质疏松患者自护能力、认知水平及生活质量的影响[J].中国老年学杂志,2018,38(5):1145-1147.
[8]何藻鹏,杨德鸿,李丽.中国人骨质疏松症生存质量简明量表的编制与信效度[J].南方医科大学学报,2014,34(11):1637-1641.
[9]邓育红,杨玉玲,赵坚.延续性护理在骨质疏松椎体压缩性骨折患者中的应用[J].中华现代护理杂志,2017,23(22):2885-2887.
[10]王春昕,杨利丽,李秋菊.健康教育对骨质疏松性骨折患者生活方式及生存质量的影响[J].检验医学与临床,2016,13(4):537-539.
[11]李国平,李可贵,姜娜.3种模式整合式健康教育对社区中老年人骨质疏松症的干预效果[J].护理学报,2015,22(2):68-71.
[12]何雪梅,李志华,叶志鹏.家居安全评估及护理干预对预防老年脆性骨折发生的影响[J].实用医学杂志,2013,29(12):2035-2037.
[13]刘璐,孟华,李惠玲,等.老年原发性骨质疏松症患者现况调查及自我管理模式的构建[J].护士进修杂志,2014,29(19):1763-1765.
[14]刘璐,眭文洁,李惠玲,等.老年骨质疏松患者椎体骨折后知识、信念和自我效能的测量与分析[J].中国实用护理杂志,2014,30(27):10-13.
[15]丁庆彬,李艳双,吴怀兰,等.骨质疏松性椎体压缩性骨折术后老年患者生活质量及其影响因素研究[J].护理管理杂志,2018,18(2):77-80,101.
[2]孙霞.老年骨质疏松发生再次骨折的危险因素评估及护理干预[J].实用临床医药杂志,2016,20(2):80-82.
[3]印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指南[J].中国骨质疏松杂志,2015,21(6):643-648.
[4]甘萍,迟中海,李培杰,等.新形式健康教育对老年骨质疏松病人生活质量影响[J].齐鲁医学杂志,2017,32(1):78-81.
[5]荣晓旭,姜宇,梁晓莉,等.保护动机理论在老年骨质疏松性脊柱骨折患者中的应用[J].中华现代护理杂志,2017,23(23):2953-2956.
[6]林巧旋,尤映彬.以患者为中心的系统化健康教育在围绝经期及绝经后骨质疏松症患者中的运用[J].临床与病理杂志,2017,37(5):1013-1018.
[7]柏燕,丁文鸽.基于量化评估策略下的保护性动机干预对老年骨质疏松患者自护能力、认知水平及生活质量的影响[J].中国老年学杂志,2018,38(5):1145-1147.
[8]何藻鹏,杨德鸿,李丽.中国人骨质疏松症生存质量简明量表的编制与信效度[J].南方医科大学学报,2014,34(11):1637-1641.
[9]邓育红,杨玉玲,赵坚.延续性护理在骨质疏松椎体压缩性骨折患者中的应用[J].中华现代护理杂志,2017,23(22):2885-2887.
[10]王春昕,杨利丽,李秋菊.健康教育对骨质疏松性骨折患者生活方式及生存质量的影响[J].检验医学与临床,2016,13(4):537-539.
[11]李国平,李可贵,姜娜.3种模式整合式健康教育对社区中老年人骨质疏松症的干预效果[J].护理学报,2015,22(2):68-71.
[12]何雪梅,李志华,叶志鹏.家居安全评估及护理干预对预防老年脆性骨折发生的影响[J].实用医学杂志,2013,29(12):2035-2037.
[13]刘璐,孟华,李惠玲,等.老年原发性骨质疏松症患者现况调查及自我管理模式的构建[J].护士进修杂志,2014,29(19):1763-1765.
[14]刘璐,眭文洁,李惠玲,等.老年骨质疏松患者椎体骨折后知识、信念和自我效能的测量与分析[J].中国实用护理杂志,2014,30(27):10-13.
[15]丁庆彬,李艳双,吴怀兰,等.骨质疏松性椎体压缩性骨折术后老年患者生活质量及其影响因素研究[J].护理管理杂志,2018,18(2):77-80,101.