【摘要】 [目的]探讨延伸护理干预在老年髋部骨折骨质疏松二级预防中的临床作用。[方法]选择2012年11月—2014年12月我院骨科病区65岁以上髋部骨折合并骨质疏松的出院病人160例,随机分为对照组和干预组各80例。对照组给予常规出院随访,干预组在常规随访基础上给予骨质疏松二级预防的护理干预,比较干预后第1个月、第3个月、第6个月服药依从性、生活能力评及6个月内再次发生骨折的情况。[结果]干预组自理能力、药物治疗的依从性均优于对照组(P<0.05),再次骨折的发生率低于对照组,差异有统计学意义(P<0.05)。[结论]延伸护理干预能有效提高老年髋部骨折病人对治疗的依从性及骨质疏松的认知度,降低再次骨折的发生。更多还原

【Abstract】 Objective:To probe into the clinical effect of extended care intervention in secondary prevention of elderly hip fracture of osteoporosis.Methods:A total of 160 cases discharged patients with hip fracture complicated with osteoporosis from November 2012 to December 2014 in orthopedic ward over 65 years were randomly divided into control group and intervention group,80 cases in each.The patients in control group received routine discharge follow-up,the patients in intervention group received secondary prevention of osteoporosis nursing intervention on the basis of routine follow-up.Then to compare the medication compliance,and life ability score at the first month,third month and sixth month after intervention,and status of again fracture in six month.Results:Self-care ability and medication adherence of intervention group were better than that in control group(P<0.05),the incidence of again fractures was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:extended care can effectively improve the awareness of elderly hip fracture patients to treatment compliance and osteoporosis,to reduce the incidence of again fracture.更多还原