老年骨质疏松性骨折的危险因素分析及护理对策.docVIP

老年骨质疏松性骨折的危险因素分析及护理对策 [摘要] 目的 探讨老年骨质疏松性骨折的相关危险因素及护理对策。 方法 选取我院2010年5月～2012年9月收治的60例老年骨质疏松性骨折患者作为研究对象，按照随机数字表法分为干预组与对照组各30例，干预组患者在对照组常规护理基础上加用干预性护理措施，治疗4周后，比较两组患者的治疗依从性和总有效率。 结果 干预组总依从率、总有效率均明显高于对照组，差异具有统计学意义（P 0.01）。 结论 对老年骨质疏松性骨折患者实施干预护理措施，可以有效提高治疗依从性和临床疗效，值得临床推广应用。 [关键词] 骨质疏松性骨折；危险因素；护理对策 [中图分类号] R473 [文献标识码] B [文章编号] 2095-0616（2013）13-142-02 The risk factors and nursing intervention of osteoporotic fracture in aged patients OU Xiaoming CHEN Lihua Department of Rehabilitation，the Peoples Hospital of Heshan City in Guangdong Province，Heshan 529700，China [Abstract] Objective To investigate the risk factors and nursing intervention of osteoporotic fracture in aged patients. Methods A total of 60 cases with osteoporotic fracture were studied as research models from May. 2010 to Sep.2012 in our hospital，and they were randomly divided into intervention group and control group according to the random number table，with 30 in each.The intervention group was given nursing intervention on the basis of control group，and the therapy compliance and total effect rates were compared between the two groups after 4 weeks`treatment. Results The therapy compliance and total effect rates in intervention group was obviously higher than that in control group， with a significant statistic difference（P 0.01）. Conclusion It can improve the therapy compliance and clinical effect for aged patients with osteoporotic fracture by carrying out nursing intervention measures. [Key words] Osteoporotic fracture；Risk factors；Nursing intervention 骨质疏松性骨折是由于老年人患有骨质疏松症后，造成骨密度下降、骨强度减低，受到轻微暴力甚至在日常活动中即可发生的骨折。这种骨折属于脆性骨折，也是一种病理性骨折，是骨质疏松症最为严重的后果。据有关调查[1-2]，骨质疏松性骨折以女性居多，60岁以上人群多发。常见的骨折部位为脊柱、髋部、桡骨远端和肱骨近端等。在骨质疏松性骨折治疗期间给予干预性护理措施可以有效的改善患者治疗依从性、提高治疗效果。本研究针对老年骨质疏松性骨折的危险因素及干预护理效果进行分析，报道如下。 1 资料与方法 1.1 一般资料 选取我院2010年5月～2012年9月收治的60例老年骨质疏松性骨折患者作为研究对象，按照随机数字表法分为干预组与对照组各30例，所有患者均经骨密度仪检测，结果骨密度低于正常同性别峰值骨量2.0标准差，确诊为骨质疏松性骨折。干预组30例患者中男13例，女17例；年龄62～85岁，平均（69.7±9.2）岁；骨折部位脊柱13例、髋部9例、桡骨5例，其他3例。对照组30例患者中男9例，女21例；年龄61～87岁，平均（70.2±