中国当代医药2024,Vol.31Issue(14) :110-114.

老年髋部骨折患者术后居家康复的相关影响因素分析

Analysis of related influencing factors of home rehabilitation in elderly patients with hip fracture after operation

张田琴 曾晶山
中国当代医药2024,Vol.31Issue(14) :110-114.

老年髋部骨折患者术后居家康复的相关影响因素分析

Analysis of related influencing factors of home rehabilitation in elderly patients with hip fracture after operation

张田琴 1曾晶山2
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作者信息

  • 1. 长江大学法学院,湖北荆州 434000
  • 2. 湖北省宜昌市第二人民医院骨科,湖北宜昌 443000
  • 折叠

摘要

目的 分析老年髋部骨折患者术后居家康复情况的相关影响因素.方法 选取2021年1月至12月宜昌市第二人民医院收治的87例老年髋部骨折手术患者作为研究对象,通过问卷收集研究对象一般资料和家庭支持情况,评估居家康复情况,分析其相关影响因素.结果 87例受试患者中59例居家康复评估为优良组,28例患者评估为一般组.单因素分析结果提示,两组患者性别、年龄、学历、居家康复期间照顾者身份、子女给予经济支持比较,差异无统计学意义(P>0.05);两组的个人月收入水平、患慢性病数量、照顾者每日照料时长、照顾者鼓励患者康复锻炼比较,差异有统计学意义(P<0.05).多因素logistic分析显示,个人收入<2400元(β=1.386,OR=4.000,95%CI=1.169~13.692)、慢性病数量 2 种及以上(β=1.913,OR=6.771,95%CI=2.087~21.962)、照顾者每日照料时长<4.76 h(β=1.259,OR=3.523,95%CI=1.080~11.493)是老年髋部骨折患者居家康复的危险因素(P<0.05);照顾者鼓励患者康复锻炼(β=-1.851,OR=0.157,95%CI=0.043~0.573)是老年髋部骨折患者居家康复的保护因素(P<0.05).结论 针对影响老年髋部骨折患者居家康复的相关因素,照顾者应加强对患者的照料和鼓励,注重慢性病对患者康复的侵害,以促进老年患者的康复.

Abstract

Objective To analyze the related influencing factors of home rehabilitation in elderly patients with hip fracture after operation.Methods A total of 87 elderly patients with hip fracture surgery admitted to the Second People's Hospital of Yichang from January to December 2021 were selected as the research objects.The general information and family support of the research objects were collected through questionnaires,the home rehabilitation situation was evaluated,and the related influencing factors was analyzed.Results Among the 87 patients,59 cases were evaluated as excellent group and 28 cases were evaluated as general group.The results of single factor analysis showed that there were no significant difference in gender,age,education,caregiver status during home rehabilitation and financial support from children between the two groups(P>0.05).There were statistically significant differences in the personal monthly income level,the number of chronic diseases,the daily care length of caregivers,and the rehabilitation exercise encouraged by caregivers between the two groups(P<0.05).Multivariate logistic analysis showed that personal income<2 400 yuan(β=1.386,OR=4.000,95%CI=1.169-13.692),number of chronic diseases ≥2 kinds(β=1.913,OR=6.771,95%CI=2.087-21.962)and daily care duration of care-givers<4.76 h(β=1.259,OR=3.523,95%CI=1.080-1 1.493)were risk factors for home rehabilitation of elderly patients with hip fracture(P<0.05).Rehabilitation exercise encouraged by caregivers(β=-1.851,OR=0.157,95%CI=0.043-0.573)was a protective factor for home rehabilitation in elderly patients with hip fracture(P<0.05).Conclusion According to the related factors affecting the rehabilitation of elderly patients with hip fracture at home,caregivers should strengthen the care and encouragement of patients,pay attention to the harm of chronic diseases to the rehabilitation of patients,so as to promote the rehabilitation of elderly patients.

关键词

髋部骨折/居家康复/老年/影响因素

Key words

Hip fracture/Home rehabilitation/Geriatrics/Influence factors

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出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
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