首页|老年人髋部脆性骨折术后出院过渡期护理依赖调查及影响因素分析

老年人髋部脆性骨折术后出院过渡期护理依赖调查及影响因素分析

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目的 调查老年髋部脆性骨折术后出院过渡期护理依赖情况及其影响因素,为临床制定针对性干预提供参考.方法 选取2022年8月至2023年6月于本院就诊的168例行手术治疗的老年髋部脆性骨折患者为研究对象,采用一般资料调查表、护理依赖量表、简易认知状态量表、简易微型营养评估状态量表对其进行调查,采用多元线性回归分析术后出院过渡期护理依赖的影响因素.结果 老年髋部脆性骨折患者术后出院过渡期护理依赖总分为(47.82±6.33)分,为中度依赖水平,其中几乎独立10例(5.95%),大部分独立82例(48.81%),部分依赖54例(32.14%),绝大部分依赖22例(13.10%),完全依赖0例.多元线性回归结果显示:文化程度、家庭人均月收入、认知功能、营养状态、抑郁状态是老年髋部脆性骨折术后出院过渡期护理依赖的影响因素(P<0.05).结论 老年髋部脆性骨折患者术后出院过渡期处于中度护理依赖水平,术后出院过渡期护理依赖与文化程度、家庭人均月收入、认知功能、营养状态、抑郁状态有关,医护人员需重视患者的护理依赖情况,根据影响因素制定针对性的方案.
Investigation of nursing dependence and analysis of influencing factors in the transitional period of elderly patients with brittle fracture of hip
Objective To investigate the transitional care dependence and its influencing factors in elderly patients with hip fra-gility fracture after operation,and to provide reference for clinical intervention.Methods A total of 168 elderly patients with hip brittle fracture who underwent surgical treatment in our hospital from August 2022 to June 2023 were selected as the research ob-jects.The general data questionnaire,nursing dependence scale,simple cognitive state scale,and simple mini nutritional assessment state scale were used to investigate them.Multiple linear regression was used to analyze the influencing factors of nursing dependence in the transitional period after discharge of elderly patients with hip brittle fracture.Results The total score of transitional care de-pendence in elderly patients with hip fragile fracture after discharge was(47.82±6.33)points,which was at a moderate level of de-pendence.Among them,10 cases(5.95%)were almost independent,82 cases(48.81%)were mostly independent,54 cases(32.14%)were partially dependent,22 cases(13.10%)were mostly dependent,and none was completely dependent.The results of multi-ple linear regression showed that education level,family per capita monthly income,cognitive function,nutritional status and depres-sion were the influencing factors of nursing dependence during the transitional period of discharge after hip fracture surgery in the elderly(P<0.05).Conclusion Elderly patients with hip fragility fracture are at a moderate level of nursing dependence during the transitional period after discharge,which is related to education level,family per capita monthly income,cognitive function,nutritional status and depression.Medical staff should pay attention to their nursing dependence and formulate targeted intervention strategies ac-cording to the influencing factors.

hip brittle fractureelderly patientstransition period of discharge from hospitalnursing dependence

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开封市中医院骨科 475000

髋部脆性骨折 老年患者 出院过渡期 护理依赖

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(2)
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