Application of home orthopedic care platform in the care of elderly patients with osteoporotic intertrochanteric fractures
居家骨科护理平台在老年骨质疏松性股骨粗隆间骨折患者护理中的应用

摘要

目的 探讨分析在老年骨质疏松性股骨粗隆间骨折患者护理中应用居家骨科护理平台的效果。方法本次于骨科中随机选取76例研究对象，经专科诊断均确诊老年骨质疏松性股骨粗隆间骨折，并且愿意参与本次研究。根据患者入院就医的先后顺序分组，分配为实施常规护理的对照组、实施居家骨科护理平台的观察组，对比两组患者的髋关节功能恢复情况、生活自理能力、服药依从性。结果 经髋关节功能Harris评分评估看，在出院后两组患者髋关节功能均有恢复，其中观察组患者在出院3个月、6个月时Harris评分明显高于对照组（P＜0.05）；在生活自理能力方面，观察组出院3个月、6个月后的生活自理能力评分显著高于对照组（P＜0.05）；不仅如此，观察组患者出院后的服药依从性也明显提升，优于对照组（P＜0.05）。结论 将居家骨科护理平台用于老年骨质疏松性股骨粗隆间骨折患者护理中可促进髋关节功能恢复，有利于提高用药依从性，并可提高生活自理能力。

Abstract

Objective To explore and analyze the effect of applying the home orthopedic nursing platform in the care of elderly patients with osteoporotic intertrochanteric fractures.
Methods This time, 76 research subjects were randomly selected from the Department of Orthopedics. All of them were diagnosed with elderly osteoporotic intertrochanteric fractures through specialist diagnosis and were willing to participate in this study. According to the order in which the patients were admitted to the hospital, they were divided into a control group that implemented routine care and an observation group that implemented a home orthopedic care platform. The recovery of hip joint function, self-care ability, and medication compliance of the two groups of patients were compared.
Results According to the hip joint function Harris score assessment, the hip joint function of both groups of patients recovered after discharge. Among them, the Harris score of the patients in the observation group was significantly higher than that of the control group at 3 months and 6 months after discharge (P<0.05). ; In terms of self-care ability, the self-care ability scores of the observation group 3 months and 6 months after discharge were significantly higher than those of the control group (P < 0.05); not only that, the medication compliance of patients in the observation group also improved significantly after discharge, better than the control group (P < 0.05).
Conclusion   Using the home orthopedic care platform in the care of elderly patients with osteoporotic intertrochanteric fractures can promote hip joint functional recovery, improve medication compliance, and improve self-care ability.