老年骨質疏松性骨折的危險因素分析及護理對策

[摘要] 目的 探討老年骨質疏松性骨折的相關危險因素及護理對策。 方法 選取我院2010年5月～2012年9月收治的60例老年骨質疏松性骨折患者作為研究對象，按照隨機數字表法分為干預組與對照組各30例，干預組患者在對照組常規護理基礎上加用干預性護理措施，治療4周后，比較兩組患者的治療依從性和總有效率。 結果 干預組總依從率、總有效率均明顯高于對照組，差異具有統計學意義（P<0.01）。 結論 對老年骨質疏松性骨折患者實施干預護理措施，可以有效提高治療依從性和臨床療效，值得臨床推廣應用。

[關鍵詞] 骨質疏松性骨折；危險因素；護理對策

[中圖分類號] R473 [文獻標識碼] B [文章編號] 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 People's 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

骨質疏松性骨折是由于老年人患有骨質疏松癥后，造成骨密度下降、骨強度減低，受到輕微暴力甚至在日常活動中即可發生的骨折。這種骨折屬于脆性骨折，也是一種病理性骨折，是骨質疏松癥最為嚴重的后果。據有關調查[1-2]，骨質疏松性骨折以女性居多，60歲以上人群多發。常見的骨折部位為脊柱、髖部、橈骨遠端和肱骨近端等。在骨質疏松性骨折治療期間給予干預性護理措施可以有效的改善患者治療依從性、提高治療效果。本研究針對老年骨質疏松性骨折的危險因素及干預護理效果進行分析，報道如下。

1 資料與方法

1.1 一般資料

選取我院2010年5月～2012年9月收治的60例老年骨質疏松性骨折患者作為研究對象，按照隨機數字表法分為干預組與對照組各30例，所有患者均經骨密度儀檢測，結果骨密度低于正常同性別峰值骨量2.0標準差，確診為骨質疏松性骨折。……