论文部分内容阅读
目的观察社区家庭跟进式护理在老年骨质疏松患者中的应用效果。方法随机抽取2014年2月-2015年2月本社区老年骨质疏松患者80例,进行社区家庭跟进式护理,另以年龄、性别、骨密度等配对抽取80例骨质疏松患者作为对照,比较护理前后疼痛情况及骨密度变化,所有患者均随访12个月,比较两组骨质疏松骨折发生率。结果 12个月后两组骨密度值T较入组时明显上升,VAS评分较入组时明显降低,差异有统计学意义(P<0.05)。观察组护理后骨密度值T上升幅度明显大于对照组,VAS评分降低幅度明显大于对照组(P<0.05)。观察组随访期间发生骨质疏松性骨折3例,发生率为3.75%,对照组发生11例,发生率为13.75%,两组比较差异有统计学意义(Χ2=3.469,P<0.05)。结论社区家庭跟进式护理可明显改善老年骨质疏松患者症状,降低骨质疏松骨折发生率。
Objective To observe the effect of community home follow-up nursing in senile patients with osteoporosis. Methods Totally 80 elderly patients with osteoporosis in our community were selected from February 2014 to February 2015, followed by community home follow-up nursing. Another 80 osteoporosis patients were matched by age, gender and bone mineral density. All the patients were followed up for 12 months. The incidence of osteoporosis fracture was compared between the two groups. Results After 12 months, the BMD T of both groups was significantly higher than that of the control group. The VAS score was significantly lower than that of the control group (P <0.05). After treatment, the BMD of the observation group was significantly higher than that of the control group, and the decrease of VAS score was significantly greater than that of the control group (P <0.05). In the observation group, 3 cases of osteoporotic fracture occurred during follow-up, the incidence rate was 3.75%, while the control group occurred in 11 cases, the incidence rate was 13.75%. There was significant difference between the two groups (χ2 = 3.469, P <0.05). Conclusion Follow-up nursing home community can significantly improve the symptoms of elderly patients with osteoporosis and reduce the incidence of osteoporotic fractures.