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| Application of family integrated care model in continuing care of elderly patients with brittle fracture of hip#br# |
| GAO Luoluo1 LI Wenjuan2 YIN Kai3 |
1.Department of Orthopedics, Taixing People’s Hospital, Jiangsu Province, Taixing 225400, China;
2.Department of Nursing, Taixing People’s Hospital, Jiangsu Province, Taixing 225400, China;
3.Department Normal Surgical, Taixing People’s Hospital, Jiangsu Province, Taixing 225400, China |
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Abstract Objective To explore the application effect of family integrated care mode in the continuing care of elderly patients with brittle fracture of hip. Methods A total of 98 elderly patients with brittle fracture of hip were selected from the Department of Orthopaedics of Taixing People’s Hospital of Jiangsu Province from January to December 2018. The group was divided into observation group and control group by random number table method, with 49 cases in each group. The control group received routine continuing care services, and the observation group was given family integrated care on the basis of routine continuing care. Self-efficacy, osteoporosis knowledge, Harris hip function score and secondary fracture were compared between the two groups after receiving different nursing modes. Results Overall analysis showed that there were significant differences in osteoporosis self-efficacy score and osteoporosis knowledge score between groups, time point comparison and interaction between the two groups (P ＜ 0.05). Further pair comparison showed that the difference between the observation group and this group before and three months after intervention was statistically significant (P ＜ 0.05), after three and six months of intervention, there were statistically significant differences in self-efficacy level and knowledge score of osteoporosis between the two groups at each time point (P ＜ 0.05). There were statistically significant differences between the control group and this group before and three months after intervention (P ＜ 0.05). After three and six months of intervention, there were statistically significant differences in Harris score and secondary fracture occurrence between the two groups (P ＜ 0.05). Harris score of observation group was higher than that of control group at different time points (P ＜ 0.05), and there was no statistical significance in the occurrence of secondary fractures between the two groups (P ＞ 0.05). Conclusion The family participation nursing model can improve the self-efficacy level of elderly patients with brittle fracture of hip, enrich the knowledge of osteoporosis, promote the recovery of joint function, and is beneficial to the rehabilitation of patients.
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[1] 中华医学会骨质疏松和骨矿盐疾病分会.原发性骨质疏松诊疗指南（2017）[J].中华骨质疏松和骨矿盐疾病杂志，2017，10（5）：413-444.
[2] 刘菲，朱晓萍，尹小兵，等.老年髋部骨折患者家庭照顾者负担及干预的研究进展[J].中国护理管理，2019，19（5）：789-792.
[3] 王恬，陆海英.《老年髋部脆性骨折病人照护最佳实践标准》要点解读[J].护理研究，2020，34（7）：1295-1299.
[4] 戴静，尚芬兰，葛晓琴，等.二次髋部骨折相关因素研究进展[J].中国骨质疏松杂志，2017，23（5）：676-682.
[5] 王晓庆，罗存珍，李凤华.老年髋部骨折合并骨质疏松出院病人的延续护理效果评价[J].护理研究，2016，30（2）：438-440.
[6] O’Brien K，Bracht M，Macdonell K，et al. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit [J]. BMV Pregnancy Childbirth，2013，13（Suppl1）：S12.
[7] 王月琦，郭放，李娜.家庭参与式综合护理模式的研究现状与展望[J].中华现代护理杂志，2019，25（11）：1444-1448.
[8] 高机银.家庭参与式家庭参与对NICU早产儿营养、睡眠质量及家属满意度的影响分析[J].世界睡眠医学杂志，2020，7（12）：2123-2124.
[9] 苏颖，胡君红，韦月秀，等.家庭参与式联合袋鼠式护理干预对极低及超低出生体质量儿护理影响[J].中国卫生产业，2021，12（4）：128-130.
[10] 贾玉玲，马红梅，吴佼佼，等.家庭参与式护理模式在护理领域的应用现状[J].中国医药导报，2017，14（23）：163-167.
[11] 刘晓风，丁云燕.家庭参与式远程干预对老年2型糖尿病患者生活质量、自我管理能力的影响研究[J].国际护理学杂志，2020，39（19）：3622-3625.
[12] 史丽圆，宋红，庄妍.家庭参与式护理对脑卒中患者康复锻炼的影响[J].齐鲁护理杂志，2020，26（23）：125-127.
[13] 邱贵兴，裴福兴，胡侦明，等.中国骨质疏松性骨折诊疗指南（全文）（骨质疏松性骨折诊断及治疗原则）[J].中华关节外科杂志：电子版，2015，9（6）：795-798.
[14] 刘丹，张莹.同伴支持教育对脆性骨折术后患者延续护理效果的影响[J].护理实践与研究，2019，16（9）：59-60.
[15] Horan ML，Kim KK，Gendler P，et al. Development and evaluation of the Osteoporosis Self-Efficacy Scale [J]. Res Nurs Health，1998，21（5）：395-403.
[16] 胡蓉芳，姜小鹰，吴小南，等.“骨质疏松症自我效能量表”汉化版的测试[J].国外医学：护理分册，2005，24（11）：696-698.
[17] Kim KK，Horan ML，Gendler P. Osteoporosis KnowledgeTest，Osteoporosis Health Belief Scale，and Osteoporosis Self-efficacy Scale [M]. Allendale：Grand Valley State University，1991：6.
[18] 陈玉平，刘雪琴，蔡德鸿.骨质疏松症知识问卷的信度和效度评定[J].国外医学：护理学分册，2005，11（8）：339-341.
[19] 杨进，荔琦，常春峰.早期量化功能锻炼对髋关节骨折患者血液流变功能及炎症因子的影响[J].血栓与止血学，2020，26（2）：250-251.
[20] 高珞珞，王洁，李文娟.移动居家护理平台在骨质疏松性胸腰椎骨折患者延续护理中的应用[J].护理学杂志，2019，34（17）：5-7，24.
[21] 云青萍，纪颖，姜学文，等.基于家庭功能理论的慢性病患者健康行为改善路径分析[J].中华疾病控制杂志，2019， 23（7）：861-865.
[22] 刘莹.ESPCS干预对骨质疏松性骨折患者疾病认知能力及健康行为的影响[D].长春：吉林大学，2017，37.
[23] 林爱仙，赵文雅，邹带娣.老年髋部骨折合并骨质疏松出院患者的延续护理效果评价[J].黑龙江医学，2017， 41（6）：590-591.
[24] 张威，李荣议，姚凌，等.高龄患者髋部骨折手术治疗临床效果[J].中国医药科学，2019，9（4）：244-246，26.
[25] 刘春香，成传芳，赵晨，等.骨折联络服务在老年髋部脆性骨折患者中的应用[J].中华护理杂志，2019，54（9）：1343-1347.
[26] 郭素云.同伴支持教育对脆性骨折术后患者延续护理效果的影响[J].护理实践与研究，2019，16（9）：59-60. |
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