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当前位置：国际护理学研究 > 2026年 8卷 (6)期

Open Access Article

International Journal of Nursing Research. 2026; 8: (6) ; 23-29 ; DOI: 10.12208/j.ijnr.20260285.

Current status and influencing factors of anti-osteoporosis drug therapy in elderly patients with fragility fracture
老年脆性骨折患者抗骨质疏松药物治疗现状及影响因素分析

作者： 马亚琴¹, 郑栋莲², 马嫔³, 白洁², 朱涛², 郭淑萍⁴ *, 张煜媛¹

1 宁夏医科大学护理学院宁夏银川;

2 宁夏医科大学总医院创伤骨科宁夏银川;

3 宁夏回族自治区人民医院宁夏银川;

4 宁夏医科大学总医院护理部宁夏银川;

*通讯作者：郭淑萍,单位：宁夏医科大学总医院护理部宁夏银川；

宁夏自然科学基金项目（项目编号：2025AAC030964）

发布时间: 2026-06-29 总浏览量: 192

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摘要

目的调查老年脆性骨折患者抗骨质疏松药物治疗现状，并分析其影响因素。方法采用横断面调查法，便利选取宁夏医科大学总医院骨科病区收治的老年脆性骨折患者为研究对象。采用自设一般资料调查表、骨质疏松症认知量表及自我效能量表进行调查。结果共计290例老年脆性骨折患者纳入研究，其中女性126例，男性164例。患者平均年龄（64.62±5.26）岁。患者的抗骨质疏松药物治疗率为3.45%。抗骨质疏松药物治疗的关联因素包括吸烟史（OR=0.28，95%CI：0.12~0.62）、个人年收入（OR=1.99，95%CI：1.38~2.88）、既往VTE病史（OR=1.85，95%CI：1.08~3.18）。结论老年脆性骨折患者抗骨质疏松药物应用严重不足，提高患者用药依从性、强化脆性骨折患者管理是改善抗骨质疏松治疗的重要策略。

关键词： 老年；脆性骨折；骨质疏松；抗骨质疏松药物；影响因素

Abstract

Objective To investigate the current status of anti-osteoporosis drug therapy in elderly patients with fragility fractures and analyze its influencing factors.
Methods A cross-sectional survey was conducted, conveniently selecting elderly patients with fragility fractures admitted to the Orthopedic Ward of General Hospital of Ningxia Medical University as the study subjects. Self-designed general information questionnaires, osteoporosis prevention and awareness tool, and osteoporosis self-efficacy scale were used for investigation.
Results A total of 290 elderly patients with fragility fractures were enrolled in the study, including 126 females and 164 males. The average age of the patients was (64.62±5.26) years. The rate of anti-osteoporosis drug therapy was 3.45%. The associated factors for anti-osteoporosis drug therapy included smoking history (OR=0.28, 95%CI:0.12–0.62), personal annual income (OR=1.99, 95%CI:1.38–2.88), and previous VTE history (OR=1.85, 95%CI:1.08–3.18).
Conclusion The application of anti-osteoporosis drugs in elderly patients with fragility fractures is severely insufficient. Improving medication adherence and strengthening the management of fragility fracture patients are important strategies to improve anti-osteoporosis treatment.

Key words： Elderly people; Fragility fractures; Osteoporosis; Anti-osteoporosis drug; Influencing factors

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引用本文

马亚琴, 郑栋莲, 马嫔, 白洁, 朱涛, 郭淑萍, 张煜媛, 老年脆性骨折患者抗骨质疏松药物治疗现状及影响因素分析[J]. 国际护理学研究, 2026; 8: (6) : 23-29.

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