Clinical effect of nursing intervention based on the theory of health empowerment in elderly patients with fragility fractures
基于健康赋权理论的护理干预在老年脆性骨折病人中的临床疗效

摘要

目的 探讨健康赋权理论的护理干预在老年脆性骨折病人中的临床疗效。方法 随机选取的84例老年脆性骨折患者为我院在2019年3月～2020年6月期间治疗的病人，按照护理干预措施分为研究组与参照组，各组病人42例，观察与比较分析两组患者护理干预后治疗效果。结果 经研究与分析发现：①研究组患者干预后3个月与6个月后健康赋予总分、各维度得分（获取知识、参与治疗、责任信念、增长知识、重建自我）、自我效能总分、锻炼维度及食钙维度均比干预前高，且自我效能总分、锻炼维度干预6个月水平变化比干预后3个月水平高。且差异均具有统计学意义（P＜0.05）；②研究组与术后并发症发生率与参照组相比，差异无统计学意义（X2=0.9415，P=0.3319）；③对两组人员出院后骨折愈合情况随访6个月，得出研究组患者出院后3个月与6个月时段骨折愈合率均比参照组高，且差异具有统计学意义（P＜0.05）。结论 对于老年脆性骨折病人，在手术后进行健康赋权理论的护理干预效果好，可增强患者自我效能与健康赋权理论的水平，可促进病人骨折较早愈合，在临床上值得应用与推广。

Abstract

Objective: To explore the clinical efficacy of nursing intervention based on the theory of health empowerment in elderly patients with fragility fractures.
Methods: 84 elderly patients with fragility fractures were randomly selected as patients treated in our hospital from March 2019 to June 2020. They were divided into study group and reference group according to nursing intervention measures. 42 patients in each group were observed and compared. Analyze the treatment effect of two groups of patients after nursing intervention.
Results: After research and analysis, it was found that: ① Patients in the study group were given total scores of health, scores of various dimensions (acquisition of knowledge, participation in treatment, belief in responsibility, increase of knowledge, self-rebuilding), and total self-efficacy 3 months and 6 months after intervention. The score, exercise dimension, and dietary calcium dimension were higher than before the intervention, and the total self-efficacy score and exercise dimension of the intervention for 6 months changed higher than the level of 3 months after the intervention. And the differences were statistically significant (P<0.05); ②Compared with the reference group in the incidence of postoperative complications between the study group and the reference group, there was no significant difference (X2=0.9415, P=0.3319); ③The two groups were discharged from hospital After fracture healing was followed up for 6 months, it was concluded that the fracture healing rate of patients in the study group was higher than that of the reference group at 3 and 6 months after discharge, and the difference was statistically significant (P<0.05).
Conclusion  : For elderly patients with fragility fractures, the nursing intervention of health empowerment theory after surgery is effective, which can enhance the patient's self-efficacy and the level of health empowerment theory, and promote the early healing of patients' fractures. It is worthy of clinical application and promotion.