Department of Nursing, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), Suzhou, Jiangsu, China.
Department of Nursing, The Fourth Affiliated Hospital of Soochow University (Suzhou Dushu Lake Hospital), Suzhou, Jiangsu, China.
Int J Orthop Trauma Nurs. 2024 Nov;55:101136. doi: 10.1016/j.ijotn.2024.101136. Epub 2024 Sep 11.
The postoperative care behavior of elderly osteoporotic fracture patients has a significant impact on their prognosis and rehabilitation; thus, it is critical to completely comprehend their current state of care before optimizing postoperative care strategies.
To determine the current status of postoperative care for elderly osteoporotic fracture patients in Jiangsu Province.
From October to December 2023, 669 elderly postoperative patients with osteoporotic fractures were recruited for a cross-sectional study via convenience sampling and a self-designed questionnaire from 21 hospitals in seven urban areas in Jiangsu Province.
A total of 800 questionnaires were distributed, and 709 questionnaires were recovered, for a return rate of 88.6%. The postoperative support and care received by the patients were mostly by their children and spouses, and the postoperative health education knowledge received by the patients was mostly about fracture-related knowledge and precautions for the use of medications. Health education methods were mainly conducted by medical staff explanations and health brochures; only 45.3% of the patients were treated with anti-osteoporosis therapy.
The current status of postoperative care for osteoporotic fracture patients in Jiangsu Province varies somewhat according to geographic location, hospital level and other factors, with tertiary hospitals and more economically developed areas having relatively better care outcomes. For in-hospital care, it is necessary to improve the content and methods of in-hospital education. For out-of-hospital care, it is necessary to raise the level of awareness of anti-osteoporosis treatment and the prevention and treatment of re-fractures, and to improve hospital-community referral services.
老年骨质疏松性骨折患者的术后护理行为对其预后和康复有重要影响，因此在优化术后护理策略之前，全面了解其护理现状至关重要。
了解江苏省老年骨质疏松性骨折患者术后护理现状。
2023 年 10 月至 12 月，采用便利抽样法，从江苏省 7 个城市 21 家医院选取 669 例老年骨质疏松性骨折术后患者进行横断面研究，采用自行设计的问卷进行调查。
共发放问卷 800 份，回收有效问卷 709 份，有效回收率为 88.6%。患者术后的支持和护理主要来自子女和配偶，术后接受的健康知识教育主要是骨折相关知识和药物使用注意事项，健康教育方法主要是医护人员讲解和健康手册，仅 45.3%的患者接受了抗骨质疏松治疗。
江苏省老年骨质疏松性骨折患者的术后护理现状因地理位置、医院级别等因素而有所不同，三级医院和经济较发达地区的护理效果相对较好。对于院内护理，需要提高院内教育的内容和方法。对于院外护理，需要提高抗骨质疏松治疗和再骨折防治意识，完善医院-社区转诊服务。
