摘要
目的评价基于知信行理论的骨折联络服务(FLS)模式在椎体脆性骨折患者中的应用效果。方法选取2020年6—11月南昌大学第二附属医院骨科病房收治的94例椎体脆性骨折患者作为研究对象,随机分为对照组与干预组,每组47例。对照组接受骨科常规护理,干预组在常规护理的基础上接受基于知信行理论的骨折联络服务。比较两组不同时间点骨质疏松知识水平、生命质量和干预1、3个月后再发骨折率。结果两组骨质疏松知识得分组间、时间、交互比较差异有统计学意义(P<0.05)。入院时,两组骨质疏松知识得分比较差异无统计学意义;出院1、3个月,两组骨质疏松知识得分均高于前一时间点,且干预组高于对照组,差异有统计学意义(P<0.05)。两组生命质量健康效用值、视觉模拟标尺评分(EQ-VAS)得分组间、时间、交互比较差异有统计学意义(P<0.05)。入院时,两组生命质量健康效用值、EQ-VAS得分比较差异无统计学意义;出院1、3个月,两组命质量健康效用值、EQ-VAS得分均高于前一时间点,且干预组高于对照组,差异有统计学意义(P<0.05)。出院第1、3个月后,两组再发骨折率比较差异无统计学意义。结论基于知信行理论的骨折联络服务护理管理模式可提高椎体脆性骨折患者的骨质疏松知识水平和生命质量。
Objective To evaluate the effect of fracture liaison service(FLS)model based on knowledge and action theory in patients with verte-bral fragility fractures.Methods A total of 94 patients with vertebral fragility fracture admitted to the Orthopedic Ward of the Second Affiliated Hos-pital of Nanchang University from June to November 2020 were selected as the study subjects,and they were randomly divided into the control group and the intervention group,with 47 cases in each group.The control group received orthopaedic routine nursing,and the intervention group re-ceived fracture liaison services based on the knowledge and action theory,the knowledge level of osteoporosis,quality of life at different time points and recurrence rate of fracture after 1,3 months of intervention were compared between the two groups.Results There were significant differences in the scores of osteoporosis knowledge between the two groups of group,time points and interaction(P<0.05).At admission,there was no signifi-cant difference in osteoporosis knowledge score between the two groups;1 and 3 months after discharge,the scores of osteoporosis knowledge of the two groups were higher than the previous time point,and the intervention group was higher than the control group,the differences were statistically significant(P<0.05).There were significant differences in quality of life health utility and EQ visual analogue scale(EQ-VAS)between the two groups of group,time points and interaction(P<0.05).At admission,there were no significant differences in the quality of life health utility value and EQ-VAS score between the two groups.At 1 and 3 months after discharge,the life quality health utility value and EQ-VAS scores of the two groups were higher than the previous time point,and the intervention group was higher than the control group,and the differences were statistically significant(P<0.05).After 1 and 3 months of discharge,there was no significant difference in the recurrence fracture rate between the two groups.Conclusion The fracture li
作者
肖林燕
汪丽霞
涂萍
唐芬芬
何朝珠
XIAO Linyan;WANG Lixia;TU Ping;TANG Fenfen;HE Chaozhu(Department of Orthopedics,the Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330006,China;Postanaesthesia Care Unit of the Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330006,China;College of Nursing in Nanchang University,Nanchang,Jiangxi,330006,China)
出处
《当代医学》
2023年第25期6-11,共6页
Contemporary Medicine
基金
江西省卫生健康委科技计划(SKJP220212044)。
关键词
骨折联络服务
椎体骨折
骨质疏松
知信行理论
Fracture liaison services
Vertebral fracture
Osteoporosis
Knowledge and action theory
