老年妇女低骨密度骨折患者的循证护理效果分析

目的探讨循证护理对老年妇女低骨密度骨折患者的临床效果,以指导提升患者预后。方法随机选择2011年1月-12月,我院尚未开展循证护理时入院接受治疗的120例老年妇女低骨密度骨折患者为对照组;以次年我院全面推行循证护理后入院的同类患者120例为观察组。行持续随访,并以汉密尔顿抑郁量表（HAMD）、Barthel指数（BI）、Fugl-meyer运动量表（FMA）及生存质量测定简式量表（WHOQOL-BREF）统计患者护理前及出院1年后抑郁程度、日常生活能力、运动功能及生存质量。结果两组患者护理前HAMD、BI、FMA及WHOQOLBREF量表各项评分均相近,差异无统计学意义;随访末期上述评分均显著性改善,较护理前差异有统计学意义（P〈0.05）;且观察组数据显著优于对照组,差异有统计学意义（P〈0.05）。结论循证护理有助于提升老年妇女低骨密度骨折患者预后,且能显著提高其出院后生存质量,值得推广。

Effect of evidence-based nursing in elderly low bone mineral density women patients with fracture

Objective To explore the clinical effect of evidence-based nursing on low bone mineral density in elderly women patients with fracture and to improve the prognosis of the patients in order to guide the treatment. Methods A total of 120 cases of elderly low bone density women with fracture from January 2011 to December 2011 received the treatment of evidence-based nursing were admitted in our hospital for treatment, and they were selected as control group, and 120 cases of similar patients received the evidence-based nursing as observation group in the following year. Follow-up was done, the patients＇ care statistics of depression and ADL, motor function and quality of life before and after one year were discharged using the Hamilton Depression Scale（HAMD）, Barthel index（BI）, scale for Fugl- meyer （FMA） and quality of life short form （WHOQOL-BREF）. Results HAMD, BI, FMA and WHOQOL-BREF scales cores were similar before the care in two groups, and there was no significant difference. At the end of follow-up the scores were significantly improved, there were statistically significant differences compared with the preoperative care （P〈0.05）. And the data in observation group was better than that in control group. The difference was statistically sig- nificant（P〈0.05）. Conclusion The evidence-based nursing is helpful to improve the prognosis of elderly women patients with low bone mineral density and fracture, and can significantly increase the discharge quality of life, which is worthy of promotion.