| Objective:In this study,the nursing management mode of Fracture Liaison Service(FLS)was applied to patients with vertebral fragility fractures based on the theory of the knowledge,attitude and Practice,in order to evaluate the impact of this nursing management model on the knowledge level of osteoporosis,medication compliance,quality of life and refracture rates of patients,so as to reduce the refracture rates of patients with vertebral fragility fractures,improve the quality of life,and provide a reference for the management of osteoporosis in patients with vertebral fragility fractures.Method:1.This study was a randomized controlled study.From June 2020 to November2020,94 patients diagnosed with vertebral fragility fractures who met the inclusion criteria in the orthopedic ward of a tertiary hospital in Jiangxi Province were selected,and randomly divided into the control and intervention group,with 47 patients in each group.2.The two groups were intervened for 3 months.The control group received routine vertebral fracture nursing care,and the intervention group implemented the FLS management model based on routine care.General data of the two groups were collected at admission,and the knowledge level of osteoporosis and quality of life of the two groups were investigated separately.Then,quality of life in both groups was re-investigated before discharge.At the 1st month and 3rd month after discharge,the knowledge level of osteoporosis,medication compliance,quality of life and refracture rates of the two groups of patients were investigated separately.3.IBM SPSS 25.0 statistical software was used for statistical processing and analysis of data.The statistical methods were descriptive statistics,t test,Chi-square test,Wilcoxon rank sum test and repeated measurement analysis of variance,etc.Result:1.Totally 87 patients with vertebral fragility fractures completed this study,including 44 cases in the intervention group and 43 cases in the control group.The age,gender,education level,home address,family monthly income,body mass index,length of hospitalization,number of injured vertebral segments,treatment method of fracture,history of diabetes and hypertension of the two groups of patients were comparable without statistical significance(P>0.05).2.The scores of Osteoporosis Knowledge in the intervention group were higher than that in the control group.There were no statistically significant differences between the two groups in the scores of high-risk factors,exercise knowledge and calcium knowledge and the total scores of osteoporosis knowledge at admission(P>0.05).At the 1st month and 3rd month after discharge,the scores of each dimension and total scores of osteoporosis knowledge in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).The repeated measurement analysis of variance showed that the time-point effect,inter-group effect and interaction effect of the total scores of osteoporosis knowledge in two groups were statistically significant(P<0.05).3.The medication compliance of the intervention group was better than that in the control group.At the 1st month after discharge,there was no statistical significance in medication compliance between the two groups(P>0.05);and at the3 rd month after discharge,the difference in medication compliance between the intervention group and the control group was statistically significant(P<0.05).4.The quality of life of the intervention group was better than that of the control group.At admission,the EQ-5D-5L scale dimensions(mobility,self-care,daily activities,pain or discomfort,anxiety or depression),EQ-5D-5L Health Index and EQ-VAS scores between the two groups were comparable without statistical significance(P > 0.05).Before discharge,there were no statistically significant differences in EQ-5D-5L scale dimensions,EQ-5D-5L Health Index and EQ-VAS scores between the two groups(P>0.05).At the 1st month and 3rd month after discharge,there were statistically significant differences in self-care,daily activities,anxiety or depression between the two groups(P < 0.05),but there were no significant differences in mobility and pain or discomfort between the two groups(P>0.05).The EQ-5D-5L Health Index and EQ-VAS scores in the intervention group were better than those in the control group at the 1st month and 3rd month after discharge,and the differences were statistically significant(P<0.05).After the repeated measurement analysis of variance,the EQ-5D-5L Health Index and EQ-VAS scores showed that the time-point effect,inter-group effect and interaction effect were all of statistical significance in the two groups(P<0.05).5.Comparison of refracture rates between the two groups showed that there were no significant differences in the refracture rates between the two groups at the1 st month and 3rd month after discharge(P>0.05).However,the number of cases of refracture in the intervention group at the 3rd month after discharge was one,while that in the control group was three.The number of cases of refracture in the intervention group was less than that in the control group.Conclusion:(1)FLS nursing management intervention based on the theory of knowledge,attitude and Practice can improve the knowledge level of osteoporosis and medication compliance of patients with vertebral fragility fractures.(2)FLS nursing management intervention based on the theory of knowledge,attitude and Practice can improve the quality of life in the self-care ability,daily activity ability,and anxiety or depression dimensions of patients with vertebral fragility fractures.The effect on the quality of life of other dimensions and refracture rates are not obvious.The effect of its long-term application needs further study. |
PDF Full Text Request