主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (12): 1893-1897.doi: 10.3969/j.issn.1672-1756.2020.12.029

• 专科管理 • 上一篇    下一篇

以专科护士为主导的骨折联络服务在老年髋部骨折患者中的实施效果观察

赵媛 彭贵凌   

  1. 北京积水潭医院创伤骨科,100035
  • 出版日期:2020-12-15 发布日期:2020-12-15
  • 通讯作者: 彭贵凌,本科,主管护师,总护士长,E-mail:843944412@qq.com
  • 作者简介:赵媛,本科,护师
  • 基金资助:
    2018首都卫生发展科研专项项目(首发2018-1-2071)

The effect of Fracture Liaison Service led by specialized nurses on hip fracture for the elderly

ZHAO Yuan, PENG Guiling   

  1. Trauma Department of Orthopedics, Beijing Jishuitan Hospital, 100035, China
  • Online:2020-12-15 Published:2020-12-15
  • Contact: E-mail:843944412@qq.com

摘要: 目的:对以专科护士为主导的骨科联络服务(Fracture Liaison Service,FLS)在老年髋部骨折患者中的实施效果进行研究。方法:FLS是在建立多学科团队基础上,以老年骨科专科护士为全程协调员,识别、评估骨质疏松骨折患者,启动FLS相关治疗、随访监测并建设信息化数据库。比较FLS实施前、后老年髋部骨折病房与创伤骨科普通病房老年髋部骨折患者的骨质疏松诊断率与治疗率。结果:老年髋部骨科病房与创伤骨科普通病房FLS实施后患者的骨质疏松诊断率与治疗率均高于FLS实施前(P<0.05),FLS实施后老年髋部骨折病房患者的骨质疏松诊断率与治疗率高于创伤骨科普通病房(P<0.05)。结论:以老年骨科专科护士为主导,多学科协作的FLS提高了骨质疏松的诊断率和治疗率,有利于降低老年人二次骨折发生率。

关键词: 专科护士;老年髋部骨折;骨科联络服务;骨质疏松骨折

Abstract: Objective: To study the effect of Fracture Liaison Service (FLS) led by specialized nurses for the elderly patients with hip fracture. Methods: The implementation of FLS was based on the establishment of a multidisciplinary team, with the elderly orthopedic specialized nurses as the whole-process coordinator, to identify and evaluate osteoporosis patients, initiate FLS related treatment, follow up, monitor and construct information database. The osteoporosis diagnosis rate and treatment rate of the elderly hip fracture patients before and after the implementation of FLS were compared between geriatric hip fracture ward and general trauma orthopedic ward. Results: The osteoporosis diagnosis rate and treatment rate were higher in patients in the geriatric hip fracture ward and the general trauma orthopedic ward after the implementation of FLS than before the implementation of FLS (P<0.05), and the osteoporosis diagnosis rate and treatment rate were higher in patients in the geriatric hip fracture ward than in the general trauma orthopedic ward after the implementation of FLS (P<0.05). Conclusion: The FLS model, which is led by the senior orthopedic specialized nurses, increases the diagnosis rate and treatment rate of osteoporosis, and helps to reduce the incidence of secondary fracture.

Key words: specialized nurse; hip fracture in the elderly; Fracture Liaison Service; osteoporosis fracture

中图分类号: 

  • R47